216-RICR-20-10-4
216-RICR-20-10-4. School Health Programs (version Amendment, 07/02/2018 to 01/04/2022)
4.1 Authority
These regulations are
promulgated pursuant to the authority conferred under R.I. Gen. Laws
§§ 16-21-7(a)
and 23-1-18(4) ,
and are established for the purpose of adopting prevailing standards
pertaining to school health programs.
4.2 Incorporated Materials
A. These regulations hereby
adopt and incorporate the Rhode
Island Health Education Framework: Health Literacy for All Students
(2010) standards by reference, not including any further editions or
amendments thereof and only to the extent that the provisions therein
are not inconsistent with these regulations.
B. These regulations hereby
adopt and incorporate the RIDE Comprehensive
Health Instructional Outcomes (2015) by reference, not including
any further editions or amendments thereof and only to the extent
that the provisions therein are not inconsistent with these
regulations.
C. These regulations hereby
adopt and incorporate the Rhode
Island Physical Education Framework standards (2003) by
reference, not including any further editions or amendments thereof
and only to the extent that the provisions therein are not
inconsistent with these regulations.
D. These regulations hereby
adopt and incorporate the Substance Abuse and Mental Health Services
Administration (SAMSA) National Registry of Evidence
Based Programs and Practices (2014), by reference, not including
any further editions or amendments thereof and only to the extent
that the provisions therein are not inconsistent with these
regulations.
E. These regulations hereby
adopt and incorporate the Occupational Safety and Health
Administration (OSHA) Toxic
and Hazardous Substances Standard - 29 C.F.R. 1910-1450 (2012) by
reference, not including any further editions or amendments thereof
and only to the extent that the provisions therein are not
inconsistent with these regulations.
F. These regulations hereby
adopt and incorporate the American Speech-Language-Hearing
Association Guidelines
for Audiology Service Provision in and for Schools (2002) by
reference, not including any further editions or amendments thereof
and only to the extent that the provisions therein are not
inconsistent with these regulations.
G. These regulations hereby
adopt and incorporate the American National Standards Institute
Specifications
for Audiometers Standards (2010) by reference, not including any
further editions or amendments thereof and only to the extent that
the provisions therein are not inconsistent with these regulations.
H. These regulations hereby
adopt and incorporate the Occupational Safety and Health
Administration Occupational
Noise Exposure Standard, 29 C.F.R. § 1910.95(c) (2008) by
reference, not including any further editions or amendments thereof
and only to the extent that the provisions therein are not
inconsistent with this Part.
I. These regulations hereby
adopt and incorporate the Scoliosis Research Society Screening
for Early Detection for Idiopathic Scoliosis in Adolescents
standards (2015) by reference, not including any further editions or
amendments thereof and only to the extent that the provisions therein
are not inconsistent with these regulations.
J. These regulations hereby
adopt and incorporate the U.S.
Consumer Product Safety Commission Standards for public
playground safety (2010) by reference, not including any further
editions or amendments thereof and only to the extent that the
provisions therein are not inconsistent with these regulations.
K. These regulations hereby
adopt and incorporate the Uniform Federal Accessibility Standards
(2004) by reference, not including any further editions or amendments
thereof and only to the extent that the provisions therein are not
inconsistent with these regulations.
4.3 Definitions
A. Wherever used in these
rules and regulations the terms listed below shall be construed as
follows:
1. "Added sweetener"
means any additive, including natural or artificial additives that
enhances the sweetness of the beverage, including, added sugar, but
does not include, the naturally occurring sugar or sugars that are
contained within milk or fruit juice.
2. “Administrative head of
school” means the person with the greatest responsibility for the
care and supervision of a public-school district or community as
defined in § 4.3(10) of this Part, or a non-public school (e.g.
headmaster, principal, superintendent).
3. "Anaphylaxis"
means a potentially fatal, acute allergic reaction to a substance
(such as stinging insects, foods and medications) that is induced by
an exposure to the substance. Manifestations of anaphylaxis may be
cutaneous (such as hives, itchiness, swelling), cardiorespiratory
(swelling of tongue, throat, wheezing, difficulty breathing, low
blood pressure), central nervous system (lethargy, coma) and others.
4. "At school", as
used in §§ 4.38 and 4.39 of this Part, means in a classroom,
elsewhere on or immediately adjacent to school premises, on a school
bus or other school-related vehicle, at an official school bus stop,
or at any school-sponsored activity or event whether or not it is
held on school premises, or using property or equipment provided by
the school that creates a material and substantial disruption of the
education process or the orderly operation of the school.
5. "Audiologist"
means an individual licensed in this state in accordance with the "
Rules and Regulations for Licensing Speech Pathologists and
Audiologists [R5-48-SPA]".
6. "Audiometric aide"
means an individual registered in this state in accordance with the
"Rules and Regulations for Licensing Speech Pathologists and
Audiologists [R5-48-SPA]".
7. "Bullying and
cyber-bullying", as used in this Part, are defined by R.I. Gen.
Laws § 16-21-33 .
8. "Certified health
educator" means an individual who holds the appropriate
certification as a health educator in accordance with RIDE
requirements.
9. "Certified school
nurse-teacher" means an individual who is licensed as a
professional (registered) nurse in this state pursuant to R.I. Gen.
Laws Chapter 5-34
and is certified by RIDE as a Certified School Nurse-Teacher.
10. "Community"
means any city, town or regional school district established pursuant
to state law and/or DCYF and any school operated by RIDE; provided,
however, that the Department for Children, Youth and Families shall
not have those administrative responsibilities and obligations as set
forth in R.I. Gen. Laws Chapter 16-2
("Education"); provided, however, the member towns of the
Chariho Regional High School District, created by R.I. Gen. Laws §
16-3.1-9 shall constitute separate and individual communities for the
purpose of determining and distributing said Foundation Level School
support including state aid for non-capital excess expenses for the
special education of handicapped children provided for in R.I. Gen.
Laws Chapter 16-24-6
for all grades financed in whole or in part by said towns
irrespective of any regionalization pursuant to R.I. Gen. Laws
Chapter 16-7
entitled, "Foundation Level School Support."
11. “Comprehensive school
health program” means a school health program consisting of health
education, health services and a healthful school environment,
approved by the State Commissioner of Elementary and Secondary
Education and the Director of Health in accordance with R.I. Gen.
Laws § 16-21-7 .
12. “Competitive foods”
means all foods and beverages other than meals reimbursed under the
Richard B. Russell National School Lunch Act (42 U.S.C. § 1751 et
seq .) and the Child Nutrition Act of 1966 (42 U.S.C.§ 1771 et
seq .) available for sale to students on the school campus during
the school day).
13. "Confidential health
care information" means all information relating to a patient's
health care history, diagnosis, condition, treatment or evaluation
obtained from a health care provider who has treated the patient.
14. "Controlled
substance" means a drug, substance, or immediate precursor in
schedules I-V of R.I. Gen. Laws § 21-28-1.02 .
15. “Dating partner” means
any person involved in an intimate association with another,
primarily characterized by the expectation of affectionate
involvement, whether casual, serious, or long-term.
16. “Dating violence”
means a pattern of behavior wherein a person uses threats of, or
actually uses, physical, sexual, verbal or emotional abuse to control
his or her dating partner.
17. "Dental hygienist",
means a person with a license to practice dental hygiene in this
state under the provisions R.I. Gen. Laws § 5-31.1-1 .
a. Public health dental
hygienist, as used in this Part means any practicing registered
dental hygienist who may perform dental hygiene procedures in a
public health setting under the provisions of R.I. Gen. Laws §
5-31.1-39 .
18. "Dentist", as
used in this Part, means a person with a license to practice
dentistry in this state under the provisions of R.I. Gen. Laws §
5-31.1-1 .
19. “DCYF” means the Rhode
Island Department of Children, Youth and Families.
20. "Education record"
means those records that are:
a. Directly related to a
student; and
b. Maintained by an
educational agency or institution or by a party acting for the agency
or institution.
21. "Emergency"
means a medical or psychological condition where the absence of
immediate intervention could reasonably be expected to result in
placing the student's health (or another student's health) in serious
jeopardy; serious impairment to bodily or psychological functions; or
serious dysfunction of any bodily organ or part.
22. “Emergency care plan
(ECP)” means a set of procedural guidelines that provides specific
directions about what to do in an emergency. A student with special
health care needs may have both an ECP and an individualized health
care plan (IHCP). The ECP may be formulated as part of the IHCP. As
used in this Part, “emergency care plan (ECP)” shall have the
same meaning as “emergency health care plan (EHCP).”
23. "Epinephrine
auto-injectors" means any device that is used for the automatic
injection of epinephrine into the human body to prevent or treat
anaphylaxis.
24. "Eye care provider",
as used in this Part, means an individual licensed in the Rhode
Island to practice optometry or medicine (i.e., ophthalmology)
pursuant to the provisions of R.I. Gen. Laws Chapter 5-35.1 .
25. "Follow up"
means the contact with a student’s, parent as defined in this Part,
and/or service provider to verify receipt of services, provide
clarification and determine the need for additional assistance.
26. “Governing body” means
the body or board or committee or individual, or the designated
agent(s) or designee(s) of the aforementioned responsible for, or who
has control over, the administration of any elementary or secondary
school, public or non-public, in the state of Rhode Island.
27. "Hazardous chemical"
means a chemical for which there is statistically significant
evidence based on at least one study conducted in accordance with
established scientific principles that acute or chronic health
effects may occur in exposed persons. The term "health hazard"
includes chemicals that are carcinogens, toxic or highly toxic
agents, reproductive toxins, irritants, corrosives, sensitizers,
hepatotoxins, nephrotoxins, neurotoxins, agents that act on the
hematopoietic systems, and agents that damage the lungs, skin, eyes,
or mucous membranes.
28. "Health" means
the quality of a person's physical, psychological, and sociological
functioning that enables him or her to deal effectively with self and
others in a variety of situations.
29. "Health care
provider/agency" means any person/agency licensed by this state
to provide or otherwise lawfully able to provide health care
services, including, but not limited to, a physician, chiropractor,
hospital, intermediate care facility or other health care facility,
dentist, dental hygienist, nurse, physician assistant, nurse
practitioner, optometrist, podiatrist, pharmacist, physical
therapist, psychiatric/clinical social worker, mental health
counselor, or psychologist and any officer, employee or agent of that
provider acting in the course and scope of his/her employment or
agency related to or supportive of health services.
30. "Health education"
means comprehensive sequential K through 12 instruction that builds a
foundation of health knowledge, develops the motivation and skills
required of students to cope with challenges to health and provides
learning opportunities designed to favorably influence health
attitudes, practices and behavior that will impact lifestyles,
educational performance and achievements and long range health
outcomes and is in accordance with the requirements of § 4.5(D) of
this Part .
31. "Hearing impairment"
means an impairment in hearing, whether permanent or fluctuating,
that affects a student's educational performance.
32. “Individualized health
care plan (IHCP)” means a comprehensive plan for care of children
with special health care needs developed by the certified school
nurse teacher in collaboration with the student, parents/guardians,
school staff, community, and health care provider(s), as appropriate.
33. “Individualized health
services” means services provided to individual students who attend
school within the community which are specific to the health needs of
the individual student, such as medication administration, and are
not included in the health examination/ screenings, record keeping
and reporting requirements described in § 4.9.1(B) of this Part.
34. "Laboratory"
means a facility where the laboratory use of hazardous chemicals
occurs. It is a place where relatively small quantities of hazardous
chemicals are used on a non-production basis.
35. “Local education agency”
means an educational agency at the local level that exists primarily
to operate schools or to contract for educational services for
elementary and secondary public and non-profit private schools. For
non-profit private schools, this includes the building owner.
36. "Mandated
instructional outcomes" means statements which indicate what
health knowledge and skills students should have at the completion of
a specific health unit.
37. “Medically accurate”
means verified or supported by research conducted in compliance with
accepted scientific methods and published in peer-reviewed journals,
where appropriate, and recognized as accurate and objective by
professional organizations and agencies with expertise in the
relevant field, such as the federal Centers for Disease Control and
Prevention.
38. "Medication"
means any FDA-approved substance regarded as effective for the use
for which it is designed in bringing about the recovery, maintenance
or restoration of health, or the normal functioning of the body.
39. “OSHA” means the
Occupational Safety and Health Administration.
40. "Parent" means a
natural parent, a legal guardian, or an individual acting as a parent
in the absence of a parent or a legal guardian.
41. "Physician"
means an individual licensed in the United States to practice
allopathic or osteopathic medicine pursuant to the provisions of R.I.
Gen. Law Chapter 5-37 .
a. Chiropractic physicians
licensed under the provisions of R.I. Gen. Laws Chapter 5-30
are entitled to the same services of the laboratories of RIDOH and
other institutions, and shall be subject to the same duties and
liabilities, and are entitled to the same rights and privileges in
their professional calling pertaining to public health which may be
imposed or given by law or regulations upon or to physicians
qualified to practice medicine by R.I. Gen. Laws § 5-37-2 ;
provided, however, that chiropractic physicians shall not write
prescriptions for drugs for internal medication nor practice major
surgery.
42. “Population-based health
services” means services provided to all students attending school
within the community which are not focused on the individual health
needs of the particular student but are provided to all students as
part of the health examination/screenings, record keeping and
reporting requirements described in § 4.9.1(B) of this Part.
43. "Prescription"
means an order for medication signed by a licensed practitioner with
prescriptive authority or transmitted by the practitioner to a
pharmacist by telephone, facsimile, or other means of communication
and recorded in writing by the pharmacist.
44. "Record" means
any information recorded in any way, including, but not limited to,
handwriting, print, tape, electronic storage, computer diskette,
film, microfilm, and microfiche.
45. “RIDE” means the Rhode
Island Department of Education.
46. “RIDOH” means the
Rhode Island Department of Health.
47. "School" means
all public or privately supported schools for students in grades
Kindergarten (K) through 12 in Rhode Island. In addition, a
preschool program operated by or within an approved school (per the
requirements of § 4.4(A) of this Part) shall be considered a
"school" for the purposes of this Part.
48. "School personnel"
means all persons employed directly by the school or under contract
to the school.
49. "Scoliosis screening"
means screening for detection of an abnormal curvature of the spine,
as defined by current American Academy of Orthopaedic Surgeons and
Scoliosis Research Society standards.
50. "Self-administration
of medication” means that the student uses the medication with
parental authorization in the manner directed by the health care
provider, and by following the age appropriate instructions on the
medication label, without additional assistance or direction.
51. "Self-carry"
means that the student carries medication on his/her person, if
self-administration of the medication is necessary.
52. "Speech or language
impairment" means a disorder in articulation, language, voice
and/or fluency that adversely affects the student's educational
performance. A speech and language impairment may range in severity
from mild to severe; it may be developmental or acquired. A speech
and language impairment may be the result of a primary disabling
condition or it may be secondary to other disabling conditions. A
dialect is a variation of a symbol system used by a group of
individuals that reflects and is determined by shared regional,
social or cultural/ethnic factors and is not considered to be a
disorder of speech.
53. "Speech/language
pathology" includes identification of students with speech or
language impairments; diagnosis and appraisal of specific speech or
language impairments; referral for medical or other professional
attention necessary for the habilitation of speech or language
impairments; provision of speech and language services for the
habilitation or prevention of communicative impairments; and
counseling and guidance of parents, children and teachers regarding
speech and language impairments.
54. "Speech/language
pathologist" means a professional who identifies, assesses,
diagnoses, prevents, and treats speech, voice, language,
communication, and swallowing disorders.
a. "Certified
speech/language pathologist" means a speech/language pathologist
certified by RIDE to perform speech-language pathology services for
the public-school system.
b. "Licensed
speech/language pathologist" means a speech/language pathologist
licensed by the Rhode Island Board of Examiners in Speech Pathology
and Audiology to perform speech-language pathology services in all
settings outside the public-school system.
55. "Speech/language
pathology aide" means an individual registered in this state in
accordance with the "Rules and Regulations for Licensing Speech
Pathologists and Audiologists [R5-48-SPA]."
56. "Student" means
any individual who is or has been enrolled at an educational agency
or institution and regarding whom the agency or institution maintains
educational records.
57. “These Regulations”
means all sections of the Rhode Island Rules and Regulations for
School Health Programs [216-RICR-20-10-4].
58. "Vision screening,"
as used in this Part, means a limited series of tests to identify
individuals who may have a vision or eye health problem.
59. "Visual impairments"
include:
a. "Partial sight"
means a visual acuity ranging from 20/70 to 20/200 in the better eye
after refraction, or a significant loss of fields of vision in both
eyes as a result of, but not limited to, hemeralopia, glaucoma,
retinitis pigmentosa, retinoschisis, or diabetes retinopathy that,
with correction, affects a student's educational performance.
b. "Blindness" means
a visual acuity ranging from a central visual acuity of 20/200 or
less in the better eye after refraction, or a peripheral field of
vision that subtends an angle no greater than twenty (20) degrees
that, even with correction, affects a student's educational
performance.
4.4 General
Requirements
A. All schools, as defined in
§ 4.3(A)(47) of this Part, that are approved pursuant to R.I. Gen.
Laws §§ 16-19-1
and 16-19-2
are required to have a comprehensive school health program approved
by RIDE and RIDOH in accordance with R.I. Gen. Laws § 16-21-7 .
B. A comprehensive school
health program as defined in § 4.3(A)(11) of this Part, consists of
three (3) components:
1. Health education;
2. Health services; and
3. A healthful school
environment.
4. The health education
program (curriculum and personnel) for non-public schools must be
consistent with the provisions of § 4.5(A) of this Part.
C. The administrative head of
school(s) is responsible for the comprehensive school health program
and is required to:
1. Develop a manual of
procedures (protocols) governing health education, health services
and a healthful school environment. This manual must be available at
the Superintendent's office and at each school. Procedures must
address the statutory and regulatory requirements of this Part and
include provisions pertaining to, but not limited to, the following:
a. Students and/or employees
infected with HIV/AIDS or hepatitis;
b. Substance abuse;
c. The use of alcohol and
tobacco products on school premises and at authorized school
activities;
d. Suicidal behavior;
e. The prevention and
management of injuries and violent behaviors for the protection and
safety of students on school premises and at authorized school
activities; and
f. Provisions regarding the
three (3) statutory waivers for exemption of a student from health
education curricula pursuant to R.I. Gen. Laws §§ 16-22-18(c)
sexuality and family life; 16-22-17(c)
HIV/AIDS; and 16-21-7(a)
the characteristics, symptoms or treatment of disease.
2. Provide an adequate number
of personnel for a comprehensive school health program in accordance
with the statutory requirements and the requirements of this Part.
Required personnel include no less than a school physician, dentist,
certified health educator and certified school nurse-teacher.
a. Non-public schools may
employ registered nurses licensed in Rhode Island pursuant to R.I.
Gen. Laws Chapter 5-34 ,
to provide individualized health services, but not to provide
population-based health services and other requirements of the school
health program as described in this Part.
3. Designate an individual(s)
or committee to be accountable for the comprehensive school health
program. The name of the individual(s) must be included in the
annual school health report as required in § 4.4(C)(4) of this Part.
4. Submit an annual school
health report to RIDE pertaining to the comprehensive school health
program no later than sixty (60) days from a date established by
RIDE. The report should be prepared with input from district school
improvement teams when appropriate.
D. No requirement of this Part
shall be construed as requiring a certified school nurse-teacher or
other licensed health care provider to act in a manner contrary to
the provisions of the laws and regulations governing the practice of
their profession.
E. Nothing in this Part is
meant to preclude any student or the parents of any student from
pursuing their rights to appropriate educational services and
accommodations guaranteed by federal and state laws.
4.4.1 Child Abuse/Neglect
Reporting
A. Any person who has
reasonable cause to know or suspect that any child has been the
victim of sexual abuse by an employee, agent, contractor or volunteer
of an educational program as defined in R.I. Gen. Laws § 40-11-2, is
required to transfer that information to DCYF in accordance with the
requirements of R.I. Gen. Laws Chapter 40-11-3.3 .
B. The school's protocol for
reporting child abuse or neglect and sexual abuse shall specify the
responsibilities of all school personnel related to child abuse or
neglect and sexual abuse, such as identification, reporting,
multidisciplinary cooperation, in-service training, and public
awareness.
C. Pursuant to R.I. Gen. Laws
§ 16-21-36 ,
all schools are required to post the DCYF child abuse hotline
reporting sign available to download and print from the DCYF website.
D. All health care providers
licensed by this state to provide health care services and all health
care facilities licensed under R.I. Gen. Laws Chapter 23-17
are required to assess patient pain in accordance with the
requirements of the "Rules and Regulations Related to Pain
Assessment".
4.4.2 Health and Wellness
Subcommittee
The school committee for each
school district is required to establish a district-wide coordinated
school health and wellness subcommittee in accordance with the
requirements of R.I. Gen. Laws § 16-21-28 .
4.4.3 Free-Play Recess
All schools are required to
provide daily, at least twenty (20) consecutive minutes of
unstructured free-play recess for students in in elementary grades
Kindergarten through six (6) in accordance with R.I. Gen. Laws §
16-22-4.2 .
4.5 Administration
of the Health Education Program
A. Health education is
required for grades K through 12 in all schools. The health
education program (curriculum and personnel) of non-public schools
must be approved by RIDE if deemed substantially equivalent.
B. Pursuant to the provisions
of R.I. Gen. Laws § 16-1-5(14) ,
RIDE in conjunction with RIDOH will provide guidance and technical
assistance in the development and adoption of school health education
curricula.
C. The administrative head of
school(s) is required to designate a certified health educator to
administer the health education program.
D. Pursuant to the RIDE
certification requirements and the provisions of this Part, teachers
providing health education shall consist of:
1. At the secondary level:
certified school nurse-teachers, health and physical education
teachers or health educators, all of whom must hold appropriate
certification as health educators in accordance with the requirements
of the RIDE.
2. At the elementary level:
certified school nurse-teachers, health and physical education
teachers or health educators, all of whom must hold appropriate
certification as health educators in accordance with the requirements
of the RIDE, or any certified elementary teacher.
E. Health education
instruction must comply with the Comprehensive Health Instructional
Outcomes incorporated at § 4.2(B) of this Part, which conforms to
the statutory provisions of R.I. Gen. Laws § 35-4-18 ,
the curriculum requirements of RIDE, and other statutory and
regulatory requirements of this Part.
F. Health education
instruction and materials must be age-appropriate for use with
students of all races, genders, sexual orientations, ethnic and
cultural backgrounds, and students with disabilities.
