SECTION B : LIST OF CHEMICALS HAZARDOUS CHEMICAL TO HEALTH

Location : No. of Hazardous Chemical : No. of Workers : Male :

Process Operation : Female :

Comply with
Usage Of Classification, Packaging
Type of Control Measures Name, Address of Supplier
Name of Physical Form No. of Worker Chemical Name of Active and Labelling
Product Name CAS No. Regulation, 1977 and Contact Number (Tel.
Chemical of Chemical Exposed Ingredients
No/email)
Engineering # CSDS Label
PPE Type Quantity
##
Class
Control (Y/N) (Y/N)
Termigard Chloridyrifor L 2 pax GV C, E, R O 10L/ 2921-88-2 Chloridyrifes Y 71139 Y One Stop Pest Control Sdn
Month Bhd
1-23, jalan USJ 21/11, USJ
21, 47630 Subang Jaya, Sel
03-8025 1005
Xypex Admix PW 3 Pax I M,O R 50 kg / 65997-5-1 Portland Y 36991 Y RNC Integral Concrete
C-100 Month cement Technology (M) Sdn Bhd,
No. 37-1, Jalan Putra
Mahkota 7/7b,
Putra Heights 47650
Subang Jaya, Sel.
03-51928186

Unleaded L 2 Pax I O P 200 L/ 82690-81- Gasoline Y 62490 Y SUNMAJU SDN BHD

Gasoline Month 5 434845-W
Lot 999, Jalan Subang,
Kampung Baru Sungai
Buloh, Seksyen U19, 40160
Shah Alam, Selangor
03 6156 5601
Shell Diesoline Diesoline L 2 Pax I O P 1000 L/ 68334-30- Diesel Y 62490 Y SUNMAJU SDN BHD
Month 5 434845-W
Lot 999, Jalan Subang,
Kampung Baru Sungai
Buloh, Seksyen U19, 40160
Shah Alam, Selangor
03 6156 5601
Abate 500E L 3 Pax GV M,O I 250ml / 3383-96-8 Temephos Y 71139 Y One Stop Pest Control Sdn
Month Bhd
64742-94- Solvent 1-23, jalan USJ 21/11, USJ
5 naphtha 21, 47630 Subang Jaya, Sel
03-8025 1005
Malathion L 3 Pax GV M,O I 5L / 121-78-5 Malation Y 71139 Y One Stop Pest Control Sdn
Month Bhd
1-23, jalan USJ 21/11, USJ
21, 47630 Subang Jaya, Sel
03-8025 1005
Solvent PVC PVC Solvent L 3 Pax E O I 25 L / 78-93-3 Methyl ethyl Y 50023 Y Paling Industries Sdn Bhd
Cement Cement Month Lot 12, Jalan Perusahaan 4,
- 108-94-1 Cyclohexanon Batu Cave, Sel
- e 03-61898333
-
Sikadur-52 Part L 2 Pax E.GV M,O P 25 L / 25068-38- Bisphenol-A- Y 71139 Y Sika Kimia Sdn Bhd.
A Month 6 epoxy resin Lot 689 Nilai Industrial
Estate, 71800 Nilai, N9.
2210-79-9 epoxypropyl 06-799 1762

Sikadur-52 Part L 2 Pax E,GV M,O P 5L/ 84852-15- Phenol Y 71139 Y Sika Kimia Sdn Bhd.
B Month 3 Lot 689 Nilai Industrial
Estate, 71800 Nilai, N9.
140-31-8 Piperazin 06-799 1762
,ylethylamine

Polycell PU- L 4 Pax GV,I O,R 10 L./ 26471-62- Polyurehane Y 71139 Y Polycell Sdn Bhd
GEL 325 Month 5 No 14, Jln PJS 1/30, Taman
Petaling Utama, 46000
Petaling Jaya, Selangor.
03-77834368
Xypex PW 4 pax GV E,M 50 Kg/ 65997-15- Portland Y 71139 Y RNC Integral Concrete
concentrate Month 1 cement Technology (M) Sdn Bhd,
Xypex 1317-65-3 Alkaline earth No. 37-1, Jalan Putra
Modified compound Mahkota 7/7b,
14808-60- Silica Sand Putra Heights 47650
7 (graded) Subang Jaya, Sel.
03-51928186
Dunlop contact Contact L 5 Pax GV R 20L/ 108-88-3 Toluene Y 71139 Y GRP Sdn Bhd
adhesive adhesive Month 64742-89- Petroleum Lot 9, Solok Sultan
8 hydrocardon Hishamuddin 7, Kawasan
distillate Perusahaan 20, Selat
Kelang Utara, 42000 Port
Klang, Sel.
03-31765146
VSL Aqueous L 4 Pax VSL Engineers (M) Sdn
Plasticizer-MY polymer Bhd.
solution Lot 6.03 & 6.04,6th Floor,
Menara 1, Faber Towers,
Jalan Desa Bahagia,
Taman Desa, off Jalan
Klang Lama, 58100 Kuala
Lumpur, Malaysia
KELCO- Diutan Gum PW 4Pax VSL Engineers (M) Sdn
CRETE DG F Bhd.
Lot 6.03 & 6.04,6th Floor,
Menara 1, Faber Towers,
Jalan Desa Bahagia,
Taman Desa, off Jalan
Klang Lama, 58100 Kuala
Lumpur, Malaysia
SHELL Hydraulic Oil L 4Pax Bangunan Shell, of Jalan
TELLUS OIL Semantan Bukit
Damansara, 50490 Kuala
Lumpur.

WD-40 Bulk Organic L 4Pax VSL Engineers (M) Sdn

Liquid Mixture Bhd.
Lot 6.03 & 6.04,6th Floor,
Menara 1, Faber Towers,
Jalan Desa Bahagia,
Taman Desa, off Jalan
Klang Lama, 58100 Kuala
SECTION C : NAME OF PERSON WHO PREPARED OF REVIEWED
PREPARED BY : REVIEWED BY :
Name : Name :

Title : Title :

Date : Date :
(Signature) (Signature)