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Chemical Hazard Assessment Form

Chemical Hazard Assessment Form Template for Malaysia

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Key Requirements PROMPT example:

Chemical Hazard Assessment Form

"I need a Chemical Hazard Assessment Form for our new semiconductor manufacturing facility in Penang, focusing on the use of hydrofluoric acid in our etching processes, with implementation planned for March 2025 and particular emphasis on ventilation control measures."

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Document background
The Chemical Hazard Assessment Form is a crucial document required by Malaysian law under the jurisdiction of the Department of Occupational Safety and Health (DOSH). This form must be completed whenever new chemicals are introduced to the workplace, when existing processes involving chemicals are modified, or during periodic reviews of chemical handling procedures. It aligns with the Occupational Safety and Health Act 1994 and the Use and Standards of Exposure of Chemicals Hazardous to Health Regulations 2000. The assessment includes comprehensive evaluation of chemical hazards, exposure risks, control measures, and emergency procedures, serving as both a compliance document and a practical tool for workplace safety management.
Suggested Sections

1. Assessment Information: Basic details including date of assessment, assessor name, department/location, and reference number

2. Chemical Information: Details of the chemical being assessed including name, CAS number, manufacturer, physical state, and GHS classification

3. Process Description: Detailed description of how the chemical is used, including quantity, frequency, and duration of exposure

4. Hazard Identification: Comprehensive list of identified hazards based on SDS and GHS classification

5. Exposure Assessment: Evaluation of exposure routes, exposure levels, and number of workers exposed

6. Current Control Measures: Documentation of existing engineering controls, administrative controls, and PPE

7. Risk Assessment: Risk level determination using risk matrix considering severity and likelihood

8. Recommended Control Measures: Proposed additional control measures to reduce risks to acceptable levels

9. Action Plan: Timeline and responsibilities for implementing recommended control measures

10. Assessment Review: Review date and conditions requiring reassessment

Optional Sections

1. Emergency Response Procedures: Required when handling highly hazardous chemicals or where specific emergency protocols are needed

2. Health Surveillance Requirements: Include when chemical exposure requires specific medical monitoring of workers

3. Environmental Impact Assessment: Required when chemical usage may have significant environmental implications

4. Chemical Reaction Hazards: Include when chemical is used in reactions or may react with other substances

5. Storage Requirements: Detailed storage specifications when special storage conditions are required

Suggested Schedules

1. Schedule A: Risk Assessment Matrix: Standard risk matrix used for risk level determination

2. Schedule B: Exposure Limits Table: Applicable occupational exposure limits for the chemical

3. Schedule C: PPE Selection Guide: Guidelines for selecting appropriate personal protective equipment

4. Schedule D: Chemical Monitoring Results: Historical or current chemical exposure monitoring data

5. Schedule E: Safety Data Sheet: Current Safety Data Sheet for the chemical being assessed

6. Appendix 1: Reference Photographs: Photos of process, control measures, and potential exposure points

7. Appendix 2: Sampling Methods: Approved methods for chemical exposure monitoring

8. Appendix 3: Emergency Contact Information: List of emergency contacts and response procedures

Authors

Alex Denne

Head of Growth (Open Source Law) @ ¶¶Òõ¶ÌÊÓƵ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co
Relevant legal definitions






























Clauses




















Relevant Industries

Chemical Manufacturing

Pharmaceutical

Electronics Manufacturing

Oil and Gas

Research and Development

Agricultural Products

Textile Industry

Automotive Manufacturing

Paint and Coatings

Food Processing

Mining

Petrochemical

Laboratory Services

Industrial Cleaning

Waste Management

Relevant Teams

Health, Safety and Environment

Operations

Quality Assurance

Research and Development

Production

Facilities Management

Risk Management

Occupational Health

Emergency Response

Regulatory Compliance

Laboratory Operations

Process Engineering

Relevant Roles

Environmental Health and Safety Manager

Chemical Safety Officer

Industrial Hygienist

Process Safety Engineer

Laboratory Supervisor

Production Manager

Quality Control Manager

Risk Assessment Specialist

Occupational Health Nurse

Safety Compliance Officer

Chemical Process Engineer

Facilities Manager

Operations Director

Research Scientist

Manufacturing Supervisor

Industries






Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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