You are on page 1of 6

APPENDIXE

MATERIAL SAFETY DATA SHEET



Regulations determine what information each MSDS must contain; however, the product supplier may determine the reporting format, such as the MSDS in sample A (Figure

E-l, pages E-2 and E-3). OSHA prepared an optional MSDS form for suppliers to use, and it is shown in Sample B (Figure E-2, pages E-4 through E-6).

Review the MSDSs to determine what control measures are necessary to prevent health hazards and/or side effects from product ingredients. Select the proper protective clothing, avoid unnecessary or prolonged skin contact, provide adequate ventilation, and use appropriate respiratory measures.

E-1

EN 0562

MATERIAL SAFETY DATA SHEET

TRADE NAME I SECTION I I DATE
910 Interior Marble, Polished (IMP) 1 June 1996
MANUFACTURER'S NAME: EMERGENCY PHONE NUMBER: (414) 555-0058
Di Technologies TRANSPORTATION EMERGENCY:
Chemtrec 1-800-555-9300
ADDRESS:
7070 South 6th Street, Oak River, WI 55555
NAME OF PERSON TO BE CONTACTED: I FORMULA:
Proprietarv
SECTION II INGREDIENTS
CHEMICALS CAS NUMBER PERCENT (APPROXIMATl~f TLV-(units)
Sodium phosphate 5 NA
Sodium silicate 5 NA
~
~,~
~""
~Y"~
SECTION III PHYSICAL DATA
BOILING POINT (OF) 212°F SPECIFIC GRAVITY (H,O = 1) 1.02
VAPOR PRESSURE (mm HQ) Lower PERCENT VOLATILE BY VOLUME NA
VAPOR DENSITY (AIR := 1) Lower EVAPORATION RATE NA
SOLUBILITY IN WATER Good (BUTYL ACETATE = 1) NA
APPEARANCE AND ODOR Blue
SECTION IV FIRE AND EXPLOSION HAZARD DATA
FLASH POINT (METHOD USED) I FLAMMABLE LIMITS 1 LEL 1 UEL
None NA r NA I NA
EXTINGUISHING MEDIA
Water
SPECIAL FIRE-FIGHTING PROCEDURE
Use water.

UNUSUAL FIRE AND EXPLOSION HAZARDS
Not present Figure E-!. Sample A MSDS

EN 0562

E-2

SECTION V HEALTH HAZARD OAT A
TLV Not established
HMIS RATINGS I HEALTH I 2 I FLAMMABILITY j 0 j REACTIVITY / 0 / PERSONAL PROTECTION I 2
NFPA RATINGS I HEALTH _I 2 1 FLAMMABILITY I 0 I REACTIVITY I 0 I UNUSUAL HAZARDS 12
EFFECT OF OVEREXPOSURE: Skin irritation

EMERGENCY AND FIRST-AID PROCEDURE: IN CASE OF SKIN CONTACT:
Rinse oft with water.
IN CASE OF EYE CONTACT:
Flush with plenty of water, and see a phYsician.
IF SWALLOWED:
Give oranqe juice, and see a _physiCian.
IF INHALED:
Remove to fresh, ventilated areas.
SECTION VI REACTIVE DATA
STABILITY I UNSTABLE I I CONDITIONS TO AVOID:
I STABLE I X I Do not mix with other chemicals.
INCOMPATIBILITY (MATERIALS TO AVOID):
Oxidizing chemicals, such as acids
HAZARDOUS DECOMPOSITION PROCEDURES:
None
HAZARDOUS I MAYOCCUA I I CONDITIONS TO AVOID:
POL YMEAIZA TION I WILL NOT OCCUR I X I Oxidizinq chemicals, such as acids
SECTION VII SPILL OR LEAK PROCEDURE
STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED:
Wear appropriatep!otective clothir}g, chemical ~eg_o_ggles,_gear, and so on.
SMALL SPILL:
Rinse off with water.
LARGE SPILL:
Contain the spill, and place the substance in a suitable container for disposal.
WASTE DISPOSAL METHOD:
Follow all federal, state, and local government regulations.
SECTION VIII SPECIAL PROTECTION INFORMATION
RESPIRATION PROTECTION (SPECIFY TYPE):
Not required
VENTlLA nON I LOCAL EXHAUST I X I
I MECHANICAL (GENERAL) I X I
PROTECTIVE GLOVES: _I EYE PROTECTION:
Rubber gloves Chemical eye goggles
OTHER PROTECTIVE EQUIPMENT:
Eye-wash station, work clothes, and rubber boots
SECTION IX SPECIAL PRECAUTIONS
PRECAUTIONS TO BE TAKEN IN HANDLING AND STORING:
Store at room temperature. Avoid all skin and eye contact. Keep the container closed when it is not
in use.
OTHER PRECAUTIONS:
Keep out of reach of children. Figure E-l. Sample A MSDS (continued)

