Workplace Ergonomics Compliance Assessment
Health & Safety Data Sheet Compliance Form
Please complete all sections of this compliance form.
Product Identification |
|
Product Name |
[Acme Chemical] |
Manufacturer/Supplier |
|
Emergency Contact |
Hazard Identification |
|
Hazard Classification |
Flammable, Toxic |
Hazard Symbols |
|
Signal Word |
|
Precautionary Statements |
Composition and Ingredients |
|
Chemical Name |
Methanol |
CAS Number |
|
Percentage Composition |
First Aid Measures |
|
Inhalation |
Move to fresh air. If breathing difficulties persist, seek medical attention. |
Skin Contact |
|
Eye Contact |
|
Ingestion |
Fire-Fighting Measures |
|
Suitable Extinguishing Media |
Use water spray, foam, dry chemical, or carbon dioxide. |
Firefighting Instructions |
|
Unusual Fire and Explosion Hazards |
Accidental Release Measures |
|
Personal Precautions |
Evacuate the area. Wear protective clothing and equipment. |
Environmental Precautions |
|
Cleanup Procedures |