Material Safety Data Sheet	U.S. Department of Labor	
May be used to comply with OSHA’s Hazard Communication Standard, 29 CFR 1910 1200. Standard must be consulted for specific requirements.	Occupational Safety and Health Administration
(Non-Mandatory Form)
Form Approved
OMB No. 1218-0072	
IDENTITY (as Used on Label and List)	Note: Blank spaces are not permitted. If any item is not 
         applicable or no information is available, the space 
         must be marked to indicate that.	
Section I	
Manufacturer’s name	Emergency Telephone Number	
Address (Number, Street, City, State and ZIP Code)	Telephone Number for Information	
	Date Prepared	
	Signature of Preparer (optional)	
Section II—Hazardous Ingredients/Identity Information	
Hazardous Components (Specific Chemical Identity, Common Name(s)) 	
OSHA PEL	
ACGIH TLV	Other Limits Recommended	
% (optional)	

	

	

	

	
Section III—Physical/Chemical Characteristics	
Boiling Point		Specific Gravity (H20 = 1)		
Vapor Pressure (mm Hg)		Melting Point		
Vapor Density (AIR = 1)		Evaporation Rate (Butyl Acetate = 1)		
Solubility in Water	
Appearance and Odor	
Section IV—Fire and Explosion Hazard Data	
Flash Point (Method Used)	Flammable Limits	LEL	UEL	
Extinguishing Media	
Special Fire Fighting Procedures	
	
Unusual Fire and Explosion Hazards	
	
(Reproduce locally)										        OSHA 174 Sept. 1985	

Section V—Reactivity Data	
Stability	Unstable		Conditions to Avoid	
	Stable			
Incompatibility (Materials to Avoid)	
Hazardous Decomposition or Byproducts	
Hazardous 
Polymerization	May Occur		Conditions to Avoid	
	Will Not Occur			
Section VI—Health Hazard Data	
Route(s) of Entry	Inhalation?	Skin?	Ingestion?	
Health Hazards (Acute and Chronic)	

Carcinogenicity	NTP?	IARC Monographs?	OSHA Regulated?	
	
Signs and Symptoms of Exposure	
	
Medical Conditions 
Generally Aggravated by Exposure	
	
Emergency and First Aid Procedures	
	
Section VII—Precautions for Safe Handling and Use	
Steps to Be Taken in Case Material Is Released or Spilled	

Waste Disposal Method	
	
Precautions to Be Taken in Handling and Storing	
	
Other Precautions	
	
Section VII—Control Measures	
Respiratory Protection (Specify Type)	
Ventilation	Local Exhaust	Special	
	Mechanical (General)	Other	
Protective Gloves	Eye Protection	
Other Protective Clothing or Equipment	
Work/Hygienic Practices