E-3

EN 0562

Material Safety Data Sheet U.S. Department of Labor
May be used to comply with Occupational Safety and Health Administration
OSHA's Hazard Communication Standard, (Non mandatory Form)
29 CFR 1910.1200. Standard must be Form Approved
consulted for specific requirements. Number 121 8-0072
IDENTITY (As Used on label and List) 100-248 SP Note: Blank spaces are not permitted. If any item is
Black, external, camouflage, latex-based, flat not applicable or no information is available, the space
must be marked to indicate that.
Section J
Manufacturer's Name Emergency Telephone Number
Painters, Incorporated (314) 555-0318
Address (Number, Street, City, State, and Zip coos) Telephone Number for Information
16600 Trenton (314) 555-6000
SI. Louis, Missouri 63132 Date Prepared
5 July, 1989
Signature of Preparer (optional)
Section Il-ttazardous IngredientsJIdentify Inforrnation
OtherUmits
Hazardous components (specific chemical identity: CO!!!!.non name(s)) OSHA PEL ACGIH TtV Recommended 010 (optional)
CAS Number 107-21-1 Ethylene glycol 50

- L.
--,,~
... VV
'-,,~
.A ~:-.
~ ..

Section "I--Physical/Chemical cnaractertsucs
Boiling Point 387"F Specific Gravity (H,O = 1) 1.1155
Vapor Pressure (mm Hg) 0.05 Melting Point NA
Vapor Density (AIR = 1) 2.2 Evaporation Rate Nil
(Butyl acetate = 1)
Solubility in Water
Complete
Appearance and Odor
Clear, colorless, mobile, syrupy liquid with faint odor
Section IV~lre- and Explosive-Hazard Data
Flash Point (Method Used) Flammable I LEL I UEL
Tag-closed cup 232°F Limits 3.2% 15.3%
Extinguishing Media
(1) Dry chemical, (21 CO, ,and(3) Foam
Special Fire-Fighting Procedures
A straight stream of water will spread the fire.

Unusual Fire and Explosion Hazards A vapor accumulation will flash andlor explode if ignited. Containers
may burst explosively if overheated in fire. Cool with water, spray. or foam. EmpJy containers also
present a fire and explosive hazard due to residual vapors.
(Reproduce locally) OSHA 174 Sept. 1985 Figure E-2. Sample B MSDS

EN 0562

E-4

Section V-fleactlvlty Data
Stability I Unstable J I Conditions to avoid
I Stable Ix I Heat, sparks, and o_Q_en flame
Incompatibility (Materials to Avoid)
Strong-oxidizing agents
Hazardous Decomposition or Byproducts
NA
Hazardous I May occur I I Conditions to avoid
Polymerization I Will not occur Ix I NA
Section V-Health-Hazard Data
Route(s) of Entry: Inhalation? Skin? Ingestion?
X X X
Health Hazards (Acute and Chronic) Inhalation: Vapors may be irritating to nose, throat, and respiratory
tract. High vapor concentration may cause central nervous system (CNS) depression.
Skin: Liquid is slightly irritating to the skin. Prolonged or repeated contact can result in defatting and
frying of the skin, which may result in skin irritation and dermatosis.
Ingestion: Ingestion of product may result in vomiting. Aspiration (breathing) of vomitus into the lungs
must be avoided as even small quantities ma_y result in aspiration pneumonitis.

