Title: Chemical Inventory sheet

Author: Brands member of the Joint Roadmap towards ZDHC

Version:
Date: 29-05-14
No.
Chemical
Product / Formulation
Name (commercial name)
Purpose of Chemicals
Material Safety Data
Sheet (MSDS)
available (Y/N)?
Ingredients displayed in MSDS
(chemical substance name)
Ingredient concentration in the Chemical
Product / Formulation (weight/weight %) in
MSDS
Ingredient CAS No.
Ingredients other
identifiers, if no CAS
No.
(e.g. IUPAC name)
Area of use
Short description of the
function of the
chemical Product /
Formulation (what is it
used for?)
Short description of the
process the chemical Product /
Formulation is used in
Average consumption /
month
(in kilogram - kg) of the
chemical Product /
Formulation
Chemical supplier name Chemical supplier contact email
RSL Compliance (Y/N)
?
Latest RSL compliance
check documented
through issuance of
compliance statement
(Y/N) ?
APEO / NPE free
(Y/N) ?
APEO/NPE free
compliance verified
through statement /
test report available
(Y/N) ?
Personal Protective
Equipment (PPE)
recommended in the
MSDS
Storage conditions
recommended in the
MSDS
Checked by (Name -
format Forename
Name)
Job title of the
person performing
the checking
Checked on
(date - format
DD/MM/YYYY)
Checking result for
decision to use (OK /
Not OK)
1 EXAMPLE Y Ingr. A 30 - 40 XX-XX-XX Lubricant Fibres / Yarns production 200 COMPANY X john.doe@companyX.com Y Y
Nitrile gloves
Glasses
Avoid heat and
humidity
environments Alain Renard
Production
Manager 5/5/2012 OK
Ingr. B 15 - 20 XX-XX-XX