material safety data sheet — 16 sections · material safety data sheet — 16 sections section 1...
TRANSCRIPT
Blank form provided courtesy of www.ehso.com/msdscreate.php
MATERIAL SAFETY DATA SHEET — 16 Sections
SECTION 1 — CHEMICAL PRODUCT AND COMPANY IDENTIFICATIONProduct Identifier [WHMIS Classification]
Product Use
Manufacturer’s Name Supplier’s Name
Street Address Street Address
City Province City Province
Postal Code Emergency Telephone Postal Code Emergency Telephone
Date MSDS Prepared MSDS Prepared By Phone Number
SECTION 2 — COMPOSITION/INFORMATION ON INGREDIENTSHazardous Ingredients (specific) % CAS Number LD 50 of Ingredient
(specify species and routeLC 50 of Ingredient (specify
species)
SECTION 3 — HAZARDS IDENTIFICATION
SECTION 4 — FIRST AID MEASURESSkin Contact
Eye Contact
Inhalation
Ingestion
SAMPLE FORMAT PROVIDED BY THE WORKERS’ COMPENSATION BOARD OF BRITISH COLUMBIA
57M6 (6/99) Please continue on reverse side
WHMIS Symbols]
Potential Health Effects
Route of Entry
[Emergency Overview]
❐ Skin Contact ❐ Skin Absorption ❐ Eye Contact ❐ Inhalation ❐ Ingestion
[
Photofinish
Cleaner
Marblehead Laboratories Inc
or Photofinish Soft
700 Webster Street
Needham MA
02492 508-725-3734
12/7/2015 Walter Zwible
NONE
None
None
None
None
none
Blank form provided courtesy of www.ehso.com/msdscreate.php
Product Identifier– 2 –
Leak and Spill Procedures
SECTION 5 — FIRE FIGHTING MEASURESFlammable
❐Yes ❐No
If yes, under which conditions?
Means of Extinction
Flashpoint (° C) and Method Upper Flammable Limit (% by volume) Lower Flammable Limit (% by volume)
Autoignition Temperature (°C) Explosion Data — Sensitivity to Impact Explosion Data — Sensitivity to Static Discharge
Hazardous Combustion Products
[NFPA]
SECTION 6 — ACCIDENTAL RELEASE MEASURES
SECTION 7 — HANDLING AND STORAGE
SECTION 8 — EXPOSURE CONTROL / PERSONAL PROTECTION
Exposure Limits
❐ ACGIH TLV ❐ OSHA PEL ❐ Other (specify)
Specific Engineering Controls (such as ventilation, enclosed process)
Personal Protective Equipment ❐ Gloves ❐ Respirator ❐ Eye ❐ Footwear ❐ Clothing ❐ Other
If checked, please specify type
Storage Requirements
Handling Procedures and Equipment
x
NA
NA
No special handling precautions
do not freeze
NA
NA
Product Identifier– 3 –
SECTION 9 — PHYSICAL AND CHEMICAL PROPERTIESPhysical State Odour and Appearance Odour Threshold (ppm)
Specific Gravity Vapour Density (air = 1) Vapour Pressure (mmHg)
Evaporation Rate Boiling Point (° C) Freezing Point (° C)
pH Coefficient of Water/Oil Distribution [Solubility in Water]
SECTION 10 — STABILITY AND REACTIVITYChemical Stability
❐ Y e s ❐ N o
If no, under which conditions?
Incompatibility with Other Substances❐ Y e s ❐
N o
If yes, which ones?
Reactivity, and under what conditions?
Hazardous Decomposition Products
SECTION 11 — TOXICOLOGICAL INFORMATION
Effects of Acute Exposure
Effects of chronic exposure
Irritancy of Product
Skin sensitization Respiratory sensitization
Carcinogenicity-IARC Carcinogenicity - ACGIH
Reproductive toxicity Teratogenicity
Embrotoxicity Mutagenicity
Name of synergistic products/effects
Blank form provided courtesy of www.ehso.com/msdscreate.php
Please continue on reverse side
Paste Blue, no odor NA
NANA1.4
NA NA 0
7 NA soluble
x
x
none
none
None
None
none
NA
NA
NA
NA
NA
NA
NA
Blank form provided courtesy of www.ehso.com/msdscreate.php
Product Identifier– 4 –
SECTION 12 — ECOLOGICAL INFORMATION[Aquatic Toxicity]
SECTION 13 — DISPOSAL CONSIDERATIONSWaste Disposal
SECTION 14 — TRANSPORT INFORMATION
SECTION 15 — REGULATORY INFORMATION[WHMIS Classification] [OSHA]
[SERA] [TSCA]
This product has been classified in accordance with the hazard criteria of theControlled Products Regulations (CPR) and the MSDS contains all of the information required by CPR.
SECTION 16 — OTHER INFORMATION
TDG
Special Shipping Information
[IMO]
[DOT]
[ICAO]
PIN
No special handling precautions
May be safely disposed of in landfills.
NA
NA
NA
NA
NA
NA
NA
NA
NA
No special handling precautions