G. All children in grades
kindergarten (K) through twelve (12) attending schools, are required
to receive instruction in health and physical education as prescribed
and approved by RIDE, for during periods which shall average at least
twenty (20) minutes in each school day in accordance with the
provisions of R.I. Gen. Laws §§ 16-22-4
and 16-1-5(14) .
1. Recess, free play, and
after-school activities shall not be construed as physical education.
H. No non-public instruction
will be approved by any school committee for the purposes of R.I.
Gen. Laws Chapter 16-19
as substantially equivalent to that required by law for a child
attending a public school in the same city and/or town unless
instruction in health and physical education similar to that required
in public schools is given.
I. Planned and ongoing
in-service programs are required to update health educators and other
relevant personnel in their knowledge of health and teaching skills,
and to obtain their input regarding health curriculum, assessment and
improvement. These must be consistent with the provisions of R.I.
Gen. Laws § 35-4-18
and R.I. Gen. Laws §§ 16-1-5(14) ,
16-22-12 ,
16-22-14 ,
and 16-22-24
pertaining to substance abuse, alcohol, suicide, teen dating
violence, and such other relevant laws.
J. Provisions must be made for
participation by representatives from parent groups, community
agencies, professional organizations, health agencies, business,
educational institutions and other groups, to actively involve them
in the planning and the implementation of the health education
program.
K. Teaching methods and
learning materials must be consistent with the mandated health
instructional outcomes of § 4.7 of this Part, and available to
health educators and students in the classroom.
4.6 Health
Education Curriculum
A. The health education
curriculum must:
1. Be sequential and
comprehensive for grades Kindergarten-12;
2. Be medically accurate;
3. Be aligned with the Rhode
Island health education standards;
4. Include standards-based
goals, objectives, examples of teaching and learning strategies and
materials, and assessment;
5. Address the mandated health
instructional outcomes in § 4.7 of this Part; and,
6. Be developmentally
appropriate so that all students can achieve high standards.
B. A curriculum team
consisting of representatives from the school district teaching and
administrative staff, parents, and community members including health
professionals must periodically review and revise, as necessary, the
health education curriculum. The health education curriculum of each
school district must be available for review by RIDE upon request.
4.7 Mandated
Health Instructional Outcomes
A. Pursuant to R.I. Gen. Laws
§
16-22-4 , the health education curriculum must be based on the
Rhode Island Health Education Framework: Health Literacy for All
Students standards and consistent with the mandated health
instructional outcomes incorporated at §§ 4.2(A) and (B) of this
Part. These outcomes must pertain to no less than the following
required content area topics appropriate to grade or developmental
level:
1. Alcohol, Tobacco and Other
Substance Abuse: the causes, effects, treatment and prevention of the
use of tobacco and abuse of alcohol and other drugs pursuant to R.I.
Gen. Laws §§ 16-22-3 ,
16-22-12 ,
6-1-5(14) ,
and 35-4-18 ;
2. Cardiopulmonary
Resuscitation (CPR): the procedures and proper techniques for CPR,
automated external defibrillator (AED), and the Heimlich maneuver,
pursuant to R.I. Gen. Laws §§ 16-22-15
and 16-22-16 ;
3. Child Abuse: the signs,
symptoms and resources available for assistance;
4. Community Health: the
significance of the relationship between the individual and the
community, and the impact that individual health has on the
community’s health within a framework of geographical, social,
cultural, and political factors;
5. Consumer Health: the
factors involved in decision-making, selecting, evaluating, accessing
and utilizing health information, products and services;
6. Environmental Health:
environmental factors that affect the health of individuals and
society, strategies to minimize the negative effects of the
environment on the community and its members, and the importance of
protecting and improving all aspects of the environment;
7. Family Life and Sexuality:
responsibilities of family membership and adulthood, issues related
to reproduction, abstinence, dating and dating violence, marriage,
parenthood, information about sexually transmitted diseases,
sexuality and sexual orientation, as part of comprehensive sexuality
education pursuant to R.I. Gen. Laws § 16-22-18 .
8. HIV (Human Immunodeficiency
Virus)/AIDS (Acquired Immune Deficiency Syndrome): the causes,
effects, treatment, and prevention, pursuant to R.I. Gen. Laws §
16-22-17 .
9. Human Growth and
Development: growth and development as a process of natural
progression influenced by heredity, environment, culture, and other
factors and which encompasses the continuum from conception to death;
10. Mental Health: the
emotional, behavioral, and social factors that influence both mental
and physical health;
11. Nutrition: the role of
nutrition in the promotion and maintenance of good health;
12. Physiology and Hygiene:
the basic structure and functions of the human body systems, health
habits, and sanitary practices for the preservation of health,
pursuant to R.I. Gen. Laws § 16-22-3 ;
13. Physical Activity: the
relationship of physical activity to health and physical fitness;
14. Prevention and Control of
Disease: the causes, effects, treatment, and prevention of chronic
and communicable diseases, with exclusion of instruction thereof
pursuant to R.I. Gen. Laws § 16-21-7(a)
.
15. Safety and Injury
Prevention: the causes, effects, treatment, and prevention of
behaviors that can result in unintentional or intentional injury;
and:
a. Suicide Prevention: the
causes, effects, and treatment of behaviors related to suicide,
pursuant to R.I. Gen. Laws § 16-22-14 .
b. Teen Dating Violence
(grades 7 through 12): defining dating violence, recognizing dating
violence warning signs and characteristics of healthy relationships,
as stipulated in R.I. Gen. Laws § 16-22-24 ,
and as defined in this Part.
(1) Students must be provided
with the school district’s dating violence policy in accordance
with R.I. Gen. Laws § 16-21-30(c) .
(2) Upon written request to
the school principal, and within a reasonable period after the
request is made, a parent or legal guardian of a pupil less than
eighteen (18) years of age must be permitted to examine the dating
violence education program instruction materials at the school in
which the student is enrolled.
4.8 Physical
Education Curriculum
A. The physical education
curriculum must:
1. Be sequential and
comprehensive for grades Kindergarten-12;
2. Be aligned with the Rhode
Island Physical Education Framework standards incorporated at §
4.3(C) of this Part;
3. Include standards-based
goals, objectives, examples of teaching and learning strategies and
materials, and assessment; and
4. Be developmentally
appropriate so that all students can achieve high standards.
B. A curriculum team
consisting of representatives from the school district teaching and
administrative staff, parents, and community members must
periodically review and revise, as necessary, the physical education
curriculum.
C. The physical education
curriculum of each school district must be available for review by
RIDE upon request.
4.9 Health
Services
4.9.1 Population-Based
Health Services
A. In accordance with R.I.
Gen. Laws § 16-21-9 ,
each community is required to provide adequate and appropriate
personnel to conduct mandated population-based health services, as
described in this Part, for all students attending schools within its
geographical boundaries.
B. Population based services
must include no less than the following components:
1. Health examinations and
screenings in accordance with §§ 4.11 through 4.16 of this Part;
2. Record keeping requirements
in accordance with §§ 4.17 through 4.21 of this Part;
3. Reporting and managing any
school-based communicable, environmental, or occupational disease, as
directed by a physician and in accordance with the rules and
regulations pertaining to the Reporting and Testing of Infectious,
Environmental and Occupational Diseases (Part 30-05-1 of this Title).
4.9.2 Individualized Health
Services
A. Each school must provide
adequate and appropriate personnel and/or equipment to provide
individualized health services to all students enrolled in the
school. At a minimum, the services must include those ordered by a
physician, such as medication administration.
1. All personnel providing
individualized health services to students must be licensed and/or
certified in Rhode Island in accordance with all applicable state
laws and regulations.
4.9.3 Students Assisted by
Medical Technology and Special Health Care Needs
A. Pursuant to the provisions
of R.I. Gen. Laws § 23-13-26
, certified school nurse-teachers who provide direct care for
technology-dependent students must develop individualized health care
plans (IHCPs) for such children and provide care accordingly.
B. All students assisted by
medical technology and/or with other specialized health care needs,
who are currently enrolled in grades K-12; entering Kindergarten; or
currently attending or entering a public school-sponsored preschool,
must have as part of their permanent school health record, an
individualized health care plan (IHCP) and/or an emergency care plan
(ECP/ EHCP), as necessary and/or appropriate to ensure health,
safety, and learning for the student while at school or at
school-sponsored activities. The plan must include, but not be
limited to the following:
1. A description of all
services that will be provided to the student, including those
services related to school-sponsored transportation and off-site
school-sponsored activities;
2. Persons responsible for
providing each service and a description of service(s) provided in
school or at school-sponsored activities;
3. Qualifications of the
person(s) providing services;
4. Training requirements for
person(s) providing services and focus of responsibility for
providing training;
5. Supervision of person(s)
providing services.
C. All school personnel who
may be involved in the care of a student assisted by medical
technology must be informed of the IHCP and ECP/ EHCP, on a
need-to-know basis.
D. The IHCP and ECP/EHCP must
be developed by the certified school nurse teacher or school nurse in
collaboration with the medical provider, parent or guardian, student
(when appropriate), principal, and other school staff, as
appropriate. It must be signed by the certified school nurse
teacher, parent/guardian, and student (when appropriate).
E. The IHCP and ECP/EHCP must
be developed in addition to an Individualized Education Plan (IEP) or
a 504 Plan, when appropriate. The IEP or 504 Plan may serve as the
IHCP or ECP/EHCP if it meets all the requirements stated in this
Part.
4.10 School
Health Personnel
The administrative head of
school(s) with the advice and consent of the school committee of each
community, school district or appropriate non-public school authority
(e.g., superintendent, headmaster or principal) is required to
arrange for the appointment of all school health personnel necessary
to implement the health services requirements described in this Part,
pursuant to the requirements of R.I. Gen. Laws Chapter 16-21 .
4.10.1 School Physician
A. Qualifications and general
duties of the school physician include the following:
1. Must be licensed to
practice allopathic or osteopathic medicine in Rhode Island in
accordance with R.I. Gen. Laws Chapter 5-37 .
2. Must be qualified by
training and experience to assume the role of a school health
physician consultant (e.g., develops school health protocols,
provides in-service training for school nurses) and/or primary care
provider (e.g., performs physicals, examines outbreak cases) for a
wide range of comprehensive school health services.
3. Must have knowledge of all
state and local laws, regulations and protocols pertaining to
schools.
4. Must ensure implementation
of all such laws, regulations and protocols in collaboration with the
school’s administrative authorities and school health personnel.
5. Must have a contract with
the school system defining mutually agreed upon expectations and
objectives.
6. Must provide a regular
report (a minimum of one (1) per year) on consultation and/or direct
service activities provided.
7. At least annually, must
review and approve school health service plans, protocols, and
programs (except those developed and provided by the school
dentist[s]) including but not limited to:
a. Delivery of school health
services and screenings;
b. Consultations;
c. Furnishing information on
health-related matters;
d. Review of standing orders,
protocols and procedures; and
e. Reporting and management of
infectious diseases and outbreaks, in accordance with Rules and
Regulations Pertaining to the Reporting of Infectious, Environmental
and Occupational Diseases (Part 30-05-1 of this Title) and RIDOH
recommendations related to infection control in the school
environment.
4.10.2 Certified School
Nurse-Teachers
A. Qualifications and general
duties of certified school nurse-teachers include the following:
1. Must be licensed as a
professional (registered) nurse pursuant to R.I. Gen. Laws Chapter
5-34
and certified by RIDE pursuant to R.I. Gen. Laws § 16-21-8
.
2. Must provide
population-based health services to school children in public and
non-public schools in the community.
3. Must provide individualized
health services to all public-school children in the community.
a. This requirement shall not
be construed as prohibiting certified school nurse-teachers from
providing individualized health services to students in non-public
schools.
B. Exemption from Certified
School Nurse-Teacher Requirement
1. Non-public schools are
authorized to employ registered nurses licensed in Rhode Island
pursuant to R.I. Gen. Laws Chapter 5-34
for the purpose of providing individualized health services,
including dispensing medications, to students in the non-public
school setting. Registered nurses may not provide the
population-based health services and other requirements of the school
health program as described in these Regulations.
4.10.3 Dentist/Public
Health Dental Hygienist/Dental Hygienist
A. Qualifications
1. The school
dentist(s)/public health dental hygienist/dental hygienist for a
community must be licensed to practice dentistry/ dental hygiene,
respectively, in Rhode Island in accordance with R.I. Gen. Laws
Chapter 5-31.1 ,
and have at least three (3) years of clinical experience as specified
in R.I. Gen. Laws § 16-21-9 .
a. Public health hygienists
performing the dental screenings pursuant to the provisions of R.I.
Gen. Laws § 16-21-9
must do so in accordance with R.I. Gen. Laws § 5-31.1-39 .
b. Dental hygienists
performing the dental screenings pursuant to the provisions of R.I.
Gen. Laws § 16-21-9
must do so under the general supervision as defined in rules and
regulations pertaining to Dentists, Dental Hygienists and Dental
Assistants (Part 40-05-2 of this Title), of the dentist liable and
responsible under the contract with the community.
B. General Duties
1. The school dentist, public
health hygienist, or dental hygienist as specified in §
4.10.3(A)(1)(b) of this Part may perform any of the required dental
screenings of students.
2. Each dentist must also
examine students referred by the administrator, certified school
nurse-teacher, or physician for suspected dental disease.
3. The school dentist, public
health hygienist and dental hygienist, when applicable, must be
qualified by virtue of training and experience to assume the role of
a school health dental consultant (e.g., develops school health
protocols, provides in-service training for school nurses or dental
hygienists) and/or service provider in accordance with rules and
regulations pertaining to Dentists, Dental Hygienists and Dental
Assistants (Part 40-05-2 of this Title).
4. The school dentist, public
health hygienist and dental hygienist, when applicable, must have
knowledge of all relevant state and local laws, regulations and
protocols affecting schools, and must participate actively to ensure
implementation of all such laws, regulations and protocols in
collaboration with the school’s administrative authorities and
school health personnel.
5. The school dentist or
public health hygienist must establish a contract with the school
system defining mutually agreed upon expectations and objectives and
the dentist, public health hygienist and/or dental hygienist, when
applicable, must provide a regular report (a minimum of one (1) per
year) on consultation and/or direct service activities rendered to
the school system.
6. Referrals of children
screened by the school dentist, public health hygienist and dental
hygienist, must be made in accordance with the provisions of R.I.
Gen. Laws § 16-21-9(c) .
a. Referrals by a dentist,
public health hygienist or a dental hygienist to non-profit dental
programs that provide oral health services on a reduced or sliding
fee scale basis are exempt from the provisions of § 4.10.3(B)(6) of
this Part.
4.11 Health
Examinations
4.11.1 Health Examination
Requirements
A. General health examinations
must be a complete, age-appropriate medical history and physical
examination, assessing the health and well-being of the student and
evaluating any challenges to the student's success in school and
school-related activities.
B. These general health
examinations must be conducted by the student's primary care
physician, a physician's assistant under the physician's supervision,
or a certified registered nurse practitioner.
C. Every student who has not
been previously enrolled in a school in this state is required to
have a health examination completed. This health examination may be
performed in the twelve (12) months preceding the date of school
entry, but if not, it must be completed within six (6) months of
school entry.
D. A second general health
examination and health clearance is required upon entry to the
seventh (7th) grade. This health examination may be performed during
the sixth (6th) grade, but no later than six (6) months after entry
into the seventh (7th) grade.
E. A third health examination
is required upon entry to the twelfth (12th) grade. This health
examination must be performed after the student turns sixteen (16)
years of age, and no later than six (6) months after the student
enters the twelfth (12th) grade.
F. If there is no evidence
that the required health examination has been performed, the school
must make provisions for the health examination by the end of the
school year in which it is required.
1. No student shall be
excluded from school for failure to provide documentation of
completion of a health examination.
G. For students suspected or
identified as having special health needs, referrals by a certified
school nurse-teacher must be made as specified in this Part or in the
Rhode Island Board of Education " Regulations
Governing the Education of Children with Disabilities ".
H. Each school system may
require additional health examinations, to ensure the mental and
physical health of each student to participate in classroom,
athletic, or special activities sponsored or conducted by the school.
4.11.2 Health Examination
Documentation & Follow-up
A. Written or electronic
documentation of the health examination results is acceptable and
must be in a standardized format with one (1) copy available from
RIDOH or any format that captures the same required fields of
information.
1. Documentation of the health
examination results must be included in the student's cumulative
school health record.
B. A care plan for health
problems must be developed by the certified school nurse-teacher in
conjunction with the parent, student, and other appropriate health
care providers as defined in § 4.3 of this Part.
4.12 Lead
Screening
A. Pursuant to R.I. Gen. Laws
§ 23-24.6-8 ,
evidence that students under six (6) years of age have been screened
for lead poisoning is required in accordance with guidelines
established under R.I. Gen. Laws § 23-24.6-7 .
1. A statement on a school
health form signed by a healthcare provider is sufficient to comply
with this requirement.
B. The lead screening entry
requirement does not apply if a parent signs a statement indicating
that lead screening is contrary to their religious beliefs.
4.13 Vision
Screening
A. Pursuant to R.I. Gen Laws
§§ 16-21-14
and 16-21-14.1 ,
vision screening is required for all students.
1. Every student must be given
a vision screening upon entry to school and in the first (1st),
second (2nd), third (3rd), fourth (4th), fifth (5th), seventh (7th)
and ninth (9th) grades.
a. If evidence is presented to
the school physician or certified school nurse-teacher that the same
series of vision tests, as required in this Part, has been completed
within the preceding twelve (12) months by the student's
ophthalmologist, optometrist, or primary care provider, the student
may be exempt from this screening requirement for that school year.
b. Periodic reporting of
vision screening results to RIDE and/or RIDOH may be required.
2. The vision screening must
be completed in accordance with the schedule below:
Function
Tests*
Referral
Criteria
Comments
Distance
Visual Acuity
(myopia
screening)
HOTV
LEA
Symbols
For
Age 3 Years:
1.
Less than 3 of the4 symbols correctly identified at the critical
line 20/50 with a 5 foot distance OR
2.
Two-line difference between eyes, even within the passing range
(i.e., 10/12.5 and 10/20 or 20/25 and 20/40
For
Ages 4-5 years:
1.
Less than 3 of the 4 symbols at the critical line 20/40 with a 5
foot distance.
For
Ages 6 and Older:
1.
Less than 4 of 6 correct on 15-foot line with either eye tested at
10 feet monocularity (i.e., less than 10/15 or 20/30)
OR
2.
Two-line difference between eyes, even within the passing range
(i.e., 10/10 and 10/15 or 20/20 and 20/30)
1.
Tests are listed in decreasing order of cognitive difficulty. The
highest test that the child is capable of performing should be
used. In general, the Tumbling E or the HOTV test should be used
for ages 3 through 5 years and Snellen letters or numbers for ages
6 years and older.
2.
Testing distance of 10 feet is recommended for all visual acuity
tests.
3.
A line of figures is preferred over single figures.
4.
The non-tested eye should be covered by an occluder held by the
examiner or by an adhesive occluder patch applied to the eye. The
examiner must ensure that it is not possible to peek with the
non-tested eye.
5.
Testing for distance visual acuity must be completed for those
grades noted in § 4.13(A)(1) of this Part.
Near
Visual Acuity
(hyperopia
screening)
Snellen
visual acuity or equivalent
If
using hyperopia glasses, correctly identify 4 out of 6
Testing
for near visual acuity must be completed at least once per student
upon entry and in either Kindergarten, 1st grade, 2nd grade, or
3rd grade; and once per student in the 4th or 5th grade; and once
per student in the 7th and 9th grades.
Ocular
Alignment
Random
Dot E Stereotest at 40 cm (100 secs of arc)
Less
than 4 of 6 correct
Testing
for ocular alignment must be completed only for students in grades
K, 1, and 2 and for those upon initial entry who have not been
previously screened.
Color
vision
Any
standard developmentally-appropriate isochromatic color vision
test
Failure
under conditions specified by the manufacturer
Tested
only once at school entry age or upon initial screening
*Or
other vision screening test(s) designed for special populations
4.13.1 Personnel &
Training Requirements
A. The school vision screening
must be given by a certified school nurse-teacher, trained in the
administration of these tests.
B. Trained volunteers or other
school personnel who are directly supervised on-site by certified
school nurse-teachers may be utilized in the vision screening
program.
4.13.2 Follow-up &
Documentation Requirements
A. A student failing the
screening must be given a retest on a different day (but within one
month) before the parents are notified of the results of the test.
1. Students who fail the
screening criteria set must be re-screened by the certified school
nurse-teacher.
2. Parents of students who
fail to meet the minimal visual requirements on the second screening
must be notified in accordance with the requirements of § 4.19 of
this Part in order to arrange for a comprehensive vision examination
by an eye care provider.
B. If the corrected visual
acuity of the student is found to be in the range of 20/70--20/200 in
the better eye after rescreening, the licensed health care provider
in charge of the screening must, within 30 days, report the result of
the screening to the administrator of the Division of Services for
the Blind and to the Special Education Supervisor, indicating that
specialized services may be indicated.
1. Students identified with a
visual impairment must be referred for specialized services and
follow-up in accordance with the provisions of the Rhode Island Board
of Education " Regulations
Governing the Education of Children with Disabilities ".
C. A student's vision
screening results must be recorded in the "Vision Screening"
section of the school health record.
4.14 Hearing
Screening
4.14.1 General Hearing
Screening Requirements
A. Students in
pre-kindergarten programs operated by public school districts, and
all students in kindergarten, first, second, and third grades and any
student(s) new to a school without a prior record of a hearing
screening must be given a hearing screening test by a properly
trained and qualified person in accordance with the guidelines of the
American Speech-Language-Hearing Association (ASHA) incorporated at §
4.2(G) of this Part.
B. Students who failed the
hearing screening tests in previous years, repeat a grade, have a
history of hearing difficulty or pathology, are enrolled in
curricular or extracurricular activities where there is exposure to
noise levels that meet or exceed current Occupational Safety and
Health Administration (OSHA) standards incorporated at § 4.2(I) of
this Part, or are suspected by school personnel of a hearing loss
must be screened as often as is necessary.
C. The "passing"
criteria for the hearing screening test shall be in accordance with
the guidelines of the American Speech-Language-Hearing Association
(ASHA) incorporated at § 4.2(G) of this Part.
