Download as doc, pdf, or txt
Download as doc, pdf, or txt
You are on page 1of 4

MATERIAL SAFETY DATA SHEET 16 Sections

SECTION 1 CHEMICAL PRODUCT AND COMPANY IDENTIFICATION


Product N!e
"#$#S# "R#
%&HMIS C'ssi(iction)
so'id
Product Use
Is used (or e*+'osi,e +ur+oses
Mnu(cturer-s N!e
&in.s/s 0 Co#
Su++'ier-s N!e
&in.'er Inc#
Street Address
Soon to 1e 23
Street Address
1145 under 6 (oot ,e#
Cit/
Mi67t 1e "ustin (ro de1ro8-s dd 96
Pro,ince
Needs to s7,e
Cit/
S.te S7oes
Pro,ince:;'ue nd
6reen c7ec. s7irts
on'/
Post' Code
;'ue e/es 8it7out t7e 1'onde
7ir
E!er6enc/
Te'e+7one
911 sneed needs 7e'+
Post' Code
Tuc.ed in ;e't
E!er6enc/
Te'e+7one
Sneeds 1c.
+oc.et
Dte MSDS Pre+red
194<
MSDS Pre+red ;/
"!es $e,in
P7one Nu!1er
4=2 I 74 /ou
SECTION > COMPOSITION?INFORMATION ON IN@REDIENTS
&HMIS S/!1o's)
Potenti' He't7 E((ects: it 8i'' .i'' /ou i( /ou re in one !i'e rdius 8it7 t7e e*+'osion# Run#
SECTION 2 HAAARDS IDENTIFICATION
SECTION = FIRST AID MEASURES
S.in Contct:
Put ice on it#
E/e Contct
T.e e/es out
In7'tion Cou67 : C+r on'/ 8it7 sneed
In6estion : 7,e sneed +unc7 in t7e sto!c7 nd t7en 7ur'
Force /ouse'( to t7o8 u+ 7ir 1''
SAMPLE FORMAT PROBIDED ;Y THE &OR$ERS- COMPENSATION ;OARD OF ;RITISH COLUM;IA
<5M6 C6?99D Please continue on reverse side
Blank form provided courtesy of www.ehso.com/msdscreate.php
Le. nd S+i'' Procedures
Its a solid
&er dr/ !teri's 8it7 '/te* 6'o,e# ;e ,er/ cre(u' nd 7nd'e 8it7 sted/ 7nds#Re!o,e ''
8ter (ro! t7e roo!
Store in dr/ re t7t is .e+t round roo! te!+ture# Te!+ture cn ('u*te 1ut condenstion 8i'''
resu't in n e*+'osion#
SECTION < FIRE FI@HTIN@ MEASURES
F'!!1'e
Yes
No
I( /esE under 87ic7 conditionsF
Do not interct t7e c7e!ic' 8it7 8terG And i( /ou 'ite it on (ire#
Mens o( E*tinction
T.e 8/ o*/6en 8it7 1o8' o( so!e .ind
SECTION 6 ACCIDENTAL RELEASE MEASURES
SECTION 5 HANDLIN@ AND STORA@E
SECTION 4 EHPOSURE CONTROL ? PERSONAL PROTECTION
E*+osure Li!its
AC@IH TLB
OSHA PEL Ot7er (specify)
S+eci(ic En6ineerin6 Contro's (such as ventilation, enclosed process)
M.e it ir ti67t 8it7 no c7nce o( 8ter co!in6 in#
Person' Protecti,e EIui+!ent @'o,es Res+irtor E/e Foot8er C'ot7in6 Ot7er
SECTION 13 STA;ILITY AND REACTIBITY
C7e!ic' St1i'it/
Yes No
I( noE under 87ic7 conditionsF
Hu!id en,iro!ent 8it7 n/ +reci+te in t7e ir
Inco!+ti1i'it/ 8it7 Ot7er Su1stnces
Y e s
N o
I( /esE 87ic7 onesF
SECTION 11 TOHICOLO@ICAL INFORMATION
E((ects o( Acute E*+osure
No cute e*+osure ((ects 8i'' ++er#
E((ects o( c7ronic e*+osure
Blank form provided courtesy of www.ehso.com/msdscreate.php
Product IdentifierJ > J
Stor6e ReIuire!ents
Hnd'in6 Procedures nd EIui+!ent
I( e*+osed to /ers it 8i'' cuse 'i,er (i'ur e
SECTION 1> ECOLO@ICAL INFORMATION
%AIutic To*icit/)
Cn not 1e ner Iutic en,iro!ent
SECTION 12 DISPOSAL CONSIDERATIONS
&ste Dis+os'
Add &ter in +rotecti,e enc'osed en,iroe!ent under cre(u' 8tc7# A. desert
SECTION 1= TRANSPORT INFORMATION
SECTION 1< RE@ULATORY INFORMATION
SECTION 16 OTHER INFORMATION
IS not 7r!(u' or dn6erous ot7er t7n its rection 8it7 8ter nd it 1ein6 1'e to cuse 'i,er
('iure (ter 7,in6 8it7 /ou (or >=5 consecuti,e /ers#
% Optional, not required under WHMIS ]
Product IdentifierJ 2 J
Blank form provided courtesy of www.ehso.com/msdscreate.php
Product IdentifierJ = J

You might also like