Carcinogenicity: NTP? IARC Monographs? OSHA Regulated?
NA NA NA NA
Signs and Symptoms of Exposure Irritation as noted above. Early to moderate CNS. Depression may be
evidenced by giddiness, headache, dizziness, and nausea. In extreme cases, unconsciousness or
death may occur. Aspiration pneumonitis may be evidenced by coughing, labored breathing, and
cyanosis (bluish skin). In severe cases, death may occur.
Medical Conditions Generally Aggravated by Exposure
Preexisting eye, skin, and respirato_ry disorders may be aggravated by eXRosure to this _product.
Emergency and First-Aid Procedures Please see attached.
Section VII-Precautlons for Safe Handling and Use
Steps to be Taken in Case Material Is Released or Spilled
Remove all sources of ignilion. Provide adequate ventilation. Avoid breathing vapors. Shut off source
of spill if it can be done safely. Use nonsparking tools. Absorb on absorbant material.
Waste Disposal Method
Incinerate in accordance with pollution-control regulations, or use other methods for disposal which
are in cornpliance with federal, state, and local regulations.
PrecauUons to be Taken in Handling and Storing
Store in original, tightly closed container in a cool, dry place that is away from all sources of ignition.
Other Precautions
NA
Section VIII--Control Measures
Respiratory Protection (Specify Type) Use air-supplied or self-contained breathing apparatus in areas of
high vapor concentrations.
Ventilation Local Exhaust As required to keep vapor Special
Explosion- concentrations below the TL V (see Section II). NA
proofed Mechanical (General) Other
NA NA
Protective Gloves I Eye Protection
Recommended Chemical and/or vapor-proof safety goggles
Other Protective Clothing or Equipment
As required to avoid wetting clothing and skin
Wor1<lHygienic Practices
Avoid contact where possible. Figure E-2. Sample B MSDS (continued)

E-5

EN 0562

7429·90·5 7440·47·3 7440·48·4 107·21·1 7439-96·5 78·93·3 108·10-1 85-44·9 108-05·4 1330·20·7

Aluminum (Iume or dust) Chromium

Cobalt

Ethylene glycol Manganese

MEK

MIBK

Phthalic anhydride Vinyl acetate

Xylene (mixed isomers)

1.0 0.1 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0

PAINTERS, INCORPORATED

16600 TRENTON

ST LOUIS, MISSOURI 63132 (314) 555-6000

MATERIAL SAFETY DATA SHEET ADDENDUM SARA TITLE III

SECTION 313 SUPPLIER NOTIFICATION

The purpose of this MSDS addendum is to identity ingredients in this product that are toxic chemicals and are subject to the reporting requirements of Section 313 of the Emergency Planning and Community Rightto-Know Act of 1986 and of 40 CFR 372. We, as a supplier, are required to report this information to you on an annual basis with your first order of each product for each year.

Provided in Section If.-:±Iazardous Ingredients of this MSDS are the hazardous ingredients in this product, identified by name, and percent by weight. Listed below, in order of CAS number, are raw materials in all of our products that are designated by Section 313 as toxic chemicals.

In order to identity the toxic chemicals in this product, please refer to each ingredient in Section II of the MSDS. If a match occurs between an ingredient in Section II of the MSDS and a material on the list, that ingredient is a Section 313 reportable tox'c chemical.

NOTE: This addendum Is an Integral part of this product MSOS and must remain attached. This addendum must be Included In any copying or redistribution of this MSOS.

CAS NUMBER

CHEMICAL NAME

CONCENTRATION

Emergency and First-Aid Procedures

Skin contact: Remove contaminated clothing/shoes. Flush skin with water. Follow by washing with soap and water. If irritation occurs, get medical attention. Do not reuse clothing until cleaned.

Inhalation: Remove victim to fresh air and provide oxygen if breathing is difficult. Give artificial respiration If not breathing. Get medical attention.

Ingestion: Do not induce vomiting. If vomiting occurs spontaneously, keep head below hips to prevent aspiration of liquid into lungs. Get medical attention:

Note to physician:

'If more than 2.0 ml per kg has been ingested and vomiting has not occurred, emesis should be Induced with supervision. Keep victim's head below hips to prevent aspiration. If symptoms such as loss of gas reflex, convulsions, or unconsciousness occur before emesis, gastric lavage using a cuffed, endotracheal tube should be considered.

Figure E-2. Sample B MSDS (continued)

EN 0562

E-6

·U.S. Government Printing Office: 2000 - 528-075/20340

You might also like