D. The screening must consist
of an initial Otoacoustics Emission hearing test. Students who fail
the initial screen must be re-screened within four (4) weeks with
tympanometry and pure tone in accordance with the American
Speech/Language and Hearing guidelines incorporated at § 4.2(G) of
this Part.
E. Any student who provides
documentation from a parent that a hearing screening test has been
performed in accordance with § 4.14.1(A) of this Part is exempt from
this screening requirement.
1. In the absence of this
documentation from the parent, the school is required to make
provisions for the screening.
4.14.2 Equipment
All equipment utilized in the
hearing screenings must be calibrated according to the American
National Standards Institute Specifications for Audiometers
incorporated at § 4.2(H) of this Part.
4.14.3 Personnel
Requirements
A. A certified school
nurse-teacher is responsible for coordinating the requirements of
this section.
B. Personnel who may perform
the screening requirements of this section include: an audiologist,
speech language pathologist, certified school nurse-teacher,
audiometric aide under the supervision of a licensed audiologist, or
a speech/language pathology assistant under the supervision of a
certified speech language pathologist.
C. Any supporting personnel
utilized by an audiologist/speech language pathologist in the hearing
screening program must meet the requirements in the "Rules and
Regulations for Licensing Speech Pathologists and Audiologists
[R5-48-SPA]".
4.14.4 Follow-up &
Documentation Requirements
A. The parent of a student who
does not meet the "passing" criteria of the hearing
screening must be notified, in accordance with the requirements of §
4.14.3(B) of this Part, and recommended to obtain a comprehensive
audiological evaluation and/or medical follow-up with the student’s
primary care provider.
B. Students identified with a
potentially educationally-significant hearing impairment must be
referred by the certified school nurse-teacher for in-school
supportive accommodations, Teacher Support Team, or other educational
services, as appropriate or as specified in the Rhode Island Board of
Education "Regulations Governing the Education of Children with
Disabilities".
C. The hearing status of
students referred for further evaluation must be confirmed and noted
by the certified school nurse-teacher within three (3) months of the
initial referral.
D. A student's hearing
screening results must be entered into the school health record by
the certified school nurse-teacher or the person performing the
screening. At a minimum, the following components must be noted in
the record:
1. Date screening completed;
2. Screening results;
3. Follow-up plan, as
indicated.
4.15 Speech/Language
Screening
4.15.1 General
Speech/Language Requirements
A. Every elementary school
student who has not been previously screened for speech/language
impairments must be screened for speech and language impairments by a
trained and qualified person as described in § 4.15.2 of this Part.
Any student may be screened on an “as needed” basis.
1. For those students who have
been previously screened, results of said screening must be
transferred to each new school in accordance with the requirements of
§ 4.18.2 of this Part.
B. Any student who has never
been previously enrolled in a Rhode Island school who provides
documentation from a parent that a speech screening has been
performed by a certified and/or licensed speech language pathologist
must be exempt from this screening requirement.
1. In the absence of this
documentation from the parent, the school must make provisions for
the screening.
C. A speech/language screening
must consist of an assessment of the following:
1. Articulation;
2. Voice characteristics;
3. Fluency (e.g., stuttering)
and;
4. Receptive/expressive
language skills.
4.15.2 Personnel
Requirements
A. A RIDE certified speech
language pathologist is responsible for implementing the requirements
of § 4.15.1 of this Part.
B. Any support personnel
(e.g., a speech/language pathology assistant) utilized by a
speech/language pathologist must meet the training and supervision
requirements outlined in the "Rules and Regulations for
Licensing Speech Pathologists and Audiologists [R5-48-SPA]".
4.15.3 Instruments
A. A school's speech screening
program may be conducted utilizing commercially available
kindergarten/elementary school level screening instruments.
B. In developing techniques
for screening students ages eight (8) and above, informal items may
be adapted from available tests. This informal screening would not
provide standardized procedures but would yield an acceptable method
of screening to determine the need for further testing.
4.15.4 Follow-up &
Documentation Requirements
A. A student who does not pass
the speech/language screening must be referred immediately for a
comprehensive speech/language evaluation. The parent of any child
who does not pass the speech screening must be notified of the
findings, in accordance with the requirements of § 4.19 of this
Part.
B. The speech language
pathologist or the certified school nurse-teacher must enter the
results into the student's school health record.
1. The following components
must be noted in the record:
a. Date screening completed;
b. Screening results (i.e.,
pass/fail); and
c. Follow-up plan for a
student who does not pass.
4.16 Scoliosis
Screening
4.16.1 General Scoliosis
Screening Requirements
A. Annual scoliosis screening,
conducted by a certified school-nurse teacher, is required for
students in grades six (6) through eight (8) pursuant to R.I. Gen.
Laws § 16-21-10 .
B. No school-based scoliosis
screening shall be conducted before students are introduced to the
nature of the condition, its effects, and the nature of the scoliosis
screening procedure.
C. The screening of male and
female students must be conducted separately and individually. A
private, well-lit screening area should be available.
D. The parent of any student
may have the scoliosis screening conducted by a private physician.
E. If these results are made
available to the local school department, the student will be exempt
from the scoliosis screening requirement.
F. The screening is not
required of any student whose parents object on the grounds that the
test conflicts with their religious beliefs.
4.16.2 Follow-up and
Documentation Requirements
A. The certified school
nurse-teacher is responsible for notifying the parent of any student
who is found to have positive signs or symptoms of scoliosis, based
on standards published by the American Academy of Orthopedic Surgeons
or the Scoliosis Research Society incorporated at § 4.2(E) of this
Part, in order to arrange for further evaluation or treatment, as
indicated.
B. A student's scoliosis
screening results must be documented in the student health record.
4.17 Dental
Health Screening
4.17.1 General Dental
Health Screening Requirements
A. Every student who has not
been previously enrolled in a public or non-public school in this
state must be given a dental screening by a licensed dentist,
licensed dental hygienist, or a licensed public health dental
hygienist with at least three (3) years of clinical experience.
1. Thereafter, every student
must be given an annual dental screening by a licensed dentist,
dental hygienist, or a licensed public health dental hygienist
through the fifth (5th) grade and must be screened at least once
between the sixth (6th) and tenth (10th) grades.
a. Provided, however, that
dental screenings for students in kindergarten, third and ninth
grades must be performed by a licensed dentist.
b. Dental hygienists
performing the dental screenings pursuant to the provisions of this
section must do so under the general supervision of the dentist
liable and responsible under the contract with the community as
required under R.I. Gen. Laws § 16-21-9(b).
c. Public health dental
hygienists performing the dental screenings pursuant to the
provisions of R.I. Gen. Laws § 16-21-9 must do so in accordance
within the collaborative agreement guidelines between the public
health dental hygienist and a licensed dentist, or an authorized
facility. (For a definition of “general” supervision or
“collaborative agreement”, see the rules and regulations
pertaining to Dentists, Dental Hygienists and Dental Assistants (Part
40-05-2 of this Title)).
2. Schools are required to
report to RIDOH annually, aggregate screening results on grades K, 3,
and 6 (if 6th grade is screened).
B. Students who are screened
by private dentists/dental hygienists and who provide written
documentation of the screening being performed at the intervals
prescribed by § 4.17.1(A)(1) of this Part are exempt from the
requirements of this section and may elect not to be screened.
C. To screen for hard tissue
disease (tooth decay), soft tissue disease (gum disease) and urgent
treatment need, the school dental screening must consist of a
non-invasive inspection of the student's mouth using the RIDOH
standardized screening form.
D. Equipment to perform the
screening requirements must include: a mirror, tongue depressor, a
light source, and non-latex disposable gloves.
E. The initial dental
screening preferably should be conducted by the student’s family
dentist/dental hygienist within the six (6) months preceding the date
of school entry, and the succeeding screenings should be conducted by
him/her at any time during the school year (including vacations) for
which the screening is required.
1. Screening results must be
documented in writing using the RIDOH standardized form and submitted
to the school for all grades and to the RIDOH Oral Health Program
upon screening completion for grades K and 3, or as indicated by the
RIDOH.
2. The RIDOH standardized form
is available to all schools via the RIDOH website.
4.17.2 Follow-up and
Documentation Requirements
A. When a school dental
screening has revealed that a dental problem may exist, the parent
must be notified in writing, using the RIDOH standardized form, so
that a dental visit may be arranged.
B. A student's dental
screening results must be documented on the school health record.
C. Each community must provide
to parents or custodians of students who require professional or
skilled treatment, a current list of both dental practices in the
community which accept patients insured by Medical Assistance and/or
RIte Care and dental practices which provide services on a sliding
scale basis to uninsured individuals.
4.18 Health
Records
A. The certified school
nurse-teacher is responsible for the complete, cumulative school
health record for each student at the school in which the student is
enrolled. The health record must include:
1. Immunization status;
2. Health history, including
chronic conditions and treatment plan;
3. Screening results and
necessary follow-up;
4. Health examination reports;
5. Documentation of traumatic
injuries and episodes of sudden illness referred for emergency health
care (see also requirements in “First Aid and Emergencies" §
4.21 of this Part);
6. For a student with
documented anaphylaxis, the parental authorization of a student's
treatment for allergies and the physician's order to administer an
epinephrine auto-injector must be entered into the student's health
record.
7. Documentation of any
nursing assessments completed;
8. Documentation of any
consultations with school personnel, students, parents, or health
care providers related to a student's health problem(s),
recommendations made, and any known results;
9. Documentation of the health
care provider's orders, if any, and parental permission to administer
medication or medical treatment in school by the certified school
nurse-teacher.
B. The student's cumulative
health record is confidential and subject to the provisions of R.I.
Gen. Laws Chapter 5-37.3, ("Confidentiality of Health Care
Information Act"), and other applicable state and federal laws
and rules and regulations.
C. The record must be stored
in an appropriately secured location with convenient access by the
school nurse and must be used only in connection with the provision
of treatment to the student.
D. Appropriate steps must be
taken for the protection of all student health records, including the
provisions for the following:
1. Securing records at all
times, including confidentiality safeguards for electronic records;
2. Establishing, documenting
and enforcing protocols and procedures consistent with the
confidentiality requirements of R.I. Gen. Laws Chapter 5-37.3 and
this Part;
3. Training school personnel
who handle student school health records in security objectives and
techniques.
E. The record must be
maintained by the school for a minimum of five (5) years after the
student turns eighteen (18) years of age or five (5) years after the
student leaves the school district.
4.18.1 Confidentiality
A. Any school personnel,
including health care providers, who maintain cumulative school
health records containing confidential health care information are
responsible for ensuring full confidentiality of this information as
provided in R.I. Gen. Laws § 5-37.3-4
("Confidentiality of Health Care Information Act") and
other applicable state and federal laws and rules and regulations.
B. Any school personnel,
including health care providers, who release confidential health care
information from cumulative school health records in accordance with
R.I. Gen. Laws § 5-37.3-4
("Confidentiality of Health Care Information Act" and
other applicable state and federal laws and rules and regulations,
must document each release in the cumulative school health records by
indicating the following:
1. The date of release;
2. A description of the
information released;
3. The name(s) of the
person(s) to whom the information was released;
4. The reason for the release
of information.
C. Violations Pertaining to
Confidentiality: Any person suspected of violating the Health Care
Information Act must be reported to the Attorney General's Office for
prosecution and any subsequent penalties, in accordance with
statutory provisions.
4.18.2 Transfer of Health
Records
A. Whenever a student
transfers to another school building or school system in or out of
Rhode Island, the original, a copy, or electronic version of the
complete, cumulative school health record must be transferred at the
same time to the health personnel of the school building or school
system to which the student is transferring.
B. This record must be sent in
a manner consistent with the provisions of the Health
Insurance Portability and Accountability Act (Public Law 104-191)
to a health care professional authorized to receive confidential
health care information at the new school or handed to the parent, as
appropriate.
C. A copy of the record (or
the original) must be maintained by the community for a minimum of
five (5) years after the student turns eighteen (18) years of age or
five (5) years after the student leaves the school district.
4.19 Notification
of Parents
A. Parents and/or guardians
must be notified, according to established local school district
procedures, of any suspected deviation from normal or usual health
found as a result of a screening test (e.g., vision screening),
health examination, and/or school personnel observation, in
accordance with all applicable state and/or federal laws and
regulations.
B. Each school district must
develop procedures or protocols for documenting and implementing a
follow-up and referral plan for students identified as needing
additional services.
4.20 School
Disease Reporting Requirements
A. In accordance with the
rules and regulations pertaining to the Reporting and Testing of
Infectious, Environmental and Occupational Diseases (Part 30-05-1 of
this Title), the basic responsibility for reporting infectious,
environmental and occupational diseases lies with:
1. Physicians licensed in
accordance with R.I. Gen. Laws Chapter 5-37 who are attending the
case or suspected case;
2. Laboratories;
3. Other authorized health
professionals working under the auspices of a physician; and
4. Other health care
professionals authorized by law or regulation to practice
independently (e.g., registered nurse practitioners).
5. In the school setting, this
requirement encompasses certified school nurse-teachers directed by a
physician to report in accordance with the regulatory requirements
cited above.
6. Licensed health care
facilities that operate school-based health clinics must report
communicable, environmental and occupational diseases in accordance
with the rules and regulations for the Licensing of Organized
Ambulatory Care Facilities and the rules and regulations pertaining
to the Reporting and Testing of Infectious, Environmental and
Occupational Diseases (Part 30-05-1 of this Title).
B. In accordance with the
rules and regulations pertaining to the Reporting and Testing of
Infectious, Environmental and Occupational Diseases (Part 30-05-1 of
this Title), any health care provider (e.g., school physicians,
certified school nurse-teachers, school dentists/dental hygienist)
having knowledge of any outbreak or undue prevalence of infectious or
parasitic disease or infestation (based upon his/her professional
judgment), whether listed in this Part or not, must promptly report
the facts to RIDOH. Exotic diseases and unusual group expressions of
illness that may be of public health concern should also be reported
immediately.
4.21 First
Aid and Emergencies
A. Each school must have
written protocols and standing orders available in the event of
injuries and acute illnesses, including anaphylaxis and cardiac
arrest.
B. Protocols and standing
orders must be prepared, dated, signed, reviewed and updated, as
appropriate, but at least on an annual basis by the school
physician(s).
C. Protocols must also be
reviewed annually by all school personnel designated by the school
principal (or other designated school authority), who might be
involved in managing an emergency in a school, including anaphylaxis,
prior to the arrival of more fully trained persons.
D. No requirement in this Part
shall be construed as prohibiting the issuance of a standing order by
a school physician for the administration of an epinephrine
auto-injector by a school nurse to a student who has not been
previously medically identified for the prevention or treatment of
anaphylaxis. This standing order must be reviewed in accordance with
§ 4.21(B) of this Part.
4.21.1 Basic First Aid
Training
A. In-service basic first aid
training must be provided for school personnel who might be involved
in managing an injury or other medical emergency.
B. Personnel must be
identified by the school principal, or other designated school
authority, and listed in the emergency protocol described in §§
4.21(B) through (D) of this Part.
C. First aid subjects to be
covered must include, but not be limited to: control of major
bleeding, use of universal/standard precautions, management of ocular
trauma and emergencies, management of burns, diabetes-related signs
and symptoms, accessing the "911" emergency medical system,
proper application and removal of disposable gloves and equipment,
and movement and transportation of an injured person.
D. No less than one (1) hour
of basic first aid training or current certification for the allotted
term of said certification in basic first aid by a nationally
recognized organization shall be required of school personnel
designated by the school administrator during every school year.
E. The school principal, or
other authorized school personnel, must maintain a record-keeping
system documenting that the basic first aid training (as above) has
been provided to all designated school personnel.
F. The training must be
delivered by a certified school nurse-teacher, or other designated
instructor, utilizing a training curriculum that adheres to standards
established by a nationally-recognized body.
G. Students engaged in
potentially hazardous tasks (including, but not limited to,
activities during normal school hours in science laboratories,
industrial arts, physical education, and family/consumer science
classes) should be directly supervised by teachers or instructors who
are trained in the administration of basic first aid, and who have
posted and discussed safety rules with the students.
4.21.2 Cardiopulmonary
Resuscitation Training
A. At all times, during normal
school hours and at on-site school-sponsored activities, each school
must have available at least one (1) person other than the certified
school nurse-teacher who is trained, competent and responsible for
the administration of basic first aid, child/adult cardiopulmonary
resuscitation (CPR), including emergency procedures for obstructed
airways (choking) and drowning, and administration of the epinephrine
auto-injector.
B. Requirements for automated
external defibrillators (AEDs) in high schools and middle schools are
pursuant to R.I. Gen Laws § 16.21-33.1(b) .
4.21.3 Anaphylaxis Training
Training must be provided for
school personnel who might administer an epinephrine auto-injector in
a case of anaphylaxis. Subjects to be covered must include (but not
be limited to): signs and symptoms of anaphylactic shock, proper
epinephrine auto-injector administration, adverse reactions,
accessing the "911" emergency medical system, and
preparation for movement and transport of the student.
4.21.4 Response to and
Treatment for Anaphylaxis
A. To prevent or treat a case
of anaphylaxis (as defined in § 4.3(A)(3) of this Part), the
certified school nurse-teacher or trained school personnel must
administer the epinephrine auto-injector to an identified student.
Certified school nurse-teachers must administer the epinephrine
auto-injector in accordance with standard nursing practice.
B. In the event of a suspected
case of anaphylaxis, school personnel may administer the emergency
protocol, including an epinephrine auto-injector to a medically
identified student when authorized by a parent/guardian and when
ordered by a physician or other licensed prescriber.
C. School health programs must
develop and adopt a procedure for addressing incidents of anaphylaxis
and the use of the epinephrine auto-injector on previously medically
identified students. Such procedures must pertain to no less than the
requirements described in this Part and must include the following:
1. Parents must provide a
physician's or other licensed prescriber's order, parent
authorization, and filled prescription(s) (i.e., the epinephrine
auto-injector(s)) notifying the school of the student's allergy and
the need to administer the epinephrine auto-injector in a case of
anaphylaxis.
2. School administrators must
communicate the required medical information from the parent to the
appropriate school personnel, including the certified school
nurse-teacher, teachers, food service workers, and school bus drivers
and bus monitors.
3. The school physician must
review these procedures on an annual basis.
4. Such procedures must
stipulate that the epinephrine auto-injector be used only on the
student for whom it was prescribed, in accordance with the provisions
of R.I. Gen. Laws Chapter
21-28.2 .
5. Such procedures must
provide for the development of an individualized emergency care plan
for a student at risk for anaphylaxis.
6. Procedures for accessing
the community's emergency medical system (i.e., "911").
D. Students who are treated
for anaphylaxis at the school must be transported by a licensed
ambulance/rescue service promptly to an acute care hospital for
medical evaluation and follow-up.
E. If appropriate, a student
identified as being at risk for anaphylaxis should carry the
epinephrine auto-injector at all times. If this is not appropriate,
the epinephrine auto-injector must, if necessary for the student’s
safety, as determined by the physician, or other licensed prescriber,
be available in the classroom, cafeteria, physical education
facility, health room and/or other areas where the epinephrine
auto-injector is most likely to be used. Reasonable provisions must
be made for the availability, safekeeping and security of the
epinephrine auto-injector. The school must develop protocols and
procedures related to the availability, safekeeping and security of
the epinephrine auto-injector.
F. School personnel who have
been trained in accordance with §§ 4.21.1, 4.21.2, and/or 4.21.3 of
this Part are authorized to administer the epinephrine auto-injector
to an identified student. If trained school personnel are not
available, any willing person may administer the epinephrine
auto-injector to a medically identified student. None of the
requirements of this Part shall preclude the self-administration of
an epinephrine auto-injector by a medically identified student.
G. In accordance with R. I.
Gen Laws § 16-21-22(e) ,
school districts may permit schools to maintain epinephrine
auto-injectors for emergency first aid to students who experience
allergic reactions.
4.21.5 Good Samaritan
Provisions
School personnel who
voluntarily assist persons suffering from anaphylaxis are immune from
liability for ordinary negligence in accordance with R. I. Gen Laws
§§ 9-1-27.1
and 16-21-22(d) .
4.21.6 Food Allergy
Management
A. Schools that have students
with peanut/tree nut allergies are required to post a notice in
accordance with R.I.
Gen Laws § 16-21-31 .
B. In all public and
non-public elementary, middle or junior high schools, the school
authority shall develop a policy designed to provide a safe
environment for students with peanut/tree nut allergies pursuant to
R.I. Gen Laws § 16-21-32 .
C. Students with peanut/tree
nut allergies, must have an IHCP and EHCP developed in accordance
with R.I. Gen Laws § 16-21-32
prior to entry into school or immediately thereafter for students
diagnosed with an allergy.
D. In addition to the
requirements of R.I. Gen Laws § 16-21-32 ,
the IHCP and EHCP must be part of the student’s permanent record,
include both preventative measures to help avoid accidental exposure
to allergens, and emergency measures in case of exposure. Additional
measures shall include:
1. Educating school personnel,
students, and families about food allergies; and,
2. Implementing protocols
around cleaning surfaces touched by food products, washing of hands
after eating, etc.
E. The EHCP must be consistent
with applicable provisions contained in this Part, including, but not
limited to, training, communication, plan review, Good Samaritan
protections in accordance with R.I. Gen Laws § 9-1-27.1 ,
and follow-up and documentation.
F. All school personnel who
may be involved in the care of a student who has been diagnosed with
a peanut/tree nut allergy must be informed of the IHCP and the EHCP,
as appropriate.
4.21.7 Follow-up &
Documentation Requirements
A. Following a traumatic
injury, an episode of anaphylaxis, or other emergency, a written
report must be completed and filed in the student health record and
verbal notification made to the student's parents as soon as possible
by the school principal or designee.
B. Following a minor injury,
the certified school nurse-teacher, or other appropriate school
authority, must make a notation of the minor injury in a log book
maintained by the school specifically for this purpose. At a
minimum, the following items must be noted:
1. Date and time of injury;
2. Location where injury
occurred;
3. Chief complaint;
4. Treatment administered;
5. Disposition (e.g., back to
class);
6. Signature of responder.
C. For each student, emergency
information must be documented and updated on an annual basis. Such
emergency information must include no less than the following:
1. Name and telephone number
of the student's parent and additional contact person(s) in the event
of an emergency;
2. Name and telephone number
of the student’s primary care provider;
3. Health insurance
(optional);
4. Known allergies (including
drug, food, insect bite and chemical allergies);
5. Medical conditions that may
need attention (e.g., past surgeries, heart problems, seizure
disorders, nosebleeds, diabetes);
6. Current, routine
prescription medications and authorized OTC medications.
