EXPOSURE SCENARIO REPORT www.alcumusgroup.

com
ID#: 2523287 User making request: Hisham Oliviere-Mohammed

Fax: Phone:

Email: hisham.oliviere-mohammed@bg- Date Created: 03/08/2015

group.com
Date Assessment Reviewed 03/08/2015 Next Review Date: 03/08/2020

Material Code: 128848 Tradename: CRYSTAL SIMPLE GREEN INDUSTRIAL

CLEANER/
Supplier Code: 13362 Supplier: SUNSHINE MAKERS, INC.

Supplier Phone: 800-228-0709 IMC:

Keyword: Cleaner Frequency of use: Weekly

Approximately how much of the material is How many people are directly exposed?: 1
used by one person in one working day: 1/2 Gallon

Are any other people put at risk from No How are they exposed?: Skin Contact
indirect exposure?:
Are there any susceptible workers?: No Susceptible Categories:

Other info: Is this material being used outside of the

normal temperature range?: No
Additional work practices: Use of PPE,

Existing Control measures: PPE, PTW/RA

Exp Limit 2-butoxyethanol 123mg/m3 8hTWA 246mg/m3 15mSTEL WEL

Notes

Files Uploaded
File Name

Activities
Act No. Method Area Exposure
5 Spraying (Trigger Bottle) Outside 2 to 4 hours per shift

Work Area
Work Area Code Sub Area Code
010

Safer Substitute Chosen X Reason for leaving/swapping material

COSHH SUMMARY SHEET www.alcumusgroup.com
FACILITY HIBISCUS MAIN 010 SUB 128848

MATERIAL/PROCESS HEALTH HAZARDS

Not classified as hazardous under the CLP regulations (EC/1272/2008) CONSIDERATIONS
CRYSTAL SIMPLE GREEN INDUSTRIAL CLEANER/ May cause ill health if ingested in quantity
May cause eye irritation
LOW HAZARD Skin - irritation and dermatitis may result from prolonged contact

LIQUID

SUPPLIER SUNSHINE MAKERS, INC.

KEYWORD Cleaner
CONTENTS
2-butoxyethanol 5.99%,

SIGNAL WORD NONE

EXP LIMIT 2-butoxyethanol 123mg/m3 8hTWA
246mg/m3 15mSTEL WEL

METHOD Spraying (Trigger Bottle)
CONTROL MEASURES
AREA Outside EXPOSURE TIME 2 to 4 hours per shift SPILLAGE
Ventilate area
LOW RISK - FULL EXPOSURE Wear polythene or nitrile gloves
Wear eye protection if contact likely
LOW RISK - INDIVIDUAL ACTIVITY Wear respiratory protection for large spills in poorly ventilated areas
Wear protective overalls and footwear for large spillages
Absorb in sand or inert absorbent material
Small spills - wipe up with cloth
Collect into a container, close lid
Dispose or recycle of spillages in a controlled manner

AVOID SKIN POLYTHENE OR IF CONTACT AND LEV OR FILTER TYPE P2

FIRST AID
CONTACT NITRILE LIKELY
Inhalation - remove to fresh air; get immediate medical attention after significant exposure or if feeling ill
Ingestion - do not induce vomiting, wash out mouth with water
If feeling unwell consult your doctor immediately
Eye - irrigate with water until irritation subsides
Skin - wash with soap/cleanser and rinse with water
If irritation persists then consult a doctor

WASH AFTER IF HEAVILY CLOSE ALL CONTROLLED

EXPOSURE SOILED CONTAINERS STORE /WASTE
FIRE
Isolated small scale fire:
Large fire: evacuate area, call fire brigade or follow site procedure
Wear self-contained breathing apparatus and protective clothing

ACTIVITY COMMENTS
This assessment was compiled by Alcumus Sypol
Limited from supplier's safety data sheets where
appropriate. Safety in the use of assessments is the
responsibility of the subscriber. For advice call the
helpdesk on 01296 678464 Printed 17/03/2018

DATE ASSESSMENT REVIEWED 03/08/2015 LATEST SAFETY DATA SHEET REFERENCE 03/2009
WORKER REFERENCE SHEET www.alcumusgroup.com
FACILITY HIBISCUS MAIN 010 SUB 128848

MATERIAL/PROCESS
LOW HAZARD
CRYSTAL SIMPLE GREEN INDUSTRIAL CLEANER/ LIQUID
SUPPLIER SUNSHINE MAKERS, INC.
KEYWORD Cleaner
SIGNAL WORD NONE

METHOD Spraying (Trigger Bottle) AREA Outside EXPOSURE TIME 2 to 4 hours per shift ACTIVITY COMMENTS

LOW RISK - FULL EXPOSURE

CONTROL MEASURES LOW RISK - INDIVIDUAL ACTIVITY

AVOID SKIN POLYTHENE OR IF CONTACT LIKELY AND LEV OR FILTER TYPE P2 WASH AFTER IF HEAVILY SOILED CLOSE ALL
CONTACT NITRILE EXPOSURE CONTAINERS

CONTROLLED
STORE /WASTE

HEALTH HAZARDS
Not classified as hazardous under the CLP regulations (EC/1272/2008)
May cause ill health if ingested in quantity
May cause eye irritation
Skin - irritation and dermatitis may result from prolonged contact

This worker sheet was compiled by Alcumus Sypol

Limited from the full COSHH assessment. Refer to the
full assessment for further information regarding all
aspects of safe use. For advice call the helpdesk on
01296 678464 Printed 17/03/2018

DATE ASSESSMENT REVIEWED 03/08/2015 LATEST SAFETY DATA SHEET REFERENCE 03/2009
COSHH CONTROL SHEET www.alcumusgroup.com

REQUEST DETAILS #ID: 2523287 User making request: Hisham Oliviere-Mohammed

MATERIAL DETAILS Material Code: 128848 LOW UNCONTROLLED RISK

Tradename: CRYSTAL SIMPLE GREEN INDUSTRIAL CLEANER/ LOW CONTROLLED RISK

IMC: Supplier: SUNSHINE MAKERS, INC.

ACTIVITY DETAILS
Act No. Method Area Exposure
5 Spraying (Trigger Bottle) Outside 2 to 4 hours per shift

SCENARIO DETAILS Additional work practices: Use of PPE,

Approximately how much of the material is How many people are

1/2 Gallon Frequency of use: Weekly 1
used by one person in one working day: directly exposed?:

Are any other people put at risk from indirect

No How are they exposed?: Skin Contact
exposure?:
Are there any susceptible workers?: No Susceptible Categories:

WORK AREA
Work Area Code Sub Area Code
010

CONSIDERATIONS Answer

Have you implemented the use of the engineering controls before resorting to the use of RPE? YES
Considered requisite under this exposure scenario

Are all personnel provided with necessary RPE, suitably trained in its correct use, maintenance, and storage and been fit tested where required? NO
Considered requisite under this exposure scenario

All actions to be taken in the event of an emergency have been considered YES