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Example of written program

HAZARD COMMUNICATION

Instructions - HazCom Inventory

Form instructions click here

The illustration below provides information on the HazCom Inventory.  For an description of the data input, click on the blue text.

This sheet for illustration only.  Final HazCom Inventory is to be printed from EH&S database.

Department:

 

 

 

Inv. date:

 

 

Building Name:

 

 

 

Bldg No.

 

 

Room number:

 

 

 

Room Use:

 

 

Primary contact:

 

 

Work phone:

 

Night phone:

 

 Email:

 

 

Alt. work phone:

 

 

 

Secondary contact:

 

 

Work phone:

 

Night phone:

 

Email:

 

 

Alt. work phone:

 

 

 

MSDSs location:

           

Chemical
 (give common trade, product, or chemical name typically on the manufactures label no formulas, abbreviate name if necessary)

Location
(typical storage location in room/area, e.g. on central bench, in flammable cabinet, beneath hood, etc)

Manu
facture
Name
Manu
facture
Name
 

 Typical
maximum
quantity

 (typical total
quantity)

 Units
 (ml, liters,
gm, kg,
pints, gals,
oz, or
lb) 

 Hazard type
 (HPGC, Poison, FLAM, REACT, AOH, Base, CARC, BIOHZ, RAD) 

 MSDS available
  (yes or no)