D. Protocols or procedures
shall be developed to require an individualized emergency care plan
for a student at risk for anaphylaxis, asthmatic conditions and/or
any other medical emergencies, as defined in § 4.3 of this Part.
4.21.8 Concussions/Head
Injuries in Recreational and/or Athletic Competition
A. A youth athlete who is
suspected of sustaining a concussion or head injury in a practice or
game related to recreational and/or athletic competition must be
removed from that practice or competition at that time.
B. A youth athlete who has
been removed from play may not return to play until the athlete is
evaluated by a licensed physician and until the athlete receives
written clearance to return to play from that licensed physician.
C. A report of a concussion or
head injury and written clearance to return to play should be logged
in the student’s health record.
D. All coaches, trainers and
volunteers involved in youth recreational and/or athletic competition
must complete a training course, and a refresher course annually
thereafter, in concussions and traumatic brain injuries.
E. All school nurses must
complete a training course and an annual refresher course in
concussions and traumatic brain injuries.
F. School districts and
schools are required to use training materials of the US Center for
Disease Control and Prevention entitled "Heads Up: Concussion in
High School Sports/Concussion in Youth Sports" or materials
substantially equivalent.
4.21.9 Opioid-related Drug
Overdose in School Settings
A. All public middle, junior,
and high schools must develop policies and procedures for the
provision and maintenance of a supply of opioid antagonists
(Naloxone) in the school setting to treat suspected opioid overdose
in accordance with R.I. Gen. Laws. § 16-21-35 .
1. School nurse-teachers are
immune from liability for ordinary negligence for acts or omissions
relating to the use of the opioid antagonist in accordance with R.I.
Gen. Laws § 16-21-35 .
4.22 Diabetes
Care Management
A. Each school district must
develop a policy or protocol that allows students who are diagnosed
with diabetes to self-manage their disease whenever possible. The
policy or protocol must be developed in collaboration with licensed
health care providers, parents, students, school nurses and
administrators, as appropriate.
B. Such policy or protocol
must require no less than the following:
1. Developing an
individualized health care plan (IHCP) and an emergency care plan
(ECP/EHCP);
2. Permitting self-testing in
the classroom or other appropriate place(s) on the school campus or
at school-sponsored activities, as designated in the IHCP;
3. Permitting healthier
snacks, as defined in these Regulations, in the classroom or other
appropriate place(s) on the school campus or at school-sponsored
activities, as designated in the IHCP;
4. Permitting bathroom and
water fountain privileges in the classroom or other appropriate
place(s) on the school campus or at school-sponsored activities as
designated in the IHCP,
5. Ensuring the accompaniment
of a symptomatic child to a health area by a designated adult, per
the IHCP and the ECP/EHCP, unless such action puts the child at
increased health risk.
C. The student’s IHCP and
EHCP must be part of their permanent school health record and be
developed by the school nurse in collaboration with the student’s
health care provider, the parents/guardians of the student, and the
student (if appropriate).
4.22.1 Glucagon
Administration
A. As part of the ECP/EHCP, a
parent or legal guardian may authorize school employees (or those
employed on behalf of the school), for when there is no school nurse
immediately available, to administer glucagon on such child in case
of an emergency, while at school or school-sponsored activities.
1. A parent or legal guardian
must provide a diabetes management plan or physician's order, signed
by the student's health care provider, that prescribes the care and
assistance needed by the student including glucagon administration.
2. The glucagon must be kept
in a conspicuous place, readily available, but with reasonable
provisions made for the safekeeping and security of the glucagon, so
that the security of the medication will not be compromised.
3. Glucagon administration
training may be provided by a licensed physician, physician
assistant, advanced practiced registered nurse, or registered nurse,
however in no case shall school nurse teachers be required to provide
training.
a. The school administration
shall allow properly trained staff to voluntarily assist with the
emergency administration of glucagon when authorized by a parent or
legal guardian.
b. A school employee,
including administrative staff, shall not be subject to penalty or
disciplinary action for refusing to be trained in glucagon
administration.
c. The training and
supervision of personnel, other than the school nurse, who provide
emergency medical assistance to students under this section, shall be
governed by performance standards and guidelines developed by the
Rhode Island Department of Health, in conjunction with the American
Diabetes Association, and the Rhode Island Chapter of the American
Academy of Pediatrics. Such personnel shall only be authorized to
provide such assistance upon successful completion of glucagon
administration training.
4. No school teacher, school
administrator, school health care personnel, person employed on
behalf of the school, any other school personnel, nor any local
educational authority shall be liable for civil damages which may
result from acts or omissions in use of glucagon which may constitute
ordinary negligence. This immunity does not apply to acts or
omissions constituting gross negligence or willful or wanton conduct.
B. All school personnel who
may be involved in the care of a student who has been diagnosed with
diabetes must be informed of the IHCP and the ECP/EHCP, as
appropriate.
4.23 Medication
Administration
A. Each public school district
or non-public school authority must develop protocols or procedures
related to medication administration in schools that include, at a
minimum, the following provisions:
B. A certified school
nurse-teacher must administer medication(s) to student(s) within the
public school setting except as provided in §§ 4.21.4(F), 4.22.1,
4.23.3, 4.23.4, or 4.23.5 of this Part. The certified school
nurse-teacher must be licensed in Rhode Island in accordance with the
requirements of R.I. Gen. Laws Chapter 5-34 .
He/she must also be certified in accordance with the provisions of
R.I. Gen. Laws Chapter 16-21-8 .
1. All medications, including
prescription and OTC (over-the-counter), must be administered only in
accordance with a written order from a licensed health care
prescriber, except as provided in §§ 4.21.4(F), 4.22.1, 4.23.3,
4.23.4, or 4.23.5 of this Part. All medications must be administered
in keeping with safe standards of health care practice and in
accordance with all applicable state and federal laws and
regulations.
C. A certified school
nurse-teacher or other registered nurse must administer medication to
student(s) in a non-public school except as provided in §§
4.21.4(F), 4.22.1, 4.23.3, 4.23.4, or 4.23.5 of this Part. Such a
registered nurse must be licensed in Rhode Island in accordance with
the requirements of R.I. Gen. Laws Chapter 5-34 .
D. No lay person, other than a
parent, may administer medication to a student in the school setting.
Exceptions: §§ 4.21.4(F), 4.22.1 of this Part (related to the
administration of epinephrine and glucagon).
4.23.1 Provisions Related
to Nurse Administration
A. Each dose of medication
administered by a certified school nurse-teacher or other registered
nurse must be documented. Documentation must include: date, time,
dosage, route of administration and the signature of the certified
school nurse-teacher or other registered nurse administering the
medication or supervising the student in self-administration. In the
event a dosage is not administered as ordered, the reason(s)
therefore must be noted.
B. All medications to be
administered by the certified school nurse-teacher or other
registered nurse, as provided in these Regulations, must be kept in a
secured cabinet.
C. A licensed provider's (with
prescriptive privileges) order must be obtained and verified by the
certified school nurse-teacher or other registered nurse for all
medications to be administered by the certified school nurse-teacher
or registered nurse, including school physician standing orders.
Verbal orders to the nurse and facsimile transmissions may be
accepted. Verbal orders must be followed up by a written order from
the licensed prescriber within three (3) working days. Upon receipt,
the orders must be confirmed with the parent by the nurse.
D. For prescription
medications, all parent authorizations and licensed provider’s
orders must be renewed no less than annually by the certified school
nurse-teacher or other registered nurse.
4.23.2 Controlled
Substances
No controlled substance is
permitted to be in the possession of or administered by anyone other
than a certified school nurse-teacher, other registered nurse,
licensed prescriber, or parent of the child for whom the medications
have been prescribed. A student may deliver his/her own medication
to school in accordance with protocols or procedures developed by the
school but may not self-administer the controlled substance while on
school property. Exception: see § 4.23.5 of this Part.
4.23.3 Self-Carry and
Self-Administration of Medication
A. All school districts or
school authorities must develop protocols or procedures to permit
students to self-carry and/or self-administer prescription medication
if the student, parent, certified school nurse-teacher or registered
nurse, and licensed prescribing health care provider enter into a
written agreement that specifies the conditions under which the
prescription medication must be self-carried and/or
self-administered. The school principal must be informed of the
existence of said agreement.
1. School districts or school
authorities may develop protocols or procedures to permit students to
self-carry and/or self-administer medication that does not require a
licensed prescriber’s note. In developing such protocols or
procedures, school districts or school authorities must give
consideration to such factors as the age of the child, the duration
of the need for the medication, and the ability of the child to
self-administer.
B. The protocols or procedures
related to student self-administration of medication must include
provisions for the following:
1. All medication must be
stored in its original prescription or manufacturer-labeled
container.
2. For prescription
medication, a licensed health care prescriber’s written order is
required.
C. A student is prohibited
from sharing, transferring, or in any way diverting his/her own
medication(s) to any other person.
4.23.4 Inhalers
A. Each school district must
develop a procedure to allow students to carry and use prescription
inhalers while in school or at a school sanctioned function or event,
when prescribed by a licensed healthcare provider with prescriptive
privileges. Students who carry inhalers must provide the school with
medical documentation that the inhaler has been legitimately
prescribed and that the child needs to self-carry due to a medical
condition. No child shall be disciplined for failure to provide such
documentation in advance.
1. No school teacher, school
administrator, or school health personnel, or any other school
personnel will be liable for civil damages which may result from acts
or omissions in the use of prescription inhalers by children which
may constitute ordinary negligence. This immunity does not apply to
acts or omissions constituting gross negligence or willful or wanton
conduct.
4.23.5 Medication
Administration at Off-site School-sponsored Activities
A. Each school district or
non-public school authority must develop a procedure or protocol to
allow students to self-carry and self-administer a day’s supply of
medication for each day off-site, including a controlled substance,
during an off-site school-sponsored activity.
1. The medication must be
supplied by the parent with a parent’s written authorization for
use of the medication during the off-site school-sponsored activity
and must be stored and transported in its original
prescription-labeled container (in the case of a prescription
medication) or its manufacturer-labeled container (in the case of a
non-prescription medication).
2. In the case of a
prescription medication, a licensed health care prescriber’s
written order must be provided, if it is not already on file in the
school.
3. A student is prohibited
from sharing, transferring, or in any way diverting his/her own
medication(s) to any other person.
4.24 Immunization
and Testing for Communicable Diseases
Pursuant to the rules and
regulations pertaining to Immunization and Communicable Disease
Testing in Preschool, School, Colleges or Universities (Part 30-05-3
of this Title), all schools in Rhode Island must adopt, at a minimum,
the standards for immunization and communicable disease testing
described therein.
4.25 Standards for School Building(s) and Approval
A. Pursuant to R.I. Gen. Laws
§ 16-21-3 ,
the State Building Codes Standards Committee, the State Fire
Marshall, the State Health Department, and the Department of Labor
and Training, Division of Occupational Safety shall determine whether
the school buildings in the several cities and towns or on state
property conform to appropriate state and federal laws and
regulations within their respective jurisdiction.
1. Furthermore, it shall be
the responsibility of each local fire chief, local building
inspector, the Director of the state Department of Health, and the
Director of the state Labor and Training Department to determine and
notify each local school superintendent or non-public school official
by August 1 of each year as to whether the public and non-public
nursery, elementary and secondary school buildings conform to
appropriate state and federal laws and regulations within their
respective jurisdiction.
2. In the case of those
schools on state property, it shall be the responsibility of the
State Building Commissioner, the State Fire Marshall, the Director of
the state Department of Health, and the Department of Labor and
Training to notify the department director responsible for the
operation of the school as to whether these schools conform to
appropriate state and federal laws and regulations.
B. Pursuant to R.I. Gen. Laws
§ 16-21-3.1 ,
it shall be the responsibility of the school administrator, the
non-public school official, in the case of state operated schools,
the responsibility of the director of the state operated school, to
ensure that schools are not opened until notification is received
from the aforementioned agencies that the schools are in compliance
with their respective codes.
1. Neglect by any
superintendent, non-public school official, or director of any state
operated school to comply with the statutory provisions of § 4.25(B)
of this Part shall be subject to the sanction as set forth in R.I.
Gen. Laws § 16-21-3.1 .
4.26 New
Construction, Renovation or Conversion of Existing Buildings to
Schools
4.26.1 General Requirements
A. All new construction or the
alteration, extension, or modification of an existing building(s) is
subject to all applicable federal, state and local laws, codes,
regulations, and ordinances, including but not limited to the
following regulatory provisions enforced by the specific agency:
1. IBC-1 State Building Code,
et al , R.I. Gen. Laws Chapter
23-27.3 , R.I. State Building Code Standards Committee;
2. The Uniform Federal
Accessibility Standards (UFAS) incorporated at § 4.2(L) of this Part
and state accessibility for persons with disability standards:
a. R.I. Gen. Laws Chapter
37-8-15 ,
“Access for People with Disabilities”;
b. The Federal Rehabilitation
Act of 1973, as amended, (29 U.S.C. § 791 et seq .) section
504, 34 C.F.R. Part 104, Program Accessibility for Persons with
Disabilities and the Americans with Disabilities Act of 1990 (42
U.S.C. § 12101 et seq .), 28 C.F.R. Parts 35 and 36,
Accessibility for Persons with Disabilities in Public Entities and
Public Accommodations;
c. R.I. Gen. Laws § 42-26-13
Open Meetings-Accessibility for Persons with Disabilities; SBC-17
Accessibility of Meetings for Persons with Disabilities;
3. Construction, Division of
Occupational Safety, Rhode Island Department of Labor and Training,
incorporated at § 4.2(I) of this Part;
4. Section 7, Chapter 10 of
the Fire Safety Code Board of Appeal and Review's Fire Safety Code
(450-RICR-00-00-7); and,
5. Rhode Island Board of
Education "Rhode Island School Construction Regulations"
(24 May 2007)
6. Such other applicable
statutory and regulatory provisions.
B. All architectural plans for
school construction, renovations, or conversions must be submitted to
the appropriate staff at RIDE, the Governor’s Commission on
Disabilities, the State Building Commissioner and all other state or
local agencies as appropriate prior to construction for review for
compliance with all applicable federal, state and local laws, codes,
regulations and ordinances.
1. All architectural plans for
new school construction, submitted for approval must include
provisions for a health room that includes, at a minimum, a private
toilet, hand washing facilities, a private area for consultation, and
a waiting area.
4.27 Existing
School Buildings/General Requirements
A. All existing structures
must comply with all applicable federal, state and local laws, codes,
regulations, and ordinances including but not limited to the
following regulatory requirements enforced by the specified agency:
1. Building Code Standards
Committee " SBC-13 "
Standards for Existing Schools, through the local building officials
or the State Building Commissioner;
2. Where applicable, the
federal and state accessibility for persons with disability
standards:
a. R.I. Gen. Laws Chapter
37-8-15, “Access for People with Disabilities”;
b. The Federal Rehabilitation
Act of 1973, as amended, (29 U.S.C. § 791 et seq .) section
504, 34 C.F.R. Part 104, Program Accessibility for Persons with
Disabilities and the Americans with Disabilities Act of 1990 (42
U.S.C. § 12101 et seq .), C.F.R. Parts 35 and 36,
Accessibility for Persons with Disabilities in Public Entities and
Public Accommodations;
c. R.I. Gen. Laws § 42-26-13
Open Meetings--Accessibility for Persons with Disabilities; Building
Code Standards Committee " SBC-17 "
Public Meetings Accessibility Standard.
3. R.I. Gen. Laws Chapter
23-24.9, "Mercury Reduction and Education Act;"
4. 29 C.F.R. §§ 1910 and
1926, Construction, Division of Occupational Safety, R.I. Department
of Labor and Training;
5. R.I. Gen. Laws Chapter
23-28.12 and section 7, Chapters 1 through 8 and Chapters 24 through
43 of Fire Safety Code Board of Appeal and Review's Fire Safety Code
(450-RICR-00-00-7); and,
6. Such other applicable
statutory or regulatory requirements.
4.28 Pesticide Applications and Notification of Pesticide
Applications at Schools
All school buildings are
subject to the provisions of R.I. Gen. Laws Chapter § 23-25-37
for the notification and application of pesticides.
4.29 Asbestos
All school buildings are
subject to the provisions of R.I. Gen. Laws Chapter 23-24.5
and the rules and regulations for Asbestos Control (Part 50-15-1 of
this Title).
4.30 Lead
All schools serving children
under the age of six (6) years (e.g., kindergartens, day care sites)
are subject to the provisions of R.I. Gen. Laws Chapter
23-24.6 and the rules and regulations for Lead Poisoning
Prevention (Part 50-15-3 of this Title).
4.31 Radon
All school buildings are
subject to the provisions of R.I. Gen. Laws Chapter 23-61
and the rules and regulations for Radon Control (Part 50-15-2 of this
Title).
4.32 Latex
Gloves
Any school that utilizes
latex gloves must do so in accordance with the provisions of the
rules and regulations pertaining to the Use of Latex Gloves by Health
Care Workers, in Licensed Health Care F acilities, and by Other
Persons, Firms, or Corporations Licensed or Registered by the
Department (Subchapter 15 Part 3 of this Chapter).
4.33 Food
Service
A. Food service in all
schools, including food service facilities, must comply with the
following statutory and regulatory provisions relating to food
protection including, but not limited to:
1. R.I. Gen. Laws Chapter
21-27
and § 23-1-31 ;
2. Rhode Island Food Code
(Part 50-10-1 of this Title);
3. Rules and regulations
pertaining to Certification of Managers in Food Safety (Part 50-10-2
of this Title).
B. No less than one (1) person
certified as a manager in food safety within each school must be
designated as the person in charge to supervise all food preparation
personnel to ensure food safety in accordance with the Rhode Island
Food Code (Part 50-10-1 of this Title).
C. In accordance with the
Rhode Island Food Code (Part 50-10-1 of this Title), each school
serving hot potentially hazardous foods must have a written plan for
assessing, monitoring, and controlling foodborne disease hazards
within the facility. The plan must include, but not be limited to,
monitoring of food temperatures at the shipping and receiving end for
satellite feeding operations and a plan for the restriction and
exclusion of ill personnel.
4.34 Health
Room
A. Schools must have a
designated health room(s) to be utilized for health services. The
room(s) must be equipped with no less than the following
accommodations:
1. Within the health room:
a. Hand washing facilities,
including warm (not to exceed 120 degrees F [49 degrees C]) and cold
running water, soap dispensers and soap (liquid or powdered), and
either disposable towels or a heated-air hand drying device;
b. A cot or other suitable
area for reclining, with accommodations for privacy;
c. All supplies necessary for
the disposal of biohazardous waste, including but not limited to, a
sharps container that must be managed in accordance with the
requirements of Rhode Island Department of Environmental Management
Rules and Regulations Governing the Generation, Transportation,
Storage, Treatment, Management and Disposal of Regulated Medical
Waste in Rhode Island;
d. A secure medication storage
area, including a locked storage site for controlled substances;
e. A telephone;
2. Either within or adjacent
to the health room:
a. A toilet;
b. A secure refrigerator for
exclusive use of medications and health supplies (e.g., ice packs);
c. A secure cabinet for
medical record storage;
d. An area for students to
comfortably await services;
3. Either within or accessible
to the health room on the same floor of the building:
a. A private area for
consultations that ensures that confidentiality is maintained.
4. The minimum lighting level
for the health room must be fifty (50) foot candles.
4.35 Sanitation
Facilities
A. The premises of each school
must include an appropriate number of hand washing facilities,
toilets, and drinking fountains for all students and school personnel
and must be maintained in a working and sanitary condition as
determined by the Rhode Island Department of Health and in accordance
with the most recent version of the Code of Federal Regulations of
the Division of Occupational Safety, R.I. Department of Labor and
Training.
1. Hand washing facilities:
In addition, hand washing facilities must have cold and warm (not to
exceed 120 degrees F [49 degrees C]) running water and be stocked at
all times with soap dispensers and soap (liquid or powdered) and
either disposable towels or a heated-air hand drying device. An
adequate number of alcohol-based personal hand washing stations for
students and teachers must also be available within school premises
in accordance with Executive Order 07-01.
2. Toilets: At a minimum, the
following ratios of toilets must be accessible to students:
Type
of School
Minimum
Ratio of Toilets per Student
Boys
Girls
Elementary
School
1:40
1:35
Secondary
School
1:75
Urinals
1:30
1:45
3. Showers: In those schools
where shower facilities are in use, they must be properly cleaned and
maintained and supplied with cold and warm (not to exceed 120 degrees
F [49 degrees C]) running water.
4. All sanitation facilities
must be accessible to persons with disabilities in accordance with
all applicable local, state and federal laws and regulations.
4.36 Housekeeping
Each school must maintain a
comprehensive list of all solutions, compounds and other products
used in and around the school for cleaning and maintenance. This
list must include, but not be limited to, cleaning products used in
all parts of the school, lawn care products used on school grounds,
and products used to maintain facilities such as swimming pools. The
list must be kept in a readily accessible location, such as the
school administrative office, be updated regularly and provided to
any individual upon request.
4.37 Swimming
Pools
Swimming pools are subject to
the statutory provisions of R.I. Gen. Laws Chapter 23-22
and any other applicable law relating to swimming pools and the
rules and regulations for the Licensing of Aquatic Venues [Part
50-05-4 of this Title].
4.38 Water
Supply
A. Each school building must
be furnished with an adequate supply of potable water in accordance
with the standards set forth in the rules and regulations pertaining
to Public Drinking Water .
1. Potable water must be
supplied to all food service areas, lavatories, janitorial and shower
areas.
2. An adequate supply of
potable drinking water must be available for consumption through a
sufficient number of well-maintained and accessible sources and in
accordance with the Building Code Standards Committee "RISBC-3
Rhode Island Plumbing Code".
B. A community water system
must be used as the source of supply where available.
1. Where a community water
system is unavailable the water supply system utilized by the school
must meet the requirements of R.I. Gen. Laws Chapters 46-13 ,
23-65, and the " Rules
and Regulations Pertaining to the Certification of Public Drinking
Water Supply Treatment and Public Water Supply Transmission and
Distribution Operators ".
C. All proposed school water
systems or proposed alterations to existing school water systems must
be approved by RIDOH.
4.39 Tobacco
School buildings, school
grounds, and all facilities used by a school, are subject to the
provisions of R.I. Gen. Laws Chapters 23-20.9
entitled “Smoking in Schools” and Chapter
23-20.10 the “Public Health and Workplace Safety Act”.
