Please contact Environmental Services at 702-799-0990 or email us at

environmentalservices@interact.ccsd.net for assistance.

An inventory of the hazardous materials and chemicals present at the school/facility is a requirement of the Federal
Hazard Communication Standard. It is the Clark County School District’s (CCSD’s) policy to inform all employees of the
hazards associated with the materials that they use on the job. The inventory is the first step to record what chemicals are
used by employees in school science, vocational, and art classrooms; the nurse’s, custodian’s and the front offices; the
transportation, grounds, and warehouse offices, operation and maintenance areas, and construction sites. The inventory is
also the second step to verify a Safety Data Sheet is available for all of the chemicals on the current inventory. These
instructions are for completing these two steps using a spreadsheet and assumes that you have a basic knowledge of Excel.

On the inventory spreadsheet for each school/facility area, type the facility name and location code, room type (classroom,
office, graphic arts area, etc.) and the room number, date that the inventory is completed, product name (including the
catalogue numbers for darkroom items), the manufacturer’s address and phone number (if present on the container), the
physical state of the item (<S>olid, <L>iquid, <G>as, <A>ersol), maximum amount on-hand, container type and size, and
storage location for every hazardous material and chemical on site.

DO NOT put more than one room/area per inventory form.

DO NOT put case lots as quantities.

See below for specific instructions on how to fill out each column on the spreadsheet;
a.     FACILITY NAME, LOCATION CODE, and ROOM NUMBER: In Page Layout View, enter the school/facility
name, the school/facility location code, and the room number for the chemicals/hazardous materials on the inventory
form. DO NOT interchange the facility location code and room number. They are not the same entries. Only use one
inventory form per room/area. Four inventory spreadsheets have been created for this purpose. Right-click on the
"Inventory Spreadsheet" tab (bottom of the workbook) and select Move or Copy... to create more copies for each
room/area.

b.     PRODUCT or CHEMICAL NAME and Number: Enter the product or chemical name and number exactly as printed
on the label. Graphic Arts and darkroom chemicals/products MUST INCLUDE PRODUCT NUMBERS.

c.     MANUFACTURER: Enter manufacturer’s name and address. A phone number will be accepted in place of an
address. You may use more than one line to enter the name and address per product or chemical, if necessary.

d.     PHYSICAL STATE: Indicate the physical state - (S)olid, (L)iquid, (G)as, or (A)erosol.

e.      MAXIMUM AMOUNT (Quantity) ON HAND: Enter the maximum amount (quantity) you might have on site at
any time during the year. Case lots ARE NOT acceptable.

f.       CONTAINER: Enter the container type (glass, can, plastic, etc.) and size (gallon, quart, oz, etc).

g.      STORAGE LOCATION: Indicate where the product is stored; ie: acid cabinet, flammable cabinet, closet room
number, etc. (if applicable).

h.     SAFETY DATA SHEET (SDS): If you have a Safety Data Sheet (SDS) (formerly Material Safety Data Sheet
(MSDS)) for the chemical, put a Y (for Yes) in the “SDS Available?” column. Each CCSD facility is required to maintain
available copies of the required SDS for each chemical approved for use by CCSD employees. These are historically
found in the HAZCOM binder in the front office AND where the chemicals are used (i.e., science chemical storage area,
head custodial office). Please add/remove SDS to match your current inventory entered on the spreadsheet.
To obtain a SDS for any chemical that has been inventoried in CHIMERA, copy and past the following link -
https://rms.unlv.edu/msds/ - and type in the name or part number. No username or password is required to find SDS on
CHIMERA, but access to CHIMERA is only available from a computer located on a CCSD campus. For CHIMERA
website support, send an email to chimera@interact.ccsd.net.

i.       DO NOT TYPE ANYTHING IN THE COLUMN MARKED “HAZMAT OFFICE ONLY”.

How to Certify a Completed Inventory

Once the inventory is complete, the school/facility administrator or his/her designee MUST check the inventory for
completeness and accuracy since he/she is responsiblefor maintaining and updating the inventory of all the chemical
product onsite. The inspection should include 1) all chemicals are included in the inventory and does NOT include
chemicals that are no longer present onsite, 2) there is an SDS for every chemical in the inventory, and 3) no prohibited
chemicals are included. Then, cut and paste the inventory certification letter (under the Certification Letter Template tab)
onto facility letterhead, fill out, sign and include in your inventory submittal.

Where to Send Completed Inventories

Before sending your completed inventory, add your name under File/Properites/Add Author. Add additional names if they
completed inventories for other areas of the school. For example, add the custodian's name who inventoried the cleaning
chemicals and products. Then, save the file.

Once the authors' names have been added, print completed inventories and the signed certification letter and place in the
HAZCOM binder in the front office.Send this spreadsheet and the signed certification letter to
environmentalservices@interact.ccsd.net by the second Friday of December.
a.
Facility Name and Locaction Code:
Room Type and No.
Use one form per room
Hazardous Materials and Chemical Inventory Form

Physical Max Safety Data

Manufacturer Name State Amount Container Sheet Available HAZMAT
Product/Chemical Name /Address Chemical/Product Number <*> On Hand Type Size Storage Location Y/N USE ONLY

506309170.xlsx Prepared by (add your name under File/Properties/Add Author) 01/19/2021 Page 5
Facility Name and Locaction Code:
Room Type and No.
Use one form per room
Hazardous Materials and Chemical Inventory Form

Physical Max Safety Data

Manufacturer Name State Amount Container Sheet Available HAZMAT
Product/Chemical Name /Address Chemical/Product Number <*> On Hand Type Size Storage Location Y/N USE ONLY

