Laboratory Chemical Handling Hazard Analysis Form
General Information
Project / Experiment Name
Prepared By
Date
Chemical Information
Chemical Name
CAS Number
Quantity
Physical State
Hazards
Hazard Identification
Description of Hazards
Control Measures
Engineering Controls
Personal Protective Equipment (PPE)
Safe Work Procedures
Emergency Procedures
First Aid Measures
Spill Response
Fire Response
Additional Notes / Approvals
Notes
Approved By
Approval Date