4.39.1 Violations and
Penalties
In accordance with R.I. Gen.
Laws Chapter 23-20.10
if an employer violates the provisions of the statute, civil
penalties will be levied in accordance with R.I. Gen. Laws §§
23-20.10-10
and 23-20.10-14 .
4.40 School
Safety
4.40.1 School Safety
Assessments
The school district of each
city, town, and regional school department is required to conduct an
assessment every 3 years to examine the safety of each school
building in accordance with R.I. Gen Laws § 16-21-23(a) .
4.40.2 School Safety Teams
The school committee or
superintendent of each city, town, and regional school department is
required to appoint a school safety team and a school crisis response
team in accordance with R.I. Gen. Laws §§ 16-21-23(b)
through (c) .
4.40.3 School Safety Plans
A. In accordance with R.I.
Gen. Laws § 16-21-23(b) ,
the school committee of each city, town, and regional school
department is required to adopt a comprehensive school safety plan
that addresses preparedness, response and recovery and meets the
policy and procedure requirements in R.I. Gen. Laws § 16-21-24 .
1. The school safety plan must
include best practices and relevant provisions of the current state
model plan as published by RIDE including:
a. Guidance for communicating
threats of violence or harm to the specifically identifiable
student(s) and/or school personnel who are the subject of said
threats by individuals or groups.
b. Standards for determining
those threats of violence or harm that meet the threshold of
seriousness and reasonableness so that communication of said threats
to specifically identifiable students and/or school personnel is
justified;
2. The school committee is
required to review and update the school safety plans by November 1
of each year in accordance with R.I. Gen. Laws § 16-21-25 .
4.40.4 Statewide Bullying
Policy
In accordance with R.I. Gen.
Laws §§ 16-21-33
and 16-21-34 ,
any form or degree of bullying at school is prohibited. All school
districts, charter schools, career and technical schools, approved
private day or residential schools and collaborative schools must
adopt the Rhode Island Department of Education " Rhode
Island Statewide Bullying Policy ".
4.41 Weapons
and Firearms
A. All schools are required to
have policies prohibiting possession of firearms and other weapons
and imposing penalties for such possession in conformity with R.I.
Gen. Laws § 16-21-18
and the “ Gun
Free Schools Act ”, 20 U.S.C. § 8921 et seq .
1. All school districts must
ensure the discipline policies regarding incidents of students in
possession of weapons are imposed on a case-by-case basis.
4.42 Alcohol
and Other Drugs
A. All schools are required to
have policies regarding possession of alcohol and other drugs and
must have on-going prevention activities and programs as supported by
the “ Safe
and Drug-Free Schools and Communities Act ”, 20 U.S.C. § 7101
et seq .
1. All school districts must
ensure that the discipline policies regarding incidents of students
in possession of alcohol or drugs are imposed on a case-by-case
basis.
4.43 Recreational
Facilities
A. All recreation facilities
and areas, including gymnasiums, playgrounds, and athletic fields
must be maintained and operated in a safe manner, including, at a
minimum, the following provisions:
1. Playground surfaces and
equipment must demonstrate compliance with all applicable guidelines
of the most recent version of the Handbook for Public Playground
Safety issued by the U.S. Consumer Products Safety Commission
incorporated at § 4.2(B) of this Part.
B. In accordance with 36
C.F.R. Part 1191 , recreational facilities, athletic fields and
playgrounds must be accessible to persons with disabilities.
C. Adequate, convenient, and
well-maintained changing areas and facilities must be provided for
secondary school students, as needed.
4.44 Vehicular
and Pedestrian Traffic Safety
A. Each school is required to
develop written procedures or protocols to reduce the risk of motor
vehicle injuries and exposure to motor vehicle exhaust fumes among
students. These procedures must be reviewed annually by school
representatives and local police authorities and must address no less
than the following issues:
1. Arrival and departure areas
for busses, private automobiles, bicyclists, and pedestrians;
2. Parking and idling
locations for motor vehicles, including busses;
3. Signage and crosswalks;
4. Traffic flow on and
adjacent to school grounds; and,
5. Emergency procedures.
4.45 Asset
Protection
Each public school and
district is subject to the provisions of R.I. Gen. Laws Chapter
16-7.1 ,
requiring all public schools and districts to provide an annual asset
protection plan to the Commissioner of RIDE.
4.46 Enforcement
A. Pursuant to the provisions
of R.I. Gen. Laws § 16-5-30, the Commissioner of Elementary and
Secondary Education may for violation or neglect of law or for
violation or neglect of rules and regulations in pursuance of law by
any city or town or city or town officer or school committee, order
the General Treasurer to withhold the payment of any portion of the
public money that has been or may be apportioned to the city or town.
B. The General Treasurer upon
the receipt in writing of the order shall hold the public money due
the city or town until such time as the Commissioner by writing
requests the withheld funds for the purposes of eliminating the
violation or neglect of law or regulation that caused the order to be
issued, or the Commissioner of Elementary and Secondary Education
shall notify the Treasurer that the city or town has complied with
the order as the Department shall make in the premises, in which case
payment shall be made to the town forthwith.
C. The Council on Elementary
and Secondary Education shall report to the General Assembly annually
all infractions of school law which shall be brought to its
attention, with a record of such action as the Department shall have
taken in each instance.
4.47 Laboratories,
Shops and Other Special Purpose Areas
A. Special purpose areas of
school facilities that must include, but not be limited to, the
cafeteria, home economics laboratory, industrial arts and vocational
laboratories, art rooms, and science laboratories must be in
compliance with the following provisions:
1. Rhode Island Department of
Labor and Training "OSHA Regulations 1910" Occupational
Safety and Health Standards, as filed with the Secretary of State
pursuant to R.I. Gen. Laws Chapter 28-20;
2. 29 C.F.R. § 1200, General
Industry Standards 1910. Hazardous Communication that requires
employers to maintain in the workplace copies of the required
material safety data sheets for each hazardous chemical, and must
ensure that they are readily accessible during each work shift to
employees when they are in their work area(s), and to provide
training in accordance with state and federal regulations.
3. Rhode Island Department of
Labor and Training "OSHA Regulations 1926": Safety and
Health Regulations for Construction, as filed with the Secretary of
State pursuant to R.I. Gen. Laws Chapter 28-20;
4. R.I. Gen. Laws § 16-7-24,
entitled “Minimum Appropriation by a Community for Approved School
Expenses”;
5. Rhode Island Board of
Education " Basic
Education Program (BEP) Regulations ", (effective 29 July
2009).
4.47.1 Chemical Hygiene
Plan
A. For the purposes of this
Part, the protective measures required for employees pursuant to 29
C.F.R. § 1450, as incorporated by reference in § 4.2(A) of this
Part, must extend to students.
B. Any school engaged in the
laboratory use of hazardous chemicals as defined in these Regulations
must develop and implement a written chemical hygiene plan that sets
forth procedures, equipment, personal protective equipment, and work
practices that are capable of protecting employees and students from
the health hazards presented by hazardous chemicals used in that
particular school setting in accordance with the requirements of 29
C.F.R. § 1450, as incorporated by reference in § 4.2(A) of this
Part. Said plan must also include a section regarding the purchase,
storage, and disposal of potentially hazardous chemicals and the
training of staff and students on their use.
C. School personnel (e.g., art
teachers, shop teachers, classroom teachers, maintenance staff) must
ensure compliance with 29 C.F.R. § 1200, as incorporated by
reference in § 4.2(A) of this Part, for those areas under their
control or supervision. Safety data sheets for all chemicals stored,
handled or used in those areas must be reviewed with the school’s
chemical hygiene officer to ensure that the chemicals are
appropriately managed in accordance with school’s chemical hygiene
plan.
D. The written chemical
hygiene plan required by this Part must include a prohibition on the
use of the chemicals listed below.
1. State-approved career and
technical education programs, as governed by the Board of Education
"Regulations Governing Career and Technical Education in Rhode
Island", shall be exempt from the chemical prohibition of §
4.2(A) of this Part, but must maintain a safe and healthy environment
where risks are minimized through education, training,
administrative and engineering controls, personal protective
equipment, proper work practices, and the use of the safest available
materials and products, in accordance with current occupational and
environmental standards and regulations.
Full
Chemical Name
CAS
#
Reference
1-(2-tert-Butylperoxy
isopropyl)-3-isopropenylbenzene
96319-55-0
49
C.F.R. § 173.225
1-(o-Chlorophenyl)thiourea
5344-82-1
EPA
Acutely Toxic (P Listed)
1,1-Di-(tert-amylperoxy)cyclohexane
15667-10-4
49
C.F.R. § 173.225
1,1-Di-(tert-butylperoxy)-3,3,5-trimethylcyclohexane
6731-36-8
49
C.F.R. § 173.225
1,1-Di-(tert-butylperoxy)cyclohexane
3006-86-8
49
C.F.R. § 173.225
1,1'-Diazoaminonaphthalene
DOT
Forbidden
1,1-Dimethyl-3-hydroxybutylperoxyneoheptanoate
49
C.F.R. § 173.225
1,2,3-Propanetriol,
trinitrate (R)
55-63-0
EPA
Acutely Toxic (P Listed)
1,2,4-butanetriol
trinitrate
DOT
Forbidden
1,2-Benzenediol,
4-[1-hydroxy-2-(methylamino)ethyl]-, (R)-
51-43-4
EPA
Acutely Toxic (P Listed)
1,2-Diazidoethane
DOT
Forbidden
1,2-Dibromo-3-Chloropropane
96-12-8
Reproductive
Toxin, Select Carcinogen
1,2-Propylenimine
75-55-8
EPA
Acutely Toxic (P Listed)
1,3,4
oxadiazole
IARC
List of Known and Suspected Human Carcinogens
1,3-butadiene
106-99-0
OSHA
Listed Chemicals
1,3-Diazopropane
DOT
Forbidden
1,3-dinitro-5,5-dimethyl
hydantoin
DOT
Forbidden
1,3-Dithiolane-2-carboxaldehyde,
2,4-dimethyl-, O- [(methylamino)- carbonyl]oxime.
26419-73-8
EPA
Acutely Toxic (P Listed)
1,4-Butanediol
Dimethylsulfonate
55-98-1
Select
Carcinogen
1,7-octadine-3,
5-diyne-1, 8-dimethoxy-9-octadecynoic acid
DOT
Forbidden
1,8-dihydroxy-2,4,5,7-tetranitroanthraquinone
DOT
Forbidden
1,9-dinitroxy
pentamethylene-2,4, 6,8-tetramine
DOT
Forbidden
1-Acetyl-2-thiourea
591-08-2
EPA
Acutely Toxic (P Listed)
1-bromo-3-nitrobenzene
DOT
Forbidden
2-(2-Hydroxyethoxy)-1-(pyrrolidin-1-yl)benzene-4-diazonium
zinc chloride
15005-97-7
49
C.F.R. § 173.224
2-(N,N-Ethoxycarbonylphenylamino)-3-methoxy-4-(N-methyl-N-cyclohexylamino)benzenediazonium
zinc chloride
49
C.F.R. § 173.224
2-(N,N-Methylaminoethylcarbonyl)-4-(3,4-dimethyl-phenylsulphonyl)benzene
diazonium zinc chloride
49
C.F.R. § 173.224
2,2'-Azodi(2,4-dimethyl-4-methoxyvaleronitrile)
49
C.F.R. § 173.224
2,2'-Azodi(2,4-dimethylvaleronitrile)
4419-11-8
49
C.F.R. § 173.224
2,2-Azodi(2-methylbutyronitrile)
49
C.F.R. § 173.224
2,2'-Azodi(ethyl
2- methylpropionate)
49
C.F.R. § 173.224
2,2'-Azodi(isobutyronitrile)
78-67-1
49
C.F.R. § 173.224
2,2-Di-(4,4-di(tert-butylperoxy)cyclohexyl)propane
1705-60-8
49
C.F.R. § 173.225
2,2-di-(4,4-di-tert-butylperoxycyclohexyl)
propane
DOT
Forbidden
2,2-Di-(tert-butylperoxy)
butane
DOT
Forbidden
2,2-di-(tert-Butylperoxy)butane
2167-23-9
49
C.F.R. § 173.225
2,2-Di-(tert-butylperoxy)propane
1705-60-8
49
C.F.R. § 173.225
2,2-Dihydroperoxypropane
2614-76-8
49
C.F.R. § 173.225
2,2-dinitrostilbene
DOT
Forbidden
2,4-Dinitrophenol
51-28-5
EPA
Acutely Toxic (P Listed)
2,5
Dimethyl 2,5 di-2-ethylhexanoylperoxyhexane
49
C.F.R. § 173.225
2,5-Diethoxy-4-(phenylsulphonyl)benzenediazonium
zinc chloride
49
C.F.R. § 173.224
2,5-Diethoxy-4-2,5-Diethoxy-4-morpholinobenzenediazonium
zinc chloride
26123-91-1
49
C.F.R. § 173.224
2,5-Diethoxy-4-morpholinobenzenediazonium
tetrafluoroborate
4979-72-0
49
C.F.R. § 173.224
2,5-Diethoxy-4-morpholinobenzenediazonium
zinc chloride
26123-91-1
49
C.F.R. § 173.224
2,5-Dimethoxy-4-(4-methylphenylsulphony)benzene
diazonium zinc chloride
49
C.F.R. § 173.224
2,5-Dimethyl-2,5-di-(3,5,5-trimethylhexanoylperoxy)hexane
49
C.F.R. § 173.225
2,5-Dimethyl-2,5-di-(benzoylperoxy)hexane
2618-77-1
49
C.F.R. § 173.225
2,5-Dimethyl-2,5-di-(tert-butylperoxy)hexane
78-63-7
49
C.F.R. § 173.225
2,5-Dimethyl-2,5-di-(tert-butylperoxy)hexyne-3
1068-27-5
49
C.F.R. § 173.225
2,5-dimethyl-2,5-dihydroperoxy
hexane
DOT
Forbidden
2,5-Dimethyl-2,5-dihydroperoxyhexane
3025-88-5
49CFR173.225
2-acetylaminofluorene
53-96-3
OSHA
Listed Chemicals
2-Acetylaminofluorine
Select
Carcinogen
2-Cyclohexyl-4,6-dinitrophenol
131-89-5
EPA
Acutely Toxic (P Listed)
2-Diazo-1-Naphthol-4-sulphochloride
49
C.F.R. § 173.224
2-Diazo-1-Naphthol-5-sulphochloride
49
C.F.R. § 173.224
2-Methyllactonitrile
75-86-5
EPA
Acutely Toxic (P Listed)
2-Propanone,
1-bromo-
598-31-2
EPA
Acutely Toxic (P Listed)
2-Propen-1-ol
107-18-6
EPA
Acutely Toxic (P Listed)
2-Propenal
107-02-8
EPA
Acutely Toxic (P Listed)
3(2H)-Isoxazolone,
5-(aminomethyl)-
2763-96-4
EPA
Acutely Toxic (P Listed)
3-(2-Hydroxyethoxy)-4-(pyrrolidin-1-yl)benzenediazonium
zinc chloride
15005-97-7
49
C.F.R. § 173.224
3,3,6,6,9,9-Hexamethyl-1,2,4,5-tetraoxacyclononane
22397-33-7
49
C.F.R. § 173.225
3,3-dichlorobenzidine
91-94-1
OSHA
Listed Chemicals
3-3'-Dichlorobenzidine
91-94-1
Select
Carcinogen
3-Azido-1,
2-Propylene glycol dinitrate
DOT
Forbidden
3-Chloro-4-diethylaminobenzenediazonium
zinc chloride
49
C.F.R. § 173.224
3-Chloroperoxybenzoic
acid
937-14-4
49
C.F.R. § 173.225
3-Chloropropionitrile
542-76-7
EPA
Acutely Toxic (P Listed)
3-Isopropylphenyl
N-methylcarbamate.
64-00-6
EPA
Acutely Toxic (P Listed)
3-Methyl-4-(pyrrolidin-1-yl)benzenediazonium
tetrafluoroborate
36422-95-4
49
C.F.R. § 173.224
3-tert-Butylperoxy-3-phenylphthalide
25251-51-8
49
C.F.R. § 173.225
4-(Benzyl(ethyl)amino)-3-ethoxybenzenediazonium
zinc chloride
49
C.F.R. § 173.224
4-(Benzyl(methyl)amino)-3-ethoxybenzenediazonium
zinc chloride
49
C.F.R. § 173.224
4,4'-Methylenebis
(2-Chloroaniline)
95-51-2
Select
Carcinogen
4,6-Dinitro-o-cresol,
& salts
534-52-1
EPA
Acutely Toxic (P Listed)
4-Aminobiphenyl
92-67-1
Select
Carcinogen
4-Aminopyridine
504-24-5
EPA
Acutely Toxic (P Listed)
4-bromo-1,
2-dinitrobenzene
DOT
Forbidden
4-Dimethylamino-6-(2-dimethylaminoethoxy)toluene-2-diazonium
zinc chloride
49
C.F.R. § 173.224
4-Dimethylaminoazobenzene
60-11-7
Select
Carcinogen
4-Dipropylaminobenzenediazonium
zinc chloride
49
C.F.R. § 173.224
4-Methylbenzenesulphonylhydrazide
49
C.F.R. § 173.224
4-Nitrobiphenyl
92-93-3
Select
Carcinogen
4-Nitrosophenol
104-91-6
49
C.F.R. § 173.224
4-Pyridinamine
EPA
Acutely Toxic (P Listed)
5-(Aminomethyl)-3-isoxazolol
2763-96-4
EPA
Acutely Toxic (P Listed)
5-Azido-1-hydroxy
tetrazole
DOT
Forbidden
5-Mercaptotetrazol-1-acetic
acid
57658-36-3
DOT
Explosive
5-nitrobenzotriazol
169796-98-9
DOT
Explosive
7-Benzofuranol,
2,3-dihydro-2,2-dimethyl-, methylcarbamate.
1563-66-2
EPA
Acutely Toxic (P Listed)
7-Oxabicyclo[2.2.1]heptane-2,3-dicarboxylic
acid
145-73-3
EPA
Acutely Toxic (P Listed)
A-alpha-C
[2-amino-9H-pyrido[2,3-b]indole]
IARC
List of Known and Suspected Human Carcinogens
Acetal
105-57-7
Peroxidizable
Acetaldehyde
75-07-0
Reproductive
Toxin
Acetaldehyde,
chloro-
107-20-0
EPA
Acutely Toxic (P Listed)
Acetamide,
2-fluoro-
640-19-7
EPA
Acutely Toxic (P Listed)
Acetamide,
N-(aminothioxomethyl)-
591-08-2
EPA
Acutely Toxic (P Listed)
Acetic
acid, fluoro-, sodium salt
62-74-8
EPA
Acutely Toxic (P Listed)
Acetyl
acetone peroxide
37187-22-7
49
C.F.R. § 173.225
Acetyl
benzoyl peroxide
644-31-5
49
C.F.R. § 173.225
Acetyl
cyclohexanesulfonyl peroxide
3179-56-4
49
C.F.R. § 173.225
acetyl
peroxide
110-22-5
DOT
Forbidden
acetylaminofluorene,
2-
IARC
List of Known and Suspected Human Carcinogens
acetylene
silver nitrate
7761-88-8
DOT
Forbidden
Acrolein
107-02-8
EPA
Acutely Toxic (P Listed)
Acrylamide
79-06-1
Select
Carcinogen
Acrylonitrile
107-13-1
Select
Carcinogen
actinomycin
D
IARC
List of Known and Suspected Human Carcinogens
adriamycin
[doxorubicin]
IARC
List of Known and Suspected Human Carcinogens
AF-2
[2-(2-furyl)-3-(5-nitro-2-furyl)acrylamide]
IARC
List of Known and Suspected Human Carcinogens
Aflatoxin
1402-68-2
Select
Carcinogen
Aflatoxin
B1
1162-65-8
Select
Carcinogen
Aflatoxin
B2
7220-81-7
Select
Carcinogen
Aflatoxin
G1
1165-39-5
Select
Carcinogen
Aflatoxin
G2
7241-98-7
Select
Carcinogen
Aflatoxin
M1
6795-23-9
Select
Carcinogen
agaritine
IARC
List of Known and Suspected Human Carcinogens
Aldicarb
116-06-3
EPA
Acutely Toxic (P Listed)
Aldicarb
sulfone.
