Chemical Hazard Assessment Form

Chemical Hazard Assessment Form Template for United States

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Key Requirements PROMPT example:

"Need a Chemical Hazard Assessment Form for our new laboratory facility opening in March 2025, focusing specifically on handling volatile organic compounds and corrosive materials in a research environment with 20+ researchers."

Document background

The Chemical Hazard Assessment Form is a crucial workplace safety document required by U.S. federal regulations to identify, evaluate, and control chemical hazards in various work environments. This assessment is mandated by OSHA and EPA regulations to ensure proper handling of hazardous materials and worker protection. The form must be completed before introducing new chemicals into the workplace or when significant changes occur in chemical processes. It serves as a foundational document for hazard communication programs and helps organizations maintain compliance with federal and state safety requirements.

Suggested Sections

1. Chemical Identification: Name, CAS number, manufacturer details, and chemical composition

2. Physical and Chemical Properties: Physical state, boiling point, flash point, reactivity, etc.

3. Hazard Classification: GHS classification, hazard categories, and pictograms

4. Exposure Assessment: Routes of exposure, exposure limits, and potential health effects

5. Control Measures: Required engineering controls, PPE, and administrative controls

Optional Sections

1. Environmental Impact Assessment: Assessment of environmental hazards and required mitigation measures for chemicals with significant environmental concerns

2. Process-Specific Controls: Additional control measures specific to manufacturing processes when the chemical is used in production

3. Transportation Requirements: Special handling and transportation arrangements for hazardous chemicals requiring specific transport conditions

Suggested Schedules

1. Safety Data Sheet: Detailed chemical safety information from manufacturer

2. Emergency Response Procedures: Specific procedures for chemical spills or exposures

3. PPE Selection Guide: Detailed guidance on appropriate PPE selection

4. Exposure Monitoring Results: Historical exposure monitoring data and testing results

Authors

Alex Denne

Head of Growth (Open Source Law) @ ��Ƶ | 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

Health Hazard

Clauses

Relevant Industries

Chemical Manufacturing
Pharmaceuticals
Research Laboratories
Industrial Manufacturing
Healthcare

Relevant Teams

Environmental Health and Safety
Operations
Research and Development
Quality Control
Risk Management

Relevant Roles

Environmental Health and Safety Manager
Chemical Safety Officer
Industrial Hygienist
Laboratory Manager
Process Safety Engineer

Industries

OSHA Hazard Communication Standard: 29 CFR 1910.1200 - Requires proper labeling, safety data sheets, and employee training for hazardous chemicals in the workplace

OSHA Process Safety Management: 29 CFR 1910.119 - Regulations for preventing or minimizing the consequences of catastrophic releases of toxic, reactive, flammable, or explosive chemicals

Toxic Substances Control Act: EPA regulation governing the production, importation, use, and disposal of specific chemicals including record-keeping requirements

Resource Conservation and Recovery Act: EPA regulation for proper management of hazardous waste from cradle to grave, including storage, transportation, and disposal

Clean Air Act: EPA regulation controlling air emissions from stationary and mobile sources, including hazardous air pollutants

Clean Water Act: EPA regulation governing discharges of pollutants into water sources and quality standards for surface waters

NFPA 704: National Fire Protection Association standard that defines the fire diamond used to quickly identify the risks posed by hazardous materials

ANSI Standards: American National Standards Institute requirements for chemical safety, including workplace hazard assessment and PPE

State Environmental Regulations: State-specific requirements for chemical handling, storage, and disposal that may exceed federal standards

GHS: Globally Harmonized System of Classification and Labeling of Chemicals - International standard for chemical classification and communication of hazards

ISO Standards: International Organization for Standardization guidelines for chemical safety management systems and risk assessment

SDS Requirements: Detailed documentation requirements for Safety Data Sheets including composition, hazards, handling, storage, and emergency procedures

PPE Specifications: Requirements for Personal Protective Equipment selection, use, and maintenance when handling hazardous chