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Safety Data Sheet Compliance

SECTION 1 - CHEMICAL PRODUCT AND COMPANY IDENTIFICATION

  • Product Identifier [WHMIS Classification]
  • Product Use
  • Manufacturer's Name Supplier's Name
  • Street Address Street Address
  • City Province City Province
  • Postal Code Emergency Telephone Postal Code Emergency Telephone
  • Date MSDS Prepared MSDS Prepared By Phone Number
  • species and route) (specify species)

SECTION 2 - HAZARDS IDENTIFICATION

  • Route of Entry
  • [Emergency Overview]
  • [WHMIS Symbols]
  • [Potential Health Effects]

SECTION 3 - COMPOSITION/INFORMATION ON INGREDIENTS

  • Hazardous Ingredients (specific) % CAS Number LD50 of Ingredient LC50 of Ingredient

SECTION 4 - FIRST AID MEASURES

  • Skin Contact
  • Eye Contact
  • Inhalation
  • Ingestion
  • ❐Skin Contact ❐Skin Absorption ❐Eye Contact ❐Inhalation ❐Ingestion
  • [ Optional, not required under WHMIS ]

SECTION 5 - FIRE FIGHTING MEASURES

  • Flammable If yes, under which conditions?
  • Means of Extinction
  • Flashpoint (-C) and Method Upper Flammable Limit (% by volume) Lower Flammable Limit (% by volume)
  • Autoignition Temperature (-C) Explosion Data - Sensitivity to Impact Explosion Data - Sensitivity to Static Discharge
  • Hazardous Combustion Products
  • [NFPA]

SECTION 6 - ACCIDENTAL RELEASE MEASURES

  • Leak and Spill Procedures

SECTION 7 - HANDLING AND STORAGE

  • Handling Procedures and Equipment
  • Storage Requirements

SECTION 8 - EXPOSURE CONTROL / PERSONAL PROTECTION

  • Exposure Limits
  • ❐ ACGIH TLV ❐ OSHA PEL ❐ Other (specify)
  • Specific Engineering Controls (such as ventilation, enclosed process)
  • Personal Protective Equipment
  • If checked, please specify type
  • ❐ Gloves ❐ Respirator ❐ Eye ❐ Footwear ❐ Clothing ❐ Other
  • - 2 - ❐Yes ❐No
  • [ Optional, not required under WHMIS ] Product Identifier

SECTION 9 � PHYSICAL AND CHEMICAL PROPERTIES

  • Physical State Odour and Appearance Odour Threshold (ppm)
  • Specific Gravity Vapour Density (air = 1) Vapour Pressure (mmHg)
  • Evaporation Rate Boiling Point (-C) Freezing Point (-C)
  • pH Coefficient of Water/Oil Distribution [Solubility in Water]
  • SECTION 10 - STABILITY AND REACTIVITY
  • Chemical Stability If no, under which conditions?
  • Incompatibility with Other Substances If yes, which ones?
  • Reactivity, and under what conditions?
  • Hazardous Decomposition Products

SECTION 11 - TOXICOLOGICAL INFORMATION

  • Effects of Acute Exposure
  • Effects of Chronic Exposure
  • Irritancy of Product
  • Skin Sensitization Respiratory Sensitization
  • Carcinogenicity - IARC Carcinogenicity - ACGIH
  • Reproductive Toxicity Teratogenicity
  • Embryotoxicity Mutagenicity
  • Name of Synergistic Products/Effects
  • Please continue on reverse side
  • ❐Yes ❐No
  • ❐Yes ❐No
  • - 3 -
  • [ Optional, not required under WHMIS ]
  • Product Identifier

SECTION 12 - ECOLOGICAL INFORMATION

  • [Aquatic Toxicity]

SECTION 13 - DISPOSAL CONSIDERATIONS

  • Waste Disposal

SECTION 14 - TRANSPORT INFORMATION

  • Special Shipping Information
  • PIN
  • TDG [DOT]
  • [IMO] [ICAO]

SECTION 15 - REGULATORY INFORMATION

  • [WHMIS Classification] [OSHA]
  • [SERA] [TSCA]
  • This product has been classified in accordance with the hazard criteria of the
  • Controlled Products Regulations (CPR) and the MSDS contains all of the information required by CPR.

SECTION 16 - OTHER INFORMATION

- 4 -

  • [ Optional, not required under WHMIS ] Product Identifier
  • SAMPLE FORMAT PROVIDED BY GREEN LIGHTS ENVIRONMENTAL SOLUTIONS Not intended for use.

LINKS:

Health Canada Safety Data Sheet Compliance

Hazardous Products Act

Hazardous Products Regulations (SOR2015-17)