1646-88-4
EPA
Acutely Toxic (P Listed)
Aldrin
309-00-2
EPA
Acutely Toxic (P Listed)
Allyl
alcohol
107-18-6
EPA
Acutely Toxic (P Listed)
allyl
isothiocyanate
IARC
List of Known and Suspected Human Carcinogens
allyl
isovalerate
IARC
List of Known and Suspected Human Carcinogens
alpha,alpha-Dimethylphenethylamine
122-09-8
EPA
Acutely Toxic (P Listed)
Alpha-Naphthylamine
134-32-7
Select
Carcinogen
alpha-Naphthylthiourea
86-88-4
EPA
Acutely Toxic (P Listed)
Aluminum
phosphide (R,T)
20859-73-8
EPA
Acutely Toxic (P Listed)
amino-2-methylanthraquinone,
1-
IARC
List of Known and Suspected Human Carcinogens
amino-5-(5-nitro-2-furyl)-1,3,4-thiadiazole
IARC
List of Known and Suspected Human Carcinogens
amino-5-nitrothiazole,
2-
IARC
List of Known and Suspected Human Carcinogens
aminoanthraquinone,
2-
IARC
List of Known and Suspected Human Carcinogens
aminoazobenzene,
p-
IARC
List of Known and Suspected Human Carcinogens
aminoazotoluene,
o- [solvent yellow 3]
IARC
List of Known and Suspected Human Carcinogens
aminobipheny,
4-
IARC
List of Known and Suspected Human Carcinogens
amitrole
IARC
List of Known and Suspected Human Carcinogens
ammonium
azide
DOT
Forbidden
ammonium
bromate
DOT
Forbidden
ammonium
chlorate
10192-29-7
DOT
Forbidden
ammonium
fulminate
DOT
Forbidden
ammonium
nitrate
6484-52-2
DOT
Explosive
ammonium
nitrite
DOT
Forbidden
ammonium
perchlorate
7790-98-9
DOT
Explosive
ammonium
permanganate
DOT
Forbidden
Ammonium
picrate (R)
131-74-8
EPA
Acutely Toxic (P Listed)
Ammonium
vanadate
7803-55-6
EPA
Acutely Toxic (P Listed)
androgenic
(anabolic) steroids
IARC
List of Known and Suspected Human Carcinogens
aniline
IARC
List of Known and Suspected Human Carcinogens
anisidine
hydrochloride, o-
IARC
List of Known and Suspected Human Carcinogens
anisidine,
o-
IARC
List of Known and Suspected Human Carcinogens
anlagesic
mixtures containing phenacetin
IARC
List of Known and Suspected Human Carcinogens
anthanthrene
IARC
List of Known and Suspected Human Carcinogens
antimony
sulfide
1345-04-6
DOT
Forbidden
aramite
IARC
List of Known and Suspected Human Carcinogens
Argentate(1-),
bis(cyano-C)-, potassium
506-61-6
EPA
Acutely Toxic (P Listed)
Arsenic
7440-38-2
Reproductive
Toxin, Select Carcinogen
Arsenic
acid H3 AsO4
7778-39-4
EPA
Acutely Toxic (P Listed)
Arsenic
oxide As2 O3
1327-53-3
EPA
Acutely Toxic (P Listed)
Arsenic
oxide As2 O5
1303-28-2
EPA
Acutely Toxic (P Listed)
Arsenic
pentoxide
1303-28-2
EPA
Acutely Toxic (P Listed)
arsenic
sulfide
56320-22-0
DOT
Forbidden
Arsenic
trioxide
1327-53-3
EPA
Acutely Toxic (P Listed)
Arsine
7784-42-1
Acutely
Toxic
Arsine,
diethyl-
692-42-2
EPA
Acutely Toxic (P Listed)
Arsonous
dichloride, phenyl-
696-28-6
EPA
Acutely Toxic (P Listed)
Asbestos
1332-21-4
Select
Carcinogen
ascaridole
DOT
Forbidden
auramine
IARC
List of Known and Suspected Human Carcinogens
azacitidine
IARC
List of Known and Suspected Human Carcinogens
azaserine
IARC
List of Known and Suspected Human Carcinogens
Azathioprine
Select
Carcinogen
azaurolic
acid
DOT
Forbidden
azido
guanidine picrate
DOT
Forbidden
azidodithiocarbonic
acid
DOT
Forbidden
azidoethyl
nitrate
DOT
Forbidden
Aziridine
151-56-4
EPA
Acutely Toxic (P Listed)
Aziridine,
2-methyl-
75-55-8
EPA
Acutely Toxic (P Listed)
Azodi(hexahydrobenzonitrile)
2094-98-6
49
C.F.R. § 173.224
Azodicarbonamide
formulation
123-77-3
49
C.F.R. § 173.224
barium
azide
18810-58-7
DOT
Explosive
Barium
Chromate
10294-40-3
Select
Carcinogen
Barium
cyanide
542-62-1
EPA
Acutely Toxic (P Listed)
barium
styphnate
20236-55-9
DOT
Explosive
benz[a]anthracene
IARC
List of Known and Suspected Human Carcinogens
benz[c]acridine
IARC
List of Known and Suspected Human Carcinogens
Benzenamine,
4-chloro-
106-47-8
EPA
Acutely Toxic (P Listed)
Benzenamine,
4-nitro-
100-01-6
EPA
Acutely Toxic (P Listed)
Benzene
71-43-2
Reproductive
Toxin, Select Carcinogen
benzene
diazonim chloride
DOT
Forbidden
Benzene
sulphohydrazide
80-17-1
49
C.F.R. § 173.224
benzene
triozonide
DOT
Forbidden
Benzene,
(chloromethyl)-
100-44-7
EPA
Acutely Toxic (P Listed)
Benzene-1,3-disulphohydrazide
49
C.F.R. § 173.224
Benzeneethanamine,
alpha,alpha-dimethyl-
122-09-8
EPA
Acutely Toxic (P Listed)
Benzenethiol
108-98-5
EPA
Acutely Toxic (P Listed)
Benzidine
92-87-5
Select
Carcinogen
benzo[a]pyrene
IARC
List of Known and Suspected Human Carcinogens
benzo[b]fluoranthene
IARC
List of Known and Suspected Human Carcinogens
benzo[j]fluoranthene
IARC
List of Known and Suspected Human Carcinogens
benzo[k]fluoroanthene
IARC
List of Known and Suspected Human Carcinogens
benzotrichloride
IARC
List of Known and Suspected Human Carcinogens
Benzoyl
(3-methylbenzoyl) peroxide
214425-85-1
49
C.F.R. § 173.225
benzoyl
azide
DOT
Forbidden
Benzyl
chloride
100-44-7
EPA
Acutely Toxic (P Listed)
benzyl
violet 4B
IARC
List of Known and Suspected Human Carcinogens
beryllium
& beryllium compounds (e.g. oxide or sulfate)
IARC
List of Known and Suspected Human Carcinogens
Beryllium
powder
7440-41-7
EPA
Acutely Toxic (P Listed)
Beta-naphthylamine
91-59-8
OSHA
Listed Chemicals
Beta-Propiolactone
57-57-8
Select
Carcinogen
bieomycins
IARC
List of Known and Suspected Human Carcinogens
biphenyl
triozonide
DOT
Forbidden
bis(chloroethyl)
nitrosourea [BCNU]
IARC
List of Known and Suspected Human Carcinogens
bis(chloromethyl)ether
[BCME]
IARC
List of Known and Suspected Human Carcinogens
bitumens,
extracts of steam and air refined
IARC
List of Known and Suspected Human Carcinogens
bromine
azide
13973-87-0
DOT
Forbidden
Bromoacetone
598-31-2
EPA
Acutely Toxic (P Listed)
bromosilane
DOT
Forbidden
Brucine
357-57-3
EPA
Acutely Toxic (P Listed)
Butadiene
106-99-0
Peroxidizable
butadiene,
1,3-
IARC
List of Known and Suspected Human Carcinogens
butylated
hydroxyanisole [BHA]
IARC
List of Known and Suspected Human Carcinogens
butyrolactone,
beta-
IARC
List of Known and Suspected Human Carcinogens
C.I.
basic red 9 monohydrochloride
IARC
List of Known and Suspected Human Carcinogens
Cadmium
and cadmium compounds
Reproductive
Toxin
Calcium
cyanide
592-01-8
EPA
Acutely Toxic (P Listed)
captan
133-06-2
IARC
List of Known and Suspected Human Carcinogens
Carbamic
acid, [(dibutylamino)- thio]methyl-, 2,3-dihydro-2,2-dimethyl-
7-benzofuranyl ester.
55285-14-8
EPA
Acutely Toxic (P Listed)
Carbamic
acid, dimethyl-, 1-[(dimethyl-amino)carbonyl]- 5-methyl-1H-
pyrazol-3-yl ester.
644-64-4
EPA
Acutely Toxic (P Listed)
Carbamic
acid, dimethyl-, 3-methyl-1- (1-methylethyl)-1H- pyrazol-5-yl
ester.
119-38-0
EPA
Acutely Toxic (P Listed)
Carbamic
acid, methyl-, 3-methylphenyl ester.
1129-41-5
EPA
Acutely Toxic (P Listed)
carbazole
86-74-8
IARC
List of Known and Suspected Human Carcinogens
Carbofuran.
1563-66-2
EPA
Acutely Toxic (P Listed)
Carbon
Disulfide
75-15-0
Reproductive
Toxin
carbon
tetrachloride
56-23-5
IARC
List of Known and Suspected Human Carcinogens
Carbonic
dichloride
75-15-0
EPA
Acutely Toxic (P Listed)
Carbosulfan.
55285-14-8
EPA
Acutely Toxic (P Listed)
carrageenan
9000-07-1
IARC
List of Known and Suspected Human Carcinogens
Chloramabucil
Select
Carcinogen
chloramphenicol
56-75-7
IARC
List of Known and Suspected Human Carcinogens
chlorbenzilat
510-15-6
IARC
List of Known and Suspected Human Carcinogens
chlordane
57-74-9
IARC
List of Known and Suspected Human Carcinogens
chlordecone
[kepone]
143-50-0
IARC
List of Known and Suspected Human Carcinogens
chlorendic
acid
115-28-6
IARC
List of Known and Suspected Human Carcinogens
chlorinated,
alpha- toluenes
(benzal
chloride [98-87-3], benzotrichloride [98-07-7], benzyl chloride
[100-44-7]) and benzoyl chloride [98-88-4]
IARC
List of Known and Suspected Human Carcinogens
chlorine
azide
DOT
Forbidden
chlorine
dioxide
10049-04-4
DOT
Forbidden
Chlorine
Gas
7782-50-5
Acutely
Toxic
chlormadinone
acetate
302-22-7
IARC
List of Known and Suspected Human Carcinogens
Chlornaphazine
Select
Carcinogen
chlornaphazine
[n,n-bis(2-chloroethyl)-2-naphthylamine]
494-03-1
IARC
List of Known and Suspected Human Carcinogens
Chloroacetaldehyde
107-20-0
EPA
Acutely Toxic (P Listed)
chloroacetone
78-95-5
DOT
Forbidden
chloroethyl)-3-cyclohexyl-1-nitrosourea,
1-(2- [CCNU]
IARC
List of Known and Suspected Human Carcinogens
chloroform
67-66-3
IARC
List of Known and Suspected Human Carcinogens
chloromethyl
ethyl ether
3188-13-4
IARC
List of Known and Suspected Human Carcinogens
Chloromethyl
Methyl Ether
Select
Carcinogen
chloro-o-phenylenediamine,
4-
95-83-0
IARC
List of Known and Suspected Human Carcinogens
chloro-o-toluidine,
p-
95-69-2
IARC
List of Known and Suspected Human Carcinogens
chloro-o-toluidine,
p- and its HCl salt
IARC
List of Known and Suspected Human Carcinogens
chlorophenols
IARC
List of Known and Suspected Human Carcinogens
chlorophenoxy
herbicides
IARC
List of Known and Suspected Human Carcinogens
Chloroprene
126-99-8
Peroxidizable
chloroprene
126-99-8
DOT
Forbidden
chlorothalonil
1897-45-6
IARC
List of Known and Suspected Human Carcinogens
chlorozotocin
54749-90-5
IARC
List of Known and Suspected Human Carcinogens
cholesterol
57-88-5
IARC
List of Known and Suspected Human Carcinogens
Chromium
and chromium compounds
7440-47-3
Select
Carcinogen
chrysene
218-01-9
IARC
List of Known and Suspected Human Carcinogens
cinnamyl
anthranilate
87-29-6
IARC
List of Known and Suspected Human Carcinogens
cisplatin
[trade name=platinol]
15663-27-1
IARC
List of Known and Suspected Human Carcinogens
citrus
red no. 2
6358-53-8
IARC
List of Known and Suspected Human Carcinogens
clofibrate
637-07-0
IARC
List of Known and Suspected Human Carcinogens
coal
tar pitch volatiles
IARC
List of Known and Suspected Human Carcinogens
copper
acetylide
DOT
Forbidden
copper
amine azide
DOT
Forbidden
Copper
cyanide
544-92-3
EPA
Acutely Toxic (P Listed)
copper
tetramine nitrate
DOT
Forbidden
creosotes
IARC
List of Known and Suspected Human Carcinogens
cresidine,
p-
120-71-8
IARC
List of Known and Suspected Human Carcinogens
Cumene
98-82-8
Peroxidizable
Cumyl
hydroperoxide
80-15-9
49
C.F.R. § 173.225
Cumyl
peroxyneodecanoate
26748-47-0
49
C.F.R. § 173.225
Cumyl
peroxypivalate
23383-59-7
49
C.F.R. § 173.225
cupferron
135-20-6
IARC
List of Known and Suspected Human Carcinogens
Cyanides
(soluble cyanide salts), not otherwise specified
EPA
Acutely Toxic (P Listed)
Cyanogen
460-19-5
EPA
Acutely Toxic (P Listed)
Cyanogen
chloride
506-77-4
EPA
Acutely Toxic (P Listed)
cyanuric
triazide
DOT
Forbidden
cycasin
[methylazoxmethanol]
14901-08-7
IARC
List of Known and Suspected Human Carcinogens
cyclamates
139-05-9
IARC
List of Known and Suspected Human Carcinogens
Cyclohexanone
peroxide(s) [as a paste]
78-18-2
49
C.F.R. § 173.225
Cyclohexanone
peroxide(s) [as a solution]
12262-58-7
49
C.F.R. § 173.225
Cyclohexene
110-83-8
Peroxidizable
cyclopenta[cd]pyrene
27208-37-3
IARC
List of Known and Suspected Human Carcinogens
Cyclopentene
142-29-0
Peroxidizable
Cyclophosphamide
50-18-0
Select
Carcinogen
cyclosporin
79217-60-0
IARC
List of Known and Suspected Human Carcinogens
cyclotetramethylene
tetranitramine
DOT
Forbidden
cyclotetramethylenetetranitramine
2691-41-0
DOT
Explosive
D,
2,4- (salts and esters) e.g. phenolyacetic acid
94-75-7
IARC
List of Known and Suspected Human Carcinogens
dacarbazine
[trade name=DIC or DTIC]
4342-03-4
IARC
List of Known and Suspected Human Carcinogens
danthron
117-10-2
IARC
List of Known and Suspected Human Carcinogens
dapsone
80-08-0
IARC
List of Known and Suspected Human Carcinogens
daunomycin
[daunorubicin]
20830-81-3
IARC
List of Known and Suspected Human Carcinogens
DDT
50-29-3
IARC
List of Known and Suspected Human Carcinogens
decabromodiphenyl
oxide
1163-19-5
IARC
List of Known and Suspected Human Carcinogens
Decalin
91-17-8
Peroxidizable
Di-(1-hydroxycyclohexyl)peroxide
2407-94-5
49
C.F.R. § 173.225
di-(1-hydroxytetrazole)
DOT
Forbidden
Di-(2-ethoxyethyl)peroxydicarbonate
52373-74-7
49
C.F.R. § 173.225
Di-(2-ethylhexyl)peroxydicarbonate
16111-62-9
49
C.F.R. § 173.225
Di-(2-ethylhexyl)peroydicarbonate
49
C.F.R. § 173.225
di(2-ethylhexyl)phthalate
117-81-7
IARC
List of Known and Suspected Human Carcinogens
Di-(2-methylbenzoyl)peroxide
3034-79-5
49
C.F.R. § 173.225
Di-(2-neodecanoylperoxyisopropyl)benzene
49
C.F.R. § 173.225
Di-(2-phenoxyethyl)peroxydicarbonate
41935-39-1
49
C.F.R. § 173.225
Di-(2-tert-butylperoxyisopropyl)benzene
279671-18-0
49
C.F.R. § 173.225
Di-(3,5,5-trimethyl-1,2-dioxolanyl-
3)peroxide
49
C.F.R. § 173.225
Di-(3,5,5-trimethylhexanoyl)peroxide
49
C.F.R. § 173.225
Di-(3-methoxybutyl)peroxydicarbonate
52238-68-3
49CFR49
C.F.R. § 173.225
Di-(3-methylbenzoyl)peroxide
96436-26-9
49
C.F.R. § 173.225
Di-(4-methylbenzoyl)peroxide
895-85-2
49
C.F.R. § 173.225
Di-(4-tert-butylcyclohexyl)peroxydicarbonate
15520-11-3
49
C.F.R. § 173.225
di-(beta-nitroxyethyl)
ammonium nitrate
DOT
Forbidden
di-(tert-butylperoxy)
phthalate
DOT
Forbidden
Di-(tert-butylperoxy)phthalate
2155-71-7
49
C.F.R. § 173.225
Di-2,4-dichlorobenzoyl
peroxide
133-14-2
49
C.F.R. § 173.225
di-2,4-dichlorobenzoyl
peroxide
DOT
Forbidden
Di-4-chlorobenzoyl
peroxide
94-17-7
49
C.F.R. § 173.225
Diacetone
alcohol peroxides
54693-46-8
49
C.F.R. § 173.225
Diacetyl
peroxide
110-22-5
49
C.F.R. § 173.225
diacetylbenzidine,
n,n'-
613-35-4
IARC
List of Known and Suspected Human Carcinogens
Diacetylene
446-86-6
Peroxidizable
diallate
2303-16-4
IARC
List of Known and Suspected Human Carcinogens
diaminoanisole
sulfate, 2,4-
IARC
List of Known and Suspected Human Carcinogens
diaminoanisole,
2,4-
615-05-4
IARC
List of Known and Suspected Human Carcinogens
diaminodiphenyl
ether, 4,4'-
101-80-4
IARC
List of Known and Suspected Human Carcinogens
diaminotoluene,
2,4-
95-80-7
IARC
List of Known and Suspected Human Carcinogens
diazoaminotetrazole
DOT
Forbidden
Diazomethane
334-88-3
Acutely
Toxic
diazonium
nitrates
DOT
Forbidden
diazonium
perchlorates
DOT
Forbidden
dibenz[a,c]anthracene
215-58-7
IARC
List of Known and Suspected Human Carcinogens
dibenz[a,h]acridine
226-36-8
IARC
List of Known and Suspected Human Carcinogens
dibenz[a,h]anthracene
53-70-3
IARC
List of Known and Suspected Human Carcinogens
dibenz[a,j]acridine
224-42-0
IARC
List of Known and Suspected Human Carcinogens
dibenz[a,j]anthracene
224-41-9
IARC
List of Known and Suspected Human Carcinogens
dibenzo[a,e]fluoranthene
5385-75-1
IARC
List of Known and Suspected Human Carcinogens
dibenzo[a,e]pyrene
192-65-4
IARC
List of Known and Suspected Human Carcinogens
dibenzo[a,h]pyrene
189-64-0
IARC
List of Known and Suspected Human Carcinogens
dibenzo[a,i]pyrene
189-55-9
IARC
List of Known and Suspected Human Carcinogens
dibenzo[a,l]pyrene
191-30-0
IARC
List of Known and Suspected Human Carcinogens
dibenzo[c,g]carbazole,
7H-
194-59-2
IARC
List of Known and Suspected Human Carcinogens
Dibenzoyl
peroxide
94-36-0
49
C.F.R. § 173.225
Dibenzyl
peroxydicarbonate
2144-45-8
49
C.F.R. § 173.225
dibenzyl
peroxydicarbonate
DOT
Forbidden
Diborane
19287-45-7
Acutely
Toxic
dibromo-3-chloropropane,
1,2- [DBCP]
96-12-8
IARC
List of Known and Suspected Human Carcinogens
dibromoacetylene
624-61-3
DOT
Forbidden
dibromomethane,
1,2- [DBM]
IARC
List of Known and Suspected Human Carcinogens
Dicetyl
peroxydicarbonate
26322-14-5
49
C.F.R. § 173.225
dichloro-4,4'-diaminodiphenyl
ether, 3,3'-
28434-86-8
IARC
List of Known and Suspected Human Carcinogens
dichloroacetylene
7572-29-4
DOT
Forbidden
dichlorobenzene,
1,4-
106-46-7
IARC
List of Known and Suspected Human Carcinogens
dichlorobenzidine,
3,3'-
91-94-1
IARC
List of Known and Suspected Human Carcinogens
dichloroethane,
1,2- [EDC] [ethylene dichloride]
107-06-2
IARC
List of Known and Suspected Human Carcinogens
dichloroethyl
sulfide
DOT
Forbidden
dichloromethane
75-09-2
IARC
List of Known and Suspected Human Carcinogens
Dichloromethyl
ether
542-88-1
EPA
Acutely Toxic (P Listed)
Dichlorophenylarsine
696-28-6
EPA
Acutely Toxic (P Listed)
dichloropropane,
1,2- [propylene dichloride]
78-87-5
IARC
List of Known and Suspected Human Carcinogens
dichloropropene,
1,3-
542-75-6
IARC
List of Known and Suspected Human Carcinogens
dichlorovinylchloroarsine
DOT
Forbidden
dicofol
115-32-2
IARC
List of Known and Suspected Human Carcinogens
Dicumyl
peroxide
80-43-3
49
C.F.R. § 173.225
Dicyclohexyl
peroxydicarbonate
1561-49-5
49
C.F.R. § 173.225
Dicyclopentadiene
77-73-6
Peroxidizable
Didecanoyl
peroxide
762-12-9
49
C.F.R. § 173.225
dieldrin
60-57-1
IARC
List of Known and Suspected Human Carcinogens
Dieldrin
60-57-1
EPA
Acutely Toxic (P Listed)
dienoestrol
84-17-3
IARC
List of Known and Suspected Human Carcinogens
diepoxybutane
1464-53-5
IARC
List of Known and Suspected Human Carcinogens
diethanol
nitrosamine dinitrate
DOT
Forbidden
Diethyl
Ether
60-29-7
Peroxidizable
Diethyl
peroxydicarbonate
14666-78-5
49
C.F.R. § 173.225
diethyl
sulfate
64-67-5
IARC
List of Known and Suspected Human Carcinogens
Diethylarsine
692-42-2
EPA
Acutely Toxic (P Listed)
Diethylene
glycol bis(allyl carbonate) + Diisopropylperoxydicarbonate
49
C.F.R. § 173.224
Diethylene
Glycol Dimethyl Ether
11-96-6
Peroxidizable
diethylene
glycol dinitrate
693-21-0
DOT
Forbidden
diethyleneglycol
dinitrate
628-96-6
DOT
Explosive
diethylgold
bromide
DOT
Forbidden
diethylhydrazine,
1,2- OR n,n'-diethylhydrazine
1615-80-1
IARC
List of Known and Suspected Human Carcinogens
Diethylnitrosamine
Select
Carcinogen
Diethyl-p-nitrophenyl
phosphate
311-45-5
EPA
Acutely Toxic (P Listed)
Diethylstilbestrol
56-53-1
Select
Carcinogen
diglycidyl
resorcinol ether
101-90-6
IARC
List of Known and Suspected Human Carcinogens
dihydrosafrole
94-58-6
IARC
List of Known and Suspected Human Carcinogens
diiodoacetylene
DOT
Forbidden
Diisobutyryl
peroxide
3437-84-1
49
C.F.R. § 173.225
Diisopropyl
peroxydicarbonate
105-64-6
49
C.F.R. § 173.225
Diisopropylbenzene
dihydroperoxide
29014-32-2
49
C.F.R. § 173.225
diisopropylbenzene
hydroperoxide
DOT
Forbidden
Diisopropylfluorophosphate
(DFP)
55-91-4
EPA
Acutely Toxic (P Listed)
Diisotridecyl
peroxydicarbonate
49
C.F.R. § 173.225
Dilauroyl
peroxide
105-74-8
49
C.F.R. § 173.225
Dimethoate
60-51-5
EPA
Acutely Toxic (P Listed)
dimethoxybenzidine,
3,3'- [o-dianisidine]
119-90-4
IARC
List of Known and Suspected Human Carcinogens
Dimethyl
Sulfate
77-78-1
Select
Carcinogen
dimethylamino)methylimino]-5-[2-nitro-2-furyl)vinyl]-
IARC
List of Known and Suspected Human Carcinogens
dimethylaminoazobenzene
(also 4 or para-)
60-11-7
IARC
List of Known and Suspected Human Carcinogens
dimethylbenzidine,
3,3'- [o-toludine]
119-93-7
IARC
List of Known and Suspected Human Carcinogens
dimethylcarbamoyl
chloride
79-44-7
IARC
List of Known and Suspected Human Carcinogens
dimethylhexane
dihydroperoxide
DOT
Forbidden
dimethylhydrazine,
1,1-
57-14-7
IARC
List of Known and Suspected Human Carcinogens
dimethylhydrazine,
1,2-
540-73-8
IARC
List of Known and Suspected Human Carcinogens
Dimethylmercury
*
593-74-8
Acutely
Toxic
dimethylvinyl
chloride
513-37-1
IARC
List of Known and Suspected Human Carcinogens
Dimetilan.
