Safety Indentification 2015

The Toughest Sign You'll Never Replace... Guaranteed!

HAZCOM - Custom Templates

238

CUSTOM TANK AND VESSEL ORDER FORM

CHEMICAL NAME:

C U S T O M T E M P L A

SELECT NUMBER/ ABBREVIATION:

FIRE

HEALTH

SIZE MATERIAL QUANTITY

FLASH POINT 4 - BELOW 70°F (FLAMMABLE) 3 - BELOW 100°F (FLAMMABLE) 2 - BELOW 200°F (COMBUSTIBLE) 1 - ABOVE 200°F (COMBUSTIBLE) 0 - WILL NOT BURN

4 - DEADLY 3 - EXTREMELY HAZARDOUS 2 - HAZARDOUS 1 - SLIGHTLY HAZARDOUS 0 - NORMAL MATERIAL

FIRE

#:

#:

HEALTH

INSTABILITY

ABV:

#:

SPECIFIC

SPECIFIC

INSTABILITY

ACID ALK COR

- ACID - ALKALI

4 - MAY DETONATE 3 - SHOCK AND HEAT MAY DETONATE 2 - VIOLENT CHEMICAL CHANGE 1 - UNSTABLE IF HEATED 0 - STABLE

CHECK OFF THE APPLICABLE GRAPHIC BOXES:

- CORROSIVE - OXIDIZER

OX W

- USE NOWATER - RADIATION HAZARD

PERSONAL PROTECTIVE EQUIPMENT:

T E

Chemical Goggles

Chemical Suit

Apron

Rubber Boots

Head Protection Ear Protection

Rubber Gloves

Dust Mask

S.C.B.A.

Eye Protection

Face Shield

Respirator

TARGET ORGANS:

FIRST AID EYES:

INGESTION:

INHALATION:

SKIN:

STATEMENTS

WARNING:

FIRE:

SPILL AND LEAK:

DOT CLASS:

DOT ID NO.:

CAS NO.:

EMERGENCY CONTACTS:

SPILL:

FIRE:

MEDICAL:

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