You are entitled to receive a data sheet from your supplier. Figure 5
shows a blank OSHA Form 174 that shows you what kind
of materials you are working with regarding the chemical make-up,
including the identity, characteristics, and hazard data.
|
Material Safety Data Sheet |
U.S. Department of Labor |
|
May be used to comply with OSHA’s Hazard Communication
Standard, 29 CFR 1910 1200. Standard must be consulted for specific
requirements. |
- Occupational Safety and Health Administration
- (Non-Mandatory Form)
- Form Approved
- OMB No. 1218-0072
|
|
IDENTITY (as Used on Label and List) |
Note: Blank spaces are not permitted. If any item is not
applicable or no information is available, the space
must be marked to indicate that. |
|
Section I |
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Manufacturer’s name |
Emergency Telephone Number |
|
Address (Number, Street, City, State and ZIP Code) |
Telephone Number for Information |
| |
Date Prepared |
| |
Signature of Preparer (optional) |
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Section II—Hazardous Ingredients/Identity Information |
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Hazardous Components (Specific Chemical Identity, Common Name(s)) |
OSHA PEL
|
ACGIH TLV
|
Other Limits Recommended |
% (optional)
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Section III—Physical/Chemical Characteristics |
|
Boiling Point |
|
Specific Gravity (H20 = 1) |
|
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Vapor Pressure (mm Hg) |
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Melting Point |
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Vapor Density (AIR = 1) |
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Evaporation Rate (Butyl Acetate = 1) |
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Solubility in Water |
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Appearance and Odor |
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Section IV—Fire and Explosion Hazard Data |
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Flash Point (Method Used) |
Flammable Limits |
LEL |
UEL |
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Extinguishing Media |
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Special Fire Fighting Procedures |
| |
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Unusual Fire and Explosion Hazards |
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(Reproduce locally) OSHA 174 Sept. 1985 |
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Section V—Reactivity Data
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Stability |
Unstable |
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Conditions to Avoid |
| |
Stable |
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Incompatibility (Materials to Avoid) |
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Hazardous Decomposition or Byproducts |
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Hazardous
Polymerization |
May Occur |
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Conditions to Avoid |
| |
Will Not Occur |
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Section VI—Health Hazard Data |
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Route(s) of Entry |
Inhalation? |
Skin? |
Ingestion? |
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Health Hazards (Acute and Chronic) |
| |
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Carcinogenicity |
NTP? |
IARC Monographs? |
OSHA Regulated? |
| |
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Signs and Symptoms of Exposure |
| |
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Medical Conditions
Generally Aggravated by Exposure |
| |
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Emergency and First Aid Procedures |
| |
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Section VII—Precautions for Safe Handling and Use |
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Steps to Be Taken in Case Material Is Released or Spilled |
| |
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Waste Disposal Method |
| |
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Precautions to Be Taken in Handling and Storing |
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Other Precautions |
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Section VII—Control Measures |
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Respiratory Protection (Specify Type) |
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Ventilation |
Local Exhaust |
Special |
| |
Mechanical (General) |
Other |
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Protective Gloves |
Eye Protection |
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Other Protective Clothing or Equipment |
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Work/Hygienic Practices |