644-64-4
EPA
Acutely Toxic (P Listed)
Dimyristyl
peroxydicarbonate
53220-22-7
49
C.F.R. § 173.225
Di-n-butyl
peroxydicarbonate
16215-49-9
49
C.F.R. § 173.225
di-n-butyl
peroxydicarbonate
DOT
Forbidden
dinitroglycoluril
55510-04-8
DOT
Explosive
dinitrophenol
51-28-5
DOT
Explosive
dinitropropylene
glycol
DOT
Forbidden
dinitropyrene,
1,6-
42397-64-8
IARC
List of Known and Suspected Human Carcinogens
dinitropyrene,
1,8-
42397-65-9
IARC
List of Known and Suspected Human Carcinogens
dinitroresorcinol
519-44-8
DOT
Explosive
dinitrosobenzene
25550-55-4
DOT
Explosive
Di-n-nonanoyl
peroxide
762-13-0
49
C.F.R. § 173.225
Di-n-octanoyl
peroxide
762-16-3
49
C.F.R. § 173.225
Dinoseb
88-85-7
EPA
Acutely Toxic (P Listed)
Di-n-propyl
peroxydicarbonate
16066-38-9
49
C.F.R. § 173.225
Dioxane
123-91-1
Peroxidizable
dioxane,
1,4-
123-91-1
IARC
List of Known and Suspected Human Carcinogens
Diperoxy
azelaic acid
1941-79-3
49
C.F.R. § 173.225
Diperoxy
dodecane diacid
66280-55-5
49
C.F.R. § 173.225
Diphenyloxide-4,4'-disulphohydrazide
80-51-3
49
C.F.R. § 173.224
Diphosphoramide,
octamethyl-
152-16-9
EPA
Acutely Toxic (P Listed)
Diphosphoric
acid, tetraethyl ester
107-49-3
EPA
Acutely Toxic (P Listed)
dipicryl
sulfide
2217-06-3
DOT
Explosive
Dipropionyl
peroxide
3248-28-0
49
C.F.R. § 173.225
dipropionyl
peroxide
DOT
Forbidden
direct
black 38
1937-37-7
IARC
List of Known and Suspected Human Carcinogens
direct
blue 6
2602-46-2
IARC
List of Known and Suspected Human Carcinogens
direct
brown 95
16071-86-6
IARC
List of Known and Suspected Human Carcinogens
Di-sec-butyl
peroxydicarbonate
19910-65-7
49
C.F.R. § 173.225
disperse
blue 1
2475-45-8
IARC
List of Known and Suspected Human Carcinogens
Distearyl
peroxydicarbonate
52326-66-6
49
C.F.R. § 173.225
Disuccinic
acid peroxide
123-23-9
49
C.F.R. § 173.225
Disulfoton
298-04-4
EPA
Acutely Toxic (P Listed)
Di-tert-amyl
peroxide
10508-09-5
49
C.F.R. § 173.225
Di-tert-butyl
peroxide
110-05-4
49
C.F.R. § 173.225
Di-tert-butyl
peroxyazelate
16580-06-6
49
C.F.R. § 173.225
Dithiobiuret
541-53-7
EPA
Acutely Toxic (P Listed)
Divinyl
Ether
109-86-4
Peroxidizable
Endosulfan
115-29-7
EPA
Acutely Toxic (P Listed)
Endothall
145-73-3
EPA
Acutely Toxic (P Listed)
Endrin
72-20-8
EPA
Acutely Toxic (P Listed)
Endrin,
& metabolites
72-20-8
EPA
Acutely Toxic (P Listed)
epichlorohydrin
106-89-8
IARC
List of Known and Suspected Human Carcinogens
erionite
66733-21-9
IARC
List of Known and Suspected Human Carcinogens
estradiol
17b
50-28-2
IARC
List of Known and Suspected Human Carcinogens
estrone
53-16-7
IARC
List of Known and Suspected Human Carcinogens
Ethanedinitrile
460-19-5
EPA
Acutely Toxic (P Listed)
Ethanimidothioc
acid, 2-(dimethylamino)-N-[[(methylamino) carbonyl]oxy]-2-oxo-,
methyl ester.
23135-22-0
EPA
Acutely Toxic (P Listed)
Ethanimidothioic
acid,
16752-77-5
EPA
Acutely Toxic (P Listed)
ethanol
amine dinitrate
DOT
Forbidden
ethidium
bromide
1239-45-8
Potent
mutagen
ethinyloestradiol
57-63-6
IARC
List of Known and Suspected Human Carcinogens
ethion
563-12-2
IARC
List of Known and Suspected Human Carcinogens
Ethyl
3,3-di-(tert-amylperoxy)butyrate
67567-23-1
49
C.F.R. § 173.225
Ethyl
3,3-di-(tert-butylperoxy)butyrate
55794-20-2
49
C.F.R. § 173.225
ethyl
acrylate
140-88-5
IARC
List of Known and Suspected Human Carcinogens
Ethyl
cyanide
107-12-0
EPA
Acutely Toxic (P Listed)
ethyl
hydroperoxide
DOT
Forbidden
ethyl
methanesulfonate
62-50-0
IARC
List of Known and Suspected Human Carcinogens
ethyl
perchlorate
DOT
Forbidden
Ethylencimine
OSHA
Listed Chemicals
ethylene
diamine diperchlorate
DOT
Forbidden
Ethylene
Dibromide
106-93-4
Select
Carcinogen
ethylene
dichloride [1,2-dichloroethane]
107-06-2
IARC
List of Known and Suspected Human Carcinogens
Ethylene
Glycol Dimethyl Ether
110-71-4
Peroxidizable
Ethylene
Glycol Monoethyl Ether
110-80-5
Peroxidizable,
Reproductive Toxin
Ethylene
Glycol Monomethyl Ether
109-86-4
Peroxidizable,
Reproductive Toxin
Ethylene
Oxide
75-21-8
Reproductive
Toxin, Select Carcinogen
ethylene
thiourea
96-45-7
IARC
List of Known and Suspected Human Carcinogens
Ethylenimine
151-56-4
Select
Carcinogen
ethyl-n-nitrosourea,
n-
759-73-9
IARC
List of Known and Suspected Human Carcinogens
ethynodiol
diacetate
297-76-7
IARC
List of Known and Suspected Human Carcinogens
eugenol
[oil of cloves]
97-53-0
IARC
List of Known and Suspected Human Carcinogens
Famphur
52-85-7
EPA
Acutely Toxic (P Listed)
Fluorine
7782-41-4
EPA
Acutely Toxic (P Listed)
Fluoroacetamide
640-19-7
EPA
Acutely Toxic (P Listed)
Fluoroacetic
acid, sodium salt
62-74-8
EPA
Acutely Toxic (P Listed)
fluorouracil
51-21-8
IARC
List of Known and Suspected Human Carcinogens
Formaldehyde
(Any solution or product with greater than .1%)
50-00-0
Select
Carcinogen
Formetanate
hydrochloride.
23422-53-9
EPA
Acutely Toxic (P Listed)
Formparanate.
17702-57-7
EPA
Acutely Toxic (P Listed)
formylhydrazino)-4-(nitro-2-furyl)thiazole,
2-(2-
3570-75-0
IARC
List of Known and Suspected Human Carcinogens
Fulminic
acid, mercury(2+) salt (R,T)
628-86-4
EPA
Acutely Toxic (P Listed)
Furan
110-00-9
Peroxidizable
furfaltadone
IARC
List of Known and Suspected Human Carcinogens
glu-p-1(2-amino-6methyldipyrido[1,2-a:3',2'-d]imidazole
67730-11-4
IARC
List of Known and Suspected Human Carcinogens
glu-p-2(2-aminodipyrido[1,2-a:3',2'-d]imidazole
67730-10-3
IARC
List of Known and Suspected Human Carcinogens
glycerol
gluconate trinitrate
DOT
Forbidden
glycerol-1,
3-dinitrate
DOT
Forbidden
glycidaldehyde
765-34-4
IARC
List of Known and Suspected Human Carcinogens
griseofulvin
126-07-8
IARC
List of Known and Suspected Human Carcinogens
guanyl
nitrosaminoguanylidene hydrazine
DOT
Explosive
guanyl
nitrosaminoguanylidene hydrazine
DOT
Forbidden
gyromitrin
[acetaldeyde formylmethylhydrazone]
16568-02-8
IARC
List of Known and Suspected Human Carcinogens
Heptachlor
76-44-8
EPA
Acutely Toxic (P Listed)
hexachlorobutadiene
87-68-3
IARC
List of Known and Suspected Human Carcinogens
hexachlorocyclohexane
isomers [e.g. lindane]
IARC
List of Known and Suspected Human Carcinogens
Hexaethyl
tetraphosphate
757-58-4
EPA
Acutely Toxic (P Listed)
hexamethylene
triperoxide diamine
DOT
Forbidden
Hexamethylphosphoramide
680-31-9
Select
Carcinogen
hexanitroazoxy
benzene
DOT
Forbidden
hexanitrodiphenyl
urea
DOT
Forbidden
hexanitrodiphenylamine
131-73-7
DOT
Explosive
hexanitrostilbene
49850-40-0
DOT
Explosive
hydralazine
86-54-4
IARC
List of Known and Suspected Human Carcinogens
Hydrazine
302-01-2
Select
Carcinogen
hydrazine
sulfate
10034-93-2
IARC
List of Known and Suspected Human Carcinogens
Hydrazine,
methyl-
60-34-4
EPA
Acutely Toxic (P Listed)
Hydrazinecarbothioamide
79-19-6
EPA
Acutely Toxic (P Listed)
hydrazobenzene
122-66-7
IARC
List of Known and Suspected Human Carcinogens
Hydrocyanic
acid
74-90-8
EPA
Acutely Toxic (P Listed)
hydrocyanic
acid
74-90-8
DOT
Forbidden
Hydrofluoric
Acid
7664-39-3
Acutely
Toxic
Hydrogen
cyanide
74-90-8
EPA
Acutely Toxic (P Listed)
Hydrogen
Fluoride
7664-39-3
Acutely
Toxic
Hydrogen
phosphide
7803-51-2
EPA
Acutely Toxic (P Listed)
hyponitrous
acid
DOT
Forbidden
indeno[1,2,3-cd]pyrene
193-39-5
IARC
List of Known and Suspected Human Carcinogens
Inorganic
arsenic
OSHA
Listed Chemicals
iron
dextran complex
9004-66-4
IARC
List of Known and Suspected Human Carcinogens
Isodrin
465-73-6
EPA
Acutely Toxic (P Listed)
Isolan.
119-38-0
EPA
Acutely Toxic (P Listed)
isonizid
[isonicotinic acid hydrazide]
54-85-3
IARC
List of Known and Suspected Human Carcinogens
Isopropyl
Ether
108-20-3
Peroxidizable
Isopropylcumyl
hydroperoxide
57242-90-7
49
C.F.R. § 173.225
isosafrole
120-58-1
IARC
List of Known and Suspected Human Carcinogens
kepone
[chlordecone]
143-50-0
IARC
List of Known and Suspected Human Carcinogens
lasiocarpine
303-34-4
IARC
List of Known and Suspected Human Carcinogens
Lead
and lead compounds
7439-92-1
Reproductive
Toxin
lead
mononitroresorcinate
51317-24-9
DOT
Explosive
lead
styphnate
15245-44-0
DOT
Explosive
lindane
58-89-9
IARC
List of Known and Suspected Human Carcinogens
Manganese
dimethyldithiocarbamate.
15339-36-3
EPA
Acutely Toxic (P Listed)
Manganese,
bis(dimethylcarbamodithioato-S,SŒ)-,
15339-36-3
EPA
Acutely Toxic (P Listed)
mannitol
hexanitrate
15825-70-4
DOT
Explosive
m-Cumenyl
methylcarbamate.
64-00-6
EPA
Acutely Toxic (P Listed)
mea-alpha-c
[2-amino-3-methyl-9H-pyrido[2,3-b]indole]
IARC
List of Known and Suspected Human Carcinogens
medroxyprogesterone
acetate
71-58-9
IARC
List of Known and Suspected Human Carcinogens
megestrol
acetate
595-33-5
IARC
List of Known and Suspected Human Carcinogens
Melphalan
148-82-3
Select
Carcinogen
melphalan
[alkeran]
148-82-3
IARC
List of Known and Suspected Human Carcinogens
mercaptopurine,
6-
50-44-2
IARC
List of Known and Suspected Human Carcinogens
Mercury
7439-97-6
Reproductive
Toxin
mercury
fulminate
628-86-4
DOT
Explosive
Mercury
fulminate (R,T)
628-86-4
EPA
Acutely Toxic (P Listed)
Mercury,
(acetato-O)phenyl-
62-38-4
EPA
Acutely Toxic (P Listed)
merphalan
531-76-0
IARC
List of Known and Suspected Human Carcinogens
mestranol
72-33-3
IARC
List of Known and Suspected Human Carcinogens
Methanamine,
N-methyl-N-nitroso-
62-75-9
EPA
Acutely Toxic (P Listed)
Methane,
isocyanato-
624-83-9
EPA
Acutely Toxic (P Listed)
Methane,
oxybis[chloro-
542-88-1
EPA
Acutely Toxic (P Listed)
Methane,
tetranitro- (R)
509-14-8
EPA
Acutely Toxic (P Listed)
Methanethiol,
trichloro-
75-70-7
EPA
Acutely Toxic (P Listed)
Methanimidamide,
N,N-dimethyl-NŒ-[2-methyl-4-[[(methylamino)carbonyl]oxy]phenyl]-
23422-53-9
EPA
Acutely Toxic (P Listed)
Methanimidamide,
N,N-dimethyl-NŒ-[3-[[(methylamino)-carbonyl]oxy]phenyl]-,
monohydrochloride.
17702-57-7
EPA
Acutely Toxic (P Listed)
Methiocarb.
2032-65-7
EPA
Acutely Toxic (P Listed)
Methomyl
16752-77-5
EPA
Acutely Toxic (P Listed)
methotrexate
[trade name=mexate or folex]
59-05-2
IARC
List of Known and Suspected Human Carcinogens
methoxsalen
therapy [PUVA]
IARC
List of Known and Suspected Human Carcinogens
methoxypsoralen,
5-
484-20-8
IARC
List of Known and Suspected Human Carcinogens
Methyl
Acetylene
74-99-7
Peroxidizable
methyl
bromide
74-83-9
IARC
List of Known and Suspected Human Carcinogens
methyl
chloride
74-87-3
IARC
List of Known and Suspected Human Carcinogens
Methyl
chloromethyl ether
107-30-2
OSHA
Listed Chemicals
Methyl
ethyl ketone peroxide
1338-23-4
49
C.F.R. § 173.225
Methyl
Fluorosulfate
421-20-5
Acutely
Toxic
Methyl
hydrazine
60-34-4
EPA
Acutely Toxic (P Listed)
methyl
hydrazine [monomethyl hydrazine]
60-34-4
IARC
List of Known and Suspected Human Carcinogens
methyl
iodide
74-88-4
IARC
List of Known and Suspected Human Carcinogens
Methyl
Isobutyl Ketone
108-10-1
Peroxidizable
Methyl
isobutyl ketone peroxide
28056-59-9
49
C.F.R. § 173.225
Methyl
isocyanate
624-83-9
EPA
Acutely Toxic (P Listed)
methyl
methanesulfonate
66-27-3
IARC
List of Known and Suspected Human Carcinogens
Methyl
parathion
298-00-0
EPA
Acutely Toxic (P Listed)
methyl-1-nitroanthraquinone,
2-
129-15-7
IARC
List of Known and Suspected Human Carcinogens
methylaziridine,
2- [propyleneimine]
75-55-8
IARC
List of Known and Suspected Human Carcinogens
methylazoxymethanol
and its acetate
590-96-5
and 592-62-1
IARC
List of Known and Suspected Human Carcinogens
methylchrysene,
2-
3351-32-4
IARC
List of Known and Suspected Human Carcinogens
methylchrysene,
3-
3351-31-3
IARC
List of Known and Suspected Human Carcinogens
methylchrysene,
4-
3351-30-2
IARC
List of Known and Suspected Human Carcinogens
methylchrysene,
5-
3697-24-3
IARC
List of Known and Suspected Human Carcinogens
methylchrysene,
6-
1705-85-7
IARC
List of Known and Suspected Human Carcinogens
Methylcyclohexanone
peroxide
11118-65-3
49C49
C.F.R. § 173.225
Methylcyclopentane
96-37-7
Peroxidizable
methylenbis(n,n-dimethylaniline),
4,4'-
101-61-1
IARC
List of Known and Suspected Human Carcinogens
methylene
bis(2-chloroaniline), 4,4'- [MOCA]
101-14-4
IARC
List of Known and Suspected Human Carcinogens
methylene
bis(n,n-dimethyl)benzeneamine, 4,4'-
101-61-1
IARC
List of Known and Suspected Human Carcinogens
Methylene
chloride
75-09-2
OSHA
Listed Chemicals
Methylenedianiline
101-77-9
OSHA
Listed Chemicals
methylenedianiline,
4,4'-
101-77-9
IARC
List of Known and Suspected Human Carcinogens
methyl-n'-nitro-n-nitrosoguanidine,
n- [MNNG]
70-25-7
IARC
List of Known and Suspected Human Carcinogens
methyl-n-nitrosourethane,
n-
615-53-2
IARC
List of Known and Suspected Human Carcinogens
methylthiouracil
56-04-2
IARC
List of Known and Suspected Human Carcinogens
Metolcarb.
1129-41-6
EPA
Acutely Toxic (P Listed)
metronidazole
443-48-1
IARC
List of Known and Suspected Human Carcinogens
Mexacarbamate.
