Chemical Safety Information Sheet
Use this form to document and communicate essential safety information for chemicals used or stored in your facility.
Chemical Name
*
CAS Number (Chemical Abstracts Service Number)
*
Manufacturer or Supplier Name
Physical State of Chemical
*
Please Select
Solid
Liquid
Gas
Other
Hazard Classification
*
Flammable
Corrosive
Toxic
Irritant
Oxidizer
Explosive
Environmental Hazard
Other
List the recommended Personal Protective Equipment (PPE) for handling this chemical
*
Gloves
Safety goggles
Lab coat/apron
Face shield
Respirator
Other
Safe Handling Procedures
*
Storage Requirements and Precautions
*
Spill or Leak Procedures
*
First Aid Measures in Case of Exposure
*
Disposal Instructions
*
Upload Safety Data Sheet (SDS) or Relevant Document (optional)
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Name of Person Completing This Form
*
First Name
Last Name
Contact Email
*
example@example.com
Date of Preparation or Last Review
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Additional Notes or Comments
Submit
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