506309170.xlsx Prepared by (add your name under File/Properties/Add Author) 01/19/2021 Page 6
Facility Name and Locaction Code:
Room Type and No.
Use one form per room
Hazardous Materials and Chemical Inventory Form

Physical Max Safety Data

Manufacturer Name State Amount Container Sheet Available HAZMAT
Product/Chemical Name /Address Chemical/Product Number <*> On Hand Type Size Storage Location Y/N USE ONLY

506309170.xlsx Prepared by (add your name under File/Properties/Add Author) 01/19/2021 Page 7
Facility Name and Locaction Code:
Room Type and No.
Use one form per room
Hazardous Materials and Chemical Inventory Form

Physical Max Safety Data

Manufacturer Name State Amount Container Sheet Available HAZMAT
Product/Chemical Name /Address Chemical/Product Number <*> On Hand Type Size Storage Location Y/N USE ONLY

506309170.xlsx Prepared by (add your name under File/Properties/Add Author) 01/19/2021 Page 8
Facility Name and Locaction Code:
Room Type and No.
Use one form per room
Hazardous Materials and Chemical Inventory Form

Physical Max Safety Data

Manufacturer Name State Amount Container Sheet Available HAZMAT
Product/Chemical Name /Address Chemical/Product Number <*> On Hand Type Size Storage Location Y/N USE ONLY

506309170.xlsx Prepared by (add your name under File/Properties/Add Author) 01/19/2021 Page 9
Facility Name and Locaction Code:
Room Type and No.
Use one form per room
Hazardous Materials and Chemical Inventory Form

Physical Max Safety Data

Manufacturer Name State Amount Container Sheet Available HAZMAT
Product/Chemical Name /Address Chemical/Product Number <*> On Hand Type Size Storage Location Y/N USE ONLY

506309170.xlsx Prepared by (add your name under File/Properties/Add Author) 01/19/2021 Page 10
Facility Name and Locaction Code:
Room Type and No.
Use one form per room
Hazardous Materials and Chemical Inventory Form

Physical Max Safety Data

Manufacturer Name State Amount Container Sheet Available HAZMAT
Product/Chemical Name /Address Chemical/Product Number <*> On Hand Type Size Storage Location Y/N USE ONLY

506309170.xlsx Prepared by (add your name under File/Properties/Add Author) 01/19/2021 Page 11
Facility Name and Locaction Code:
Room Type and No.
Use one form per room
Hazardous Materials and Chemical Inventory Form

Physical Max Safety Data

Manufacturer Name State Amount Container Sheet Available HAZMAT
Product/Chemical Name /Address Chemical/Product Number <*> On Hand Type Size Storage Location Y/N USE ONLY

506309170.xlsx Prepared by (add your name under File/Properties/Add Author) 01/19/2021 Page 12
Facility Name and Locaction Code:
Room Type and No.
Use one form per room
Hazardous Materials and Chemical Inventory Form

Physical Max Safety Data

Manufacturer Name State Amount Container Sheet Available HAZMAT
Product/Chemical Name /Address Chemical/Product Number <*> On Hand Type Size Storage Location Y/N USE ONLY

506309170.xlsx Prepared by (add your name under File/Properties/Add Author) 01/19/2021 Page 13
Facility Name and Locaction Code:
Room Type and No.
Use one form per room
Hazardous Materials and Chemical Inventory Form

Physical Max Safety Data

Manufacturer Name State Amount Container Sheet Available HAZMAT
Product/Chemical Name /Address Chemical/Product Number <*> On Hand Type Size Storage Location Y/N USE ONLY

506309170.xlsx Prepared by (add your name under File/Properties/Add Author) 01/19/2021 Page 14
Facility Name and Locaction Code:
Room Type and No.
Use one form per room
Hazardous Materials and Chemical Inventory Form

Physical Max Safety Data

Manufacturer Name State Amount Container Sheet Available HAZMAT
Product/Chemical Name /Address Chemical/Product Number <*> On Hand Type Size Storage Location Y/N USE ONLY

506309170.xlsx Prepared by (add your name under File/Properties/Add Author) 01/19/2021 Page 15
Facility Name and Locaction Code:
Room Type and No.
Use one form per room
Hazardous Materials and Chemical Inventory Form

Physical Max Safety Data

Manufacturer Name State Amount Container Sheet Available HAZMAT
Product/Chemical Name /Address Chemical/Product Number <*> On Hand Type Size Storage Location Y/N USE ONLY

506309170.xlsx Prepared by (add your name under File/Properties/Add Author) 01/19/2021 Page 16
To: Risk and Environmental Services Department

From: (Facility Administrator Name or Responsible Designee’s Name)

Re: School/Facility Number of Occupants

Emergency Coordinator Contact Information
Inventory Certification

In 2017/2018, the number of occupants at our school/facility is estimated to be __(enter

number of occupants)__.

Our Emergency Coordinator contact information is given below.

Name: __________________________________
Title: __________________________________
Phone: __________________________________
Email: __________________________________

As the responsible person for the preparation of the attached inventory, I certify
that the inventory is complete and accurate to the best of my knowledge and
includes all the chemical products and their respective Safety Data Sheets
available onsite, there are no prohibited chemicals include in the inventory, and
that I have checked that the following required information has been included:

n  Product name – Catalogue numbers are included for products in the Graphic Arts/Darkrooms.

n  Manufacturers address and phone number present

n  Physical state (<S>olid, <L>iquid, <G>as, <A>erosol) information is present

n  Container type and size present

__________________________ _____________
Facility Name Location Code

____________________________________ _________
Facility Administrator OR Designee Signature Date

______________ ____________
Phone No. Extension No.