315-18-4
EPA
Acutely Toxic (P Listed)
michler's
ketone
90-94-8
IARC
List of Known and Suspected Human Carcinogens
mirex
2385-85-5
IARC
List of Known and Suspected Human Carcinogens
mitomycin
C
50-07-7
IARC
List of Known and Suspected Human Carcinogens
monocrotaline
315-22-0
IARC
List of Known and Suspected Human Carcinogens
morpholinomethyl-3-[(5-nitrofurfurylidene)amino]-2-
oxazolidinone, 5-(
3795-88-8
IARC
List of Known and Suspected Human Carcinogens
Mustard
Gas
Select
Carcinogen
myleran
[1,4-butanediol dimethanesulfonate]
55-98-1
IARC
List of Known and Suspected Human Carcinogens
N,N'-
Dinitrosopentamethylenetetramine
101-25-7
49
C.F.R. § 173.224
N,N'-Dinitroso-N,
N'-dimethyl-terephthalamide
133-55-1
49
C.F.R. § 173.224
N-[[(methylamino)carbonyl]oxy]-,
methyl ester
EPA
Acutely Toxic (P Listed)
nafenopin
3771-19-5
IARC
List of Known and Suspected Human Carcinogens
naphthylamine,
1-
134-32-7
IARC
List of Known and Suspected Human Carcinogens
naphthylamine,
2-
91-59-8
IARC
List of Known and Suspected Human Carcinogens
n-Butyl
peroxydicarbonate
DOT
Forbidden
n-Butyl-4,4-di-(tert-butylperoxy)valerate
995-33-5
49
C.F.R. § 173.225
N-Formyl-2-(nitromethylene)-1,3-perhydrothiazine
49
C.F.R. § 173.224
nickel
and some nickel compounds
7440-02-0
IARC
List of Known and Suspected Human Carcinogens
Nickel
Carbonyl
13463-39-3
Acutely
Toxic, Select Carcinogen
Nickel
carbonyl Ni(CO)4, (T-4)-
13463-39-3
EPA
Acutely Toxic (P Listed)
Nickel
cyanide
557-19-7
EPA
Acutely Toxic (P Listed)
Nickel
cynaide Ni(CN)2
557-19-8
EPA
Acutely Toxic (P Listed)
Nicotine,
& salts
54-11-5
EPA
Acutely Toxic (P Listed)
nifuradene(1-[(5-nitrofurfurylidene)amino]-2-imidazolinone)
IARC
List of Known and Suspected Human Carcinogens
niridazole
61-57-4
IARC
List of Known and Suspected Human Carcinogens
nithiazide
139-94-6
IARC
List of Known and Suspected Human Carcinogens
Nitric
oxide
10102-43-9
EPA
Acutely Toxic (P Listed)
nitrilotriacetic
acid
139-13-9
IARC
List of Known and Suspected Human Carcinogens
nitro
urea
556-89-8
DOT
Explosive
nitro-2-furyl)-2-thiazolyl]acetamide,
n-[4-(5-
531-82-8
IARC
List of Known and Suspected Human Carcinogens
nitroacenaphthene,
5-
602-87-9
IARC
List of Known and Suspected Human Carcinogens
nitroanisole,
o-
91-23-6
IARC
List of Known and Suspected Human Carcinogens
nitrobiphenyl,
4-
92-93-3
IARC
List of Known and Suspected Human Carcinogens
nitrocellulose
9004-70-0
DOT
Explosive
nitrochrysene,
6-
7496-02-8
IARC
List of Known and Suspected Human Carcinogens
nitrofen
1836-75-5
IARC
List of Known and Suspected Human Carcinogens
Nitrogen
dioxide
10102-44-0
EPA
Acutely Toxic (P Listed)
nitrogen
mustard [trade name=mustargen]
51-75-2
IARC
List of Known and Suspected Human Carcinogens
nitrogen
mustard n-oxide
126-85-2
IARC
List of Known and Suspected Human Carcinogens
Nitrogen
oxide NO
10102-43-9
EPA
Acutely Toxic (P Listed)
Nitrogen
oxide NO2
10102-44-0
EPA
Acutely Toxic (P Listed)
nitrogen
trichloride
10025-85-1
DOT
Forbidden
nitroglycerin
55-63-0
DOT
Explosive
Nitroglycerine
(R)
55-63-0
EPA
Acutely Toxic (P Listed)
nitroguanidine
556-88-7
DOT
Explosive
nitro-ortho-anisidine,
5-
99-59-2
IARC
List of Known and Suspected Human Carcinogens
nitropropane,
2-
25322-01-4
IARC
List of Known and Suspected Human Carcinogens
nitropyrene,
1-
5522-43-0
IARC
List of Known and Suspected Human Carcinogens
nitropyrene,
4-
IARC
List of Known and Suspected Human Carcinogens
nitrosoamines
(chemical name includes nitroso)
IARC
List of Known and Suspected Human Carcinogens
nitrosodiethanolamine,
n-
IARC
List of Known and Suspected Human Carcinogens
nitrosodiethylamine,
n-
55-18-5
IARC
List of Known and Suspected Human Carcinogens
nitrosodimethylamine,
p-
62-75-9
IARC
List of Known and Suspected Human Carcinogens
nitrosodi-n-butylamine,
n-
IARC
List of Known and Suspected Human Carcinogens
nitrosodi-n-propylamine,
n-
IARC
List of Known and Suspected Human Carcinogens
nitrosomethylamino)-1-(3-pyrdyl)-1-butanone,
4-(n-
64091-91-4
IARC
List of Known and Suspected Human Carcinogens
nitrosomethylamino)propionitrile,
3-(n-
60153-49-3
IARC
List of Known and Suspected Human Carcinogens
nitrosomethylethylamine,
n-
10595-95-6
IARC
List of Known and Suspected Human Carcinogens
nitrosomethylvinylamine,
n-
4549-40-0
IARC
List of Known and Suspected Human Carcinogens
nitrosomorpholine,
n-
59-89-2
IARC
List of Known and Suspected Human Carcinogens
nitroso-n-ethylurea,
n-
759-73-9
IARC
List of Known and Suspected Human Carcinogens
nitroso-n-methylurea,
n-
684-93-5
IARC
List of Known and Suspected Human Carcinogens
nitrosonornicotine,
n-
80508-23-2
IARC
List of Known and Suspected Human Carcinogens
nitrosopiperidine,
n-
100-75-4
IARC
List of Known and Suspected Human Carcinogens
nitrosopyrrolidine,
n-
930-55-2
IARC
List of Known and Suspected Human Carcinogens
nitrososarcosine,
n-
13256-22-9
IARC
List of Known and Suspected Human Carcinogens
nitrostarch
9056-38-6
DOT
Explosive
nitrotriazolone
DOT
Explosive
n-n'-Dichlorazodicarbonamidine
DOT
Forbidden
N-Nitrosodimethylamine
62-75-9
EPA
Acutely Toxic (P Listed)
N-Nitrosomethylvinylamine
4549-40-0
EPA
Acutely Toxic (P Listed)
norethisterone
68-22-4
IARC
List of Known and Suspected Human Carcinogens
norethynodrel
68-23-5
IARC
List of Known and Suspected Human Carcinogens
O,O-Diethyl
O-pyrazinyl phosphorothioate
297-97-2
EPA
Acutely Toxic (P Listed)
O-[(methylamino)carbonyl]oxime
EPA
Acutely Toxic (P Listed)
O-[4-[(dimethylamino)sulfonyl]phenyl]
O,O-dimethyl ester
EPA
Acutely Toxic (P Listed)
ochratoxin
A
303-47-9
IARC
List of Known and Suspected Human Carcinogens
Octamethylpyrophosphoramide
152-16-9
EPA
Acutely Toxic (P Listed)
octolite
DOT
Explosive
octonal
DOT
Explosive
oestradiol-17
beta
IARC
List of Known and Suspected Human Carcinogens
oestrone
53-16-7
IARC
List of Known and Suspected Human Carcinogens
oil
or orange SS
2646-17-5
IARC
List of Known and Suspected Human Carcinogens
Osmium
oxide OsO4, (T-4)-
20816-12-0
EPA
Acutely Toxic (P Listed)
Osmium
tetroxide
20816-12-0
EPA
Acutely Toxic (P Listed)
Oxamyl.
23135-22-0
EPA
Acutely Toxic (P Listed)
oxydianiline,
4,4'-
101-80-4
IARC
List of Known and Suspected Human Carcinogens
oxymentholone
IARC
List of Known and Suspected Human Carcinogens
Ozone
10028-15-6
Acutely
Toxic
panfuran
S [dihydroxymethylfuratizine]
794-93-4
IARC
List of Known and Suspected Human Carcinogens
Parathion
56-38-2
EPA
Acutely Toxic (P Listed)
p-Chloroaniline
106-47-8
EPA
Acutely Toxic (P Listed)
p-Diazidobenzene
DOT
Forbidden
Peracetic
acid
79-21-0
49
C.F.R. § 173.225
Peroxyacetic
acid
79-21-0
49
C.F.R. § 173.225
petasitenine
60102-37-6
IARC
List of Known and Suspected Human Carcinogens
phenacetin
62-44-2
IARC
List of Known and Suspected Human Carcinogens
phenazopyridine
94-78-0
IARC
List of Known and Suspected Human Carcinogens
phenazopyridine
hydrochloride
136-40-3
IARC
List of Known and Suspected Human Carcinogens
phenelzine
51-71-8
IARC
List of Known and Suspected Human Carcinogens
phenobarbital
50-06-6
IARC
List of Known and Suspected Human Carcinogens
Phenol,
(3,5-dimethyl-4-(methylthio)-, methylcarbamate
2032-65-7
EPA
Acutely Toxic (P Listed)
Phenol,
2-(1-methylpropyl)-4,6-dinitro-
88-85-7
EPA
Acutely Toxic (P Listed)
Phenol,
2,4,6-trinitro-, ammonium salt (R)
131-74-8
EPA
Acutely Toxic (P Listed)
Phenol,
2,4-dinitro-
51-28-5
EPA
Acutely Toxic (P Listed)
Phenol,
2-cyclohexyl-4,6-dinitro-
131-89-5
EPA
Acutely Toxic (P Listed)
Phenol,
2-methyl-4,6-dinitro-, & salts
534-52-1
EPA
Acutely Toxic (P Listed)
Phenol,
3-(1-methylethyl)-, methyl carbamate.
64-00-6
EPA
Acutely Toxic (P Listed)
Phenol,
3-methyl-5-(1-methylethyl)-, methyl carbamate.
2631-37-0
EPA
Acutely Toxic (P Listed)
Phenol,
4-(dimethylamino)-3,5-dimethyl-, methylcarbamate (ester).
315-18-4
EPA
Acutely Toxic (P Listed)
phenoxybenzamine
and its hydrochloride
59-96-1
IARC
List of Known and Suspected Human Carcinogens
phenyl-beta-naphthylamine,
n-
135-88-6
IARC
List of Known and Suspected Human Carcinogens
Phenylmercury
acetate
62-38-4
EPA
Acutely Toxic (P Listed)
phenylphenol,
o-
90-43-7
IARC
List of Known and Suspected Human Carcinogens
Phenylthiourea
103-85-5
EPA
Acutely Toxic (P Listed)
phenytoin
(and its sodium salts)
57-41-0
IARC
List of Known and Suspected Human Carcinogens
Phorate
298-02-2
EPA
Acutely Toxic (P Listed)
Phosgene
75-44-5
EPA
Acutely Toxic (P Listed)
Phosphine
7803-51-2
EPA
Acutely Toxic (P Listed)
Phosphoric
acid, diethyl 4-nitrophenyl ester
311-45-5
EPA
Acutely Toxic (P Listed)
Phosphorodithioic
acid, O,O-diethyl
298-04-4
EPA
Acutely Toxic (P Listed)
Phosphorodithioic
acid, O,O-dimethyl S-[2-(methylamino)-2-oxoethyl] ester
60-51-5
EPA
Acutely Toxic (P Listed)
Phosphorofluoridic
acid, bis(1-methylethyl) ester
55-91-4
EPA
Acutely Toxic (P Listed)
Physostigmine
salicylate.
57-64-7
EPA
Acutely Toxic (P Listed)
Physostigmine.
57-47-6
EPA
Acutely Toxic (P Listed)
Pinanyl
hydroperoxide
28324-52-9
49
C.F.R. § 173.225
Plumbane,
tetraethyl-
78-00-2
EPA
Acutely Toxic (P Listed)
p-Menthyl
hydroperoxide
26762-92-5
49
C.F.R. § 173.225
p-Nitroaniline
100-01-6
EPA
Acutely Toxic (P Listed)
polybrominated
biphenyls [PBBs]
67774-32-7
IARC
List of Known and Suspected Human Carcinogens
polychlorinated
biphenyls [PCBs]
53469-21-9
IARC
List of Known and Suspected Human Carcinogens
ponceau
3R
3564-09-8
IARC
List of Known and Suspected Human Carcinogens
ponceau
MX
3761-53-3
IARC
List of Known and Suspected Human Carcinogens
Potassium
7440-09-7
Peroxidizable
Potassium
cyanide
151-50-8
EPA
Acutely Toxic (P Listed)
Potassium
silver cyanide
506-61-6
EPA
Acutely Toxic (P Listed)
procarbazine
671-16-9
IARC
List of Known and Suspected Human Carcinogens
procarbazine
hydrochloride trade name=matulan
366-70-1
IARC
List of Known and Suspected Human Carcinogens
Promecarb
2631-37-0
EPA
Acutely Toxic (P Listed)
Propanal,
2-methyl-2-(methyl-sulfonyl)-, O-[(methylamino)carbonyl] oxime.
1646-88-4
EPA
Acutely Toxic (P Listed)
Propanal,
2-methyl-2-(methylthio)-,
116-06-3
EPA
Acutely Toxic (P Listed)
propane
sultone, 1,3-
1120-71-4
IARC
List of Known and Suspected Human Carcinogens
Propanenitrile
107-12-0
EPA
Acutely Toxic (P Listed)
Propanenitrile,
2-hydroxy-2-methyl-
75-86-5
EPA
Acutely Toxic (P Listed)
Propanenitrile,
3-chloro-
542-76-7
EPA
Acutely Toxic (P Listed)
Propargyl
alcohol
107-19-7
EPA
Acutely Toxic (P Listed)
propiolactone,
beta-
57-57-8
IARC
List of Known and Suspected Human Carcinogens
propylene
dichloride [1,2-dichloropropane]
78-87-5
IARC
List of Known and Suspected Human Carcinogens
propylene
oxide
75-56-9
IARC
List of Known and Suspected Human Carcinogens
propyleneimine
[1,2-propylenimine or 2-methylaziridine]
75-55-8
IARC
List of Known and Suspected Human Carcinogens
propylthiouracil
51-52-5
IARC
List of Known and Suspected Human Carcinogens
Pyridine,
3-(1-methyl-2-pyrrolidinyl)-, (S)-, & salts
54-11-5
EPA
Acutely Toxic (P Listed)
quercetin
117-39-5
IARC
List of Known and Suspected Human Carcinogens
Radioactive
Materials (Non-Excempt )
OSHA
Listed Chemicals
reserpine
50-55-5
IARC
List of Known and Suspected Human Carcinogens
S-[(ethylthio)methyl]
ester
EPA
Acutely Toxic (P Listed)
S-[2-(ethylthio)ethyl]
ester
EPA
Acutely Toxic (P Listed)
safrole
94-59-7
IARC
List of Known and Suspected Human Carcinogens
Selenious
acid, dithallium(1+) salt
12039-52-0
EPA
Acutely Toxic (P Listed)
selenium
sulfide
7488-56-4
IARC
List of Known and Suspected Human Carcinogens
Selenourea
630-10-4
EPA
Acutely Toxic (P Listed)
senkirkine
2318-18-5
IARC
List of Known and Suspected Human Carcinogens
Silver
cyanide
506-64-9
EPA
Acutely Toxic (P Listed)
Sodium
2-diazo-1-naphthol-4-sulphonate
49
C.F.R. § 173.224
Sodium
2-diazo-1-naphthol-5-sulphonate
2657-00-3
49
C.F.R. § 173.224
Sodium
Amide
7782-92-5
Peroxidizable
Sodium
azide
26628-22-8
EPA
Acutely Toxic (P Listed)
Sodium
cyanide
143-33-9
EPA
Acutely Toxic (P Listed)
sodium
metal
7440-23-5
Water
Reactive
sodium
o-phenylphenate
132-27-4
IARC
List of Known and Suspected Human Carcinogens
spironolactone
52-01-7
IARC
List of Known and Suspected Human Carcinogens
sterigmatocystin
10048-13-2
IARC
List of Known and Suspected Human Carcinogens
streptozotocin
18883-66-4
IARC
List of Known and Suspected Human Carcinogens
Strychnidin-10-one,
& salts
57-24-9
EPA
Acutely Toxic (P Listed)
Strychnidin-10-one,
2,3-dimethoxy-
35757-3
EPA
Acutely Toxic (P Listed)
Strychnine,
& salts
57-24-9
EPA
Acutely Toxic (P Listed)
Styrene
100-42-5
Peroxidizable
styrene
oxide
96-09-3
IARC
List of Known and Suspected Human Carcinogens
sulfallate
95-06-7
IARC
List of Known and Suspected Human Carcinogens
sulfamethoxazole
723-46-6
IARC
List of Known and Suspected Human Carcinogens
Sulfuric
acid, dithallium(1+) salt
7446-18-6
EPA
Acutely Toxic (P Listed)
symphytine
22571-95-5
IARC
List of Known and Suspected Human Carcinogens
telone
II (mostly 1,3-dichloropropene)
542-75-6
IARC
List of Known and Suspected Human Carcinogens
tert-Amyl
hydroperoxide
3425-61-4
49
C.F.R. § 173.225
tert-Amyl
peroxy-2-ethylhexanoate
686-31-7
49
C.F.R. § 173.225
tert-Amyl
peroxy-2-ethylhexyl carbonate
70833-40-8
49
C.F.R. § 173.225
tert-Amyl
peroxybenzoate
4511-39-1
49
C.F.R. § 173.225
tert-Amyl
peroxyneodecanoate
68299-16-1
49
C.F.R. § 173.225
tert-Amyl
peroxypivalate
29240-17-3
49
C.F.R. § 173.225
tert-Amylperoxy-3,5,5-trimethylhexanoate
49
C.F.R. § 173.225
tert-Butoxycarbonyl
azide
DOT
Forbidden
tert-Butyl
cumyl peroxide
30580-75-7
49
C.F.R. § 173.225
tert-Butyl
hydroperoxide
75-91-2
49
C.F.R. § 173.225
tert-Butyl
monoperoxymaleate
1931-62-0
49
C.F.R. § 173.225
tert-Butyl
monoperoxyphthalate
15042-77-0
49
C.F.R. § 173.225
tert-Butyl
peroxy-2-ethylhexanoate
3006-82-4
49
C.F.R. § 173.225
tert-Butyl
peroxy-2-ethylhexylcarbonate
49
C.F.R. § 173.225
tert-Butyl
peroxy-2-methylbenzoate
22313-62-8
49
C.F.R. § 173.225
tert-Butyl
peroxy-3,5,5-trimethylhexanoate
13122-18-4
49
C.F.R. § 173.225
tert-Butyl
peroxyacetate
107-71-1
49
C.F.R. § 173.225
tert-Butyl
peroxyacetate
DOT
Forbidden
tert-Butyl
peroxybenzoate
614-45-9
49
C.F.R. § 173.225
tert-Butyl
peroxybutyl fumarate
49
C.F.R. § 173.225
tert-Butyl
peroxycrotonate
23474-91-1
49
C.F.R. § 173.225
tert-Butyl
peroxydiethylacetate
2550-33-6
49
C.F.R. § 173.225
tert-Butyl
peroxyisobutyrate
109-13-7
49
C.F.R. § 173.225
tert-Butyl
peroxyneodecanoate
26748-41-4
49
C.F.R. § 173.225
tert-Butyl
peroxyneoheptanoate
26748-38-9
49
C.F.R. § 173.225
tert-Butyl
peroxypivalate
927-07-2
49
C.F.R. § 173.225
tert-Butylperoxy
isopropylcarbonate
2372-21-6
49
C.F.R. § 173.225
tert-Butylperoxystearylcarbonate
49
C.F.R. § 173.225
tert-Hexyl
peroxypivalate
51938-28-4
49
C.F.R. § 173.225
tert-Hexylperoxyneodecanoate
49
C.F.R. § 173.225
testosterone
and its esters
58-22-0
IARC
List of Known and Suspected Human Carcinogens
tetrachlorodibenzo-dioxin
[TCDD]
IARC
List of Known and Suspected Human Carcinogens
tetrachlorodibenzo-p-dioxin,
2,3,7,8- [TCDD]
1746-01-6
IARC
List of Known and Suspected Human Carcinogens
tetrachloroethylene
[perchloroethylene]
127-18-4
IARC
List of Known and Suspected Human Carcinogens
tetrachlorvinphos
22248-79-9
IARC
List of Known and Suspected Human Carcinogens
Tetraethyl
lead
78-00-2
EPA
Acutely Toxic (P Listed)
Tetraethyl
pyrophosphate
107-49-3
EPA
Acutely Toxic (P Listed)
Tetraethyldithiopyrophosphate
3689-24-5
EPA
Acutely Toxic (P Listed)
Tetrafluoroethylene
116-14-3
Peroxidizable
Tetrahydrofuran
109-99-9
Peroxidizable
Tetralin
119-64-2
Peroxidizable
Tetramine
palladium (II) nitrate
49
C.F.R. § 173.224
Tetranitromethane
(R)
509-14-8
EPA
Acutely Toxic (P Listed)
Tetraphosphoric
acid, hexaethyl ester
757-58-4
EPA
Acutely Toxic (P Listed)
Thallic
oxide
1314-32-5
EPA
Acutely Toxic (P Listed)
Thallium
oxide Tl2 O3
1314-32-5
EPA
Acutely Toxic (P Listed)
Thallium(I)
selenite
12039-52-0
EPA
Acutely Toxic (P Listed)
Thallium(I)
sulfate
7446-18-6
EPA
Acutely Toxic (P Listed)
thioacetamide
62-55-5
IARC
List of Known and Suspected Human Carcinogens
thiodianiline,
4,4'-
139-65-1
IARC
List of Known and Suspected Human Carcinogens
thiotepa
52-24-4
IARC
List of Known and Suspected Human Carcinogens
thiourea
62-56-6
IARC
List of Known and Suspected Human Carcinogens
Thorium
Dioxide
Select
Carcinogen
tolidine,
o-
119-93-7
IARC
List of Known and Suspected Human Carcinogens
Toluene
108-88-3
Reproductive
Toxin
toluene
diisocyanate [TDI]
584-84-9
IARC
List of Known and Suspected Human Carcinogens
toluidine
hydrochloride, o-
540-23-8
IARC
List of Known and Suspected Human Carcinogens
toluidine,
o-
95-53-4
IARC
List of Known and Suspected Human Carcinogens
toluidine,
p-
106-49-0
IARC
List of Known and Suspected Human Carcinogens
toxaphene
8001-35-2
IARC
List of Known and Suspected Human Carcinogens
Treosulfan
299-75-2
Select
Carcinogen
triafur
[2-amino-5-(nitro-2-furyl)-1,3,4-thiadiazole]
IARC
List of Known and Suspected Human Carcinogens
trichloroethane,
1,1,2-
79-00-5
IARC
List of Known and Suspected Human Carcinogens
trichloroethylene
79-01-6
IARC
List of Known and Suspected Human Carcinogens
trichlorophenol,
2,4,6-
88-06-2
IARC
List of Known and Suspected Human Carcinogens
trichloropropane,
1,2,3-
96-18-4
IARC
List of Known and Suspected Human Carcinogens
tris(1-aziridinyl)phosphine
sulfide trade name=thiotepa
52-24-4
IARC
List of Known and Suspected Human Carcinogens
tris(2,3-dibromopropyl)phosphate
126-72-7
IARC
List of Known and Suspected Human Carcinogens
tris(aziridinyl)-p-benzoquione
[triaziquone]
68-76-8
IARC
List of Known and Suspected Human Carcinogens
trp-P-1
[3-amino,1,4-dimethyl-5H-pyrido[4,3-b]indole]
62450-06-0
IARC
List of Known and Suspected Human Carcinogens
trp-P-2
[3-amino-1-methyl-5H-pyrido[4,3-b]indole]
IARC
List of Known and Suspected Human Carcinogens
trypan
blue
72-57-1
IARC
List of Known and Suspected Human Carcinogens
uracil
mustard trade name=uramustine
66-75-1
IARC
List of Known and Suspected Human Carcinogens
urethane
[ethyl carbamate]
51-79-6
IARC
List of Known and Suspected Human Carcinogens
Vinyl
Actetate
108-05-4
Peroxidizable
vinyl
bromide
593-60-2
IARC
List of Known and Suspected Human Carcinogens
Vinyl
Chloride
75-01-4
Peroxidizable,
Reproductive Toxin, Select Carcinogen
vinyl
fluoride
75-02-5
IARC
List of Known and Suspected Human Carcinogens
Vinylacetylene
689-97-4
Peroxidizable
vinylcyclohexene,
4-
100-40-3
IARC
List of Known and Suspected Human Carcinogens
vinylidene
chloride [1,1-dichloroethylene]
75-35-4
IARC
List of Known and Suspected Human Carcinogens
vinylidene
fluoride monomer
75-38-7
IARC
List of Known and Suspected Human Carcinogens
Vinylidine
Chloride
75-35-4
Peroxidizable
Vinylpyridine
1337-81-1
Peroxidizable
Xylene
1330-20-7
Reproductive
Toxin
zearalenone
17924-92-4
IARC
List of Known and Suspected Human Carcinogens
zinc
chromate
13530-65-9
IARC
List of Known and Suspected Human Carcinogens