Laboratory Spill Response Report
Date
Time
Location
Person(s) Involved
Chemical(s) Spilled
Amount (Approximate)
Description of Spill
Cause of Spill
Immediate Actions Taken
Cleanup Procedures
Personal Protective Equipment Used
Was Anyone Exposed or Injured?
Yes
No
If Yes, Describe Exposure/Injury and Actions Taken
Reported To (Name/Title)
Additional Comments/Observations