Material Safety Data Sheet

May be used to comply with
OSHA's Hazard Communication Standard,
29 CFR 1910.1200. Standard must be
consulted for specific requirements. 		U.S. Department of Labor
Occupational Safety and Health Administration
(Non-Mandatory Form)
Form Approved
OMB No. 1218-0072


IDENTITY (As Used on Label and List) Note: Blank spaces are not permitted. If any item is not applicable, or no information is available, the space must be marked to indicate that.

Section I

Manufacturer's Name Emergency Telephone Number
 
Address (Number, Street, City, State, and ZIP Code) Telephone Number for Information
 
  Date Prepared
 
  Signature of Preparer (optional)
 

Section II - Hazardous Ingredients/Identity Information

Hazardous Components (Specific Chemical Identity; Common Name(s)) OSHA PEL ACGIH TLV Other Limits Recommended %(optional)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Section III - Physical/Chemical Characteristics

Boiling Point   Specific Gravity (H2O = 1)
 		  
Vapor Pressure (mm Hg)   Melting Point  
 
Vapor Density (AIR = 1)   Evaporation Rate
(Butyl Acetate = 1)		  
 
Solubility in Water
 
Appearance and Odor
 

Section IV - Fire and Explosion Hazard Data

Flash Point (Method Used) Flammable Limits LEL
 		 UEL
 
Extinguishing Media
 
Special Fire Fighting Procedures
 
 
 
Unusual Fire and Explosion Hazards
 
 
 
(Reproduce locally) OSHA 174, Sept. 1985

Section V - Reactivity Data

Stability Unstable   Conditions to Avoid
 
  Stable    
 
Incompatibility (Materials to Avoid)
 
Hazardous Decomposition or Byproducts
 
Hazardous
Polymerization		 May Occur   Conditions to Avoid
 
  Will Not Occur    
 


Section VI - Health Hazard Data

Route(s) of Entry: Inhalation? Skin? Ingestion?
 
Health Hazards (Acute and Chronic)
 
 
 
 
 
Carcinogenicity: NTP? IARC Monographs? OSHA Regulated?
 
 
 
Signs and Symptoms of Exposure
 
 
 
Medical Conditions
Generally Aggravated by Exposure
 
 
Emergency and First Aid Procedures
 
 
 

Section VII - Precautions for Safe Handling and Use

Steps to Be Taken in Case Material is Released or Spilled
 
 
 
 
 
Waste Disposal Method
 
 
 
Precautions to Be taken in Handling and Storing
 
 
 
Other Precautions
 
 
 

Section VIII - Control Measures

Respiratory Proctection (Specify Type)
 
Ventilation Local Exhaust Special
 
  Mechanical (General) Other
 
Protective Gloves Eye Protection
 
Other Protective Clothing or Equipment
 
Work/Hygienic Practices
 
* U.S.G.P.O.: 1986 - 491 - 529/45775