Material Safety Data Sheet - 9 Sections: Section 1 - Product Information

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MATERIAL SAFETY DATA SHEET 9 Sections

SECTION 1 PRODUCT INFORMATION


Product Identifier Product Use Manufacturers Name Street Address City Postal Code Province Emergency Telephone Suppliers Name Street Address City Postal Code Province Emergency Telephone WHMIS Classification (optional)

SECTION 2 HAZARDOUS INGREDIENTS


Hazardous Ingredients (specific) % CAS Number LD50 of Ingredient (specify species and route) LC50 of Ingredient (specify species)

SECTION 3 PHYSICAL DATA


Physical State Specific Gravity Boiling Point ( C) Odour and Appearance Vapour Density (air = 1) Freezing Point ( C) Vapour Pressure (mmHg) pH Odour Threshold (ppm) Evaporation Rate Coefficient of Water/Oil Distribution

SECTION 4 FIRE AND EXPLOSION DATA


Flammability Means of Extinction Flashpoint ( C) and Method Autoignition Temperature (C) Hazardous Combustion Products Upper Flammable Limit (% by volume) Explosion Data Sensitivity to Impact Lower Flammable Limit (% by volume) Explosion Data Sensitivity to Static Discharge

Yes

No

If yes, under which conditions?

SECTION 5 REACTIVITY DATA


Chemical Stability

Yes

No Yes No

If no, under which conditions? If yes, which ones?

Incompatibility with Other Substances

Reactivity, and under what conditions?

Hazardous Decomposition Products

57M2 (R6/99)

SAMPLE FORMAT PROVIDED BY THE WORKERS COMPENSATION BOARD OF BRITISH COLUMBIA

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Product Identifier SECTION 6 TOXICOLOGICAL PROPERTIES


Route of Entry

Skin Contact

Skin Absorption

Eye Contact

Inhalation

Ingestion

Effects of Acute Exposure to Product

Effects of Chronic Exposure to Product

Exposure Limits (value, source, date) Sensitization (if yes, explain) No Reproductive Toxicity (if yes, explain) No Mutagenicity (if yes, explain)

Yes Yes Yes Yes Yes Yes Yes

Irritancy (if yes, explain) No Carcinogenicity (if yes, explain) No Teratogenicity (if yes, explain) No Synergistic Products (if yes, explain)

No

No

SECTION 7 PREVENTIVE MEASURES


Personal Protective Equipment If checked, specify type

Gloves

Respirator

Eye

Footwear

Clothing

Other

Engineering Controls (specify, such as ventilation, enclosed process)

Leak and Spill Procedure

Waste Disposal

Handling Procedures and Equipment

Storage Requirements

Special Shipping Information

PIN

SECTION 8 FIRST AID MEASURES


Inhalation Ingestion Skin Contact Eye Contact

SECTION 9 PREPARATION INFORMATION


Prepared by (Group, Department, etc.) Telephone Number Preparation Date

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