Secondary Container Labeling Checklist Form
Complete this checklist to document and verify the labeling of secondary containers.
Container Identification Number
*
Container Type
*
Please Select
Bottle
Jar
Vial
Beaker
Drum
Other
Product or Contents Name
*
Label Present on Container?
*
Yes
No
Label Legibility
*
Clear and readable
Faded or smudged
Illegible
Label Includes Required Information
*
Product/Contents Name
Hazard Information
Date Labeled
Preparer Initials
Other
Date Labeled
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Checklist Confirmation: Label is Securely Attached
*
Yes
No
Checklist Confirmation: Label Placement is Correct
*
Yes
No
Sign-Off: Name of Person Completing Checklist
*
Submit Checklist
Should be Empty: