SECTION B:LIST OF CHEMICALS HAZARDOUS TO HEALTH

Location: Milling No. of Hazardous Chemical:

Process
Operation: Milling
N. of Worker :

Physical
No of
Form
Product Name Name of Chemical Worker
of
Exposed
Chemical

L
L

PREPARED BY:

Name:
Title:
Date:
Signature
 2

Male: 29
Female: 0

Type of Control Measures Usage Of Chemical

CAS No

Engineering
PPE Type Quantity
control

E
Lubricant
Glove

E
Lubricant
Glove

REVIEWED BY:

Name:
Title:
Date:
 Comply with Classification,Labeling
Name of Active Ingredients and Safety Data Sheet (CLASS 2013)
Regulation
SDS Label
Class
(Y/N) (Y/N)
H315
Y H318 Y
H412

Y N/A Y

Y N/A Y
Y N/A Y

- Y N/A Y

Signature
Name ,Address of Supplier and Contact, Number(Tel.No/email)