Osha174 2

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Material Safety Data Sheet U.S.

Department of Labor
May be used to comply with OSHA’s Hazard Occupational Safety and Health Administration
Communication Standard, 29 CFR 1910 1200. Standard (Non-Mandatory Form)
must be consulted for specific requirements. 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)) Other Limits
Recommended
OSHA PEL ACGIH TLV % (optional)

Section III—Physical/Chemical Characteristics


Boiling Point Specific Gravity (H20 = 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 May Occur Conditions to Avoid


Polymerization
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 VII—Control Measures


Respiratory Protection (Specify Type)

Ventilation Local Exhaust Special

Mechanical (General) Other

Protective Gloves Eye Protection

Other Protective Clothing or Equipment

Work/Hygienic Practices

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