Safety Data Sheet Compliance

WHMIS 2015

SAFETY DATA SHEET — 16 Sections

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

(specify

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)