Msds form template connie dello buono 2012


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Msds form template connie dello buono 2012

  1. 1. Safety Data Sheet Form_[product name] Section 1. Product and Company Identification Commercial Product Name __________ Product Code (Registration Numbers) __________ Relevant identified usesand exposure scenarios (ESs)__________ Supplier Email Emergency Phone number, US Medical Emergency Phone number, US Chemtrec Emergency Phone number, US Chemtrec Emergency Phone number, Europe Section 2. Hazards Identification Physical Properties__________ Emergency Overview__________ Classification __________ per 67/548/EEC – Classification Label 1999/45/EC Label elements__________ per CLP (add authorization number if applicable) [Hazard Statements/R-phrases, max 6] [Precautionary Statements/S-phrases,, max 6] Potential Health Effects__________ Warning [OSHA Reg]__________ Section 3. Composition/Informationon Ingredients Substance__________ CAS/EC Reg Num Chemical Name Conc Classification Mixture__________ Weight Class CAS # EC # Index # % or Name Class CLP EEC range Include any impurities, stabilising additives or individual constituent_________ Section 4. First Aid Measures Inhalation __________ Skin contact__________ Eye contact__________ Ingestion __________ Indication of immediate medical attention and special treatment needed______ Section 5. Firefighting Measures Suitable extinguishing media __________ Unsuitable extinguishing media __________ Products of Combustion/Special Hazards __________Issue Date: 2/15/2012 Page 1 of 1Date of Last Change: 10/24/2009
  2. 2. Safety Data Sheet Form_[product name] Advice for firefighters __________ Section 6. Accidental Release Measures Personal precautions, protective equipment and emergency procedures _______ Environmental precautions __________ Methods and materials for containment and cleaning up __________ Other information __________ Section 7. Handling and Storage Precautions for safe handling __________ Conditions for safe storage, including any incompatibilities__________ Measures to prevent emissions __________ See ES if attached Industry-Specific Guidance as per specific uses__________ Section 8. Exposure Controls/Personal Protection Control parameters __________ [Describe Control Binding Approach when used to decide on risk management measures]______ Derived No Effect level (DNELs)for human health hazards__________ Predicted No Effect Concentration (PNECs)for hazards to the environment_____ Engineering and environmental exposure controls __________ Skin, hand and body protection__________ Respiratory protection __________ Eye protection __________ Section 9 Physical and Chemical Properties Appearance, Physical State __________ Odor, Odor Threshold __________ pH __________ Melting point/freezing point __________ Initial boiling point and range __________ Flash point __________ Evaporation rate __________ Flammability (solid, gas) __________ Vapour pressure (°C) __________ Vapour density __________ Relative density (°C) __________ Water solubility __________ Fat solubility __________ Partition coefficient n-octanol/water __________ Auto-ignition temperature __________ Decomposition temperature (% volatile wt) __________ Viscosity (mm2/s) __________ Explosive properties __________ Oxidising properties __________ Miscibility __________ Conductivity __________ Gas group __________ Safety information on Redox potential __________Issue Date: 2/15/2012 Page 2 of 2Date of Last Change: 10/24/2009
  3. 3. Safety Data Sheet Form_[product name] Section 10. Stability and Reactivity Reactivity __________ Chemical stability(normal) __________ Possibility of hazardous reactions_________ Conditions to avoid(when product becomes chemically unstable/to manage risks)_______ Incompatible materials__________ Hazardous decomposition products(from storage or handling)__________ Section 11. Toxicological Information Chronic toxicity(species, method, route of exposure, effective dose, results)______ Acute toxicity(species, method, route of exposure, effective dose, results)_________ Skin Irritation and corrosion __________ Respiratory and/or Skin Sensitisation __________ STOT-single exposure __________ STOT-repeated exposure __________ Aspiration hazard __________ Carcinogenicity, Mutagenicity, Reproductive Toxicity (CMR) __________ LD50 (Species and Route) __________ Section 12. Ecological Information Chronic Toxicity(short-term water and other organism)__________ AcuteToxicity(long-term) __________ Biodegradation __________ Chemical degradation __________ Bio-accumulative potential __________ Mobility in soil __________ Results of PBT and vPvB assessment __________ Environmental Fate Exposure__________ Section 13. Disposal Considerations Waste treatment methods __________ Waste from residues / unused products __________ Section 14. Transport Information UN number__________ UN proper shipping name__________ Special precautions for users __________ Transport in bulk according to Annex II of MARPOL73/78 and the IBC Code(Product Name, Ship type, pollution category)____Issue Date: 2/15/2012 Page 3 of 3Date of Last Change: 10/24/2009
  4. 4. Safety Data Sheet Form_[product name] Section 15.Regulatory Information [If a controlled substance exist __________ This product has been classified according to the hazard criteria of the Controlled Products Regulation (CPR) and the SDS contains all of the information required by the CPR.] Chemical safety assessment__________ *Safety, health and environmental regulations/legislation specific for the substance or mixture (EU Info: Classifications, symbols, risk phrases and hazard/precautionarystatements; same as Section 2)__________ *Restrictions on Use(or limit values for exposure at the place of work)__________ *Product Registration Data (China, Canada, etc)_________________i Section 16. Other Information Revision Change Details(based on new revision of this document)__________ NFPA 704 National Fire Protection Association (rating 0-4)__________ Health __________ Fire__________Reactivity__________ Key literature references and sources for data __________ Classification and Procedure (used toderive class for mixture)__________ List of relevant R phrases(hazard statements, safety phrases and/or precautionary statements)__________ □ Prepared by RA Department, Thermofisher Fremont__________ Acronyms(see the Glossary section of the SDS SOP , document number) CHEMTREC Chemical Transportation Emergency Center CLP Classification Labelling Packaging Regulation ; Regulation EC No 1272/2008 IATA International Air Transport Association Additional information available from__________ The information in this datasheet is to our best knowledge correct and complete, and is offered in good faith as accurate. It characterizes the product with regard to the appropriate safety precautions. It does not guarantee properties of the product. Disclaimer The information contained in this document applies to this specific material as supplied. It may not be valid for this material if it is used in combination with any other material. It is the user responsibility to satisfy oneself as to the suitability and completeness of this information for his own particular use. This information is based upon the present state of our knowledge. [Example] Table format Hazard Hazard Signal International Index # EC # CAS# Class& Statement Word Notes Chemical ID Category Code Code 613-169-00-6 9-vinycarbazole 216-055- 1484-13- Muta. 2 H341 GHS08 0 5 *Annex X for ESs (if applicable) i * Optional or as applicable.Issue Date: 2/15/2012 Page 4 of 4Date of Last Change: 10/24/2009