Report Number:

Chemical Risk Assessment

Product Name: Synonym(s) State: Select SDS source:

Hazard Identification

GHS Pictograms:

Signal Word: SelectDangerous Goods Class: SelectSub risk Poison Schedule: Select

Hazard Statements:

Composition

Name CAS Number Concentration

First Aid Measures

Fire Fighting

Spill Procedure

Storage Requirements

Protect from light Refrigerate (4⁰C) Freeze (-20⁰C) Chemical cabinet (specify): Select Chemical store: Select Locked up /Safe General chemical cupboard/lab storage

Segregate from:

Personal Protective Equipment and Engineering Controls

Lab coat, enclosed shoes, safety glasses Gloves (specify): Select Face shield

Plastic apron Fume Cupboard. Other (specify):

Disposal Dilute with water Domestic waste water system Biohazard waste

Store for chemical waste disposal Other (specify):

OtherPrepared By DateAuthorised By (Supervisor)

Signature