Health & Safety Data Sheet Compliance Form

Product Identification

Product Name

[Acme Chemical]

Manufacturer/Supplier

Emergency Contact

Hazard Identification

Hazard Classification

Flammable, Toxic

Hazard Symbols

Signal Word

Precautionary Statements

Composition and Ingredients

Chemical Name

Methanol

CAS Number

Percentage Composition

First Aid Measures

Inhalation

Move to fresh air. If breathing difficulties persist, seek medical attention.

Skin Contact

Eye Contact

Ingestion

Fire-Fighting Measures

Suitable Extinguishing Media

Use water spray, foam, dry chemical, or carbon dioxide.

Firefighting Instructions

Unusual Fire and Explosion Hazards

Accidental Release Measures

Personal Precautions

Evacuate the area. Wear protective clothing and equipment.

Environmental Precautions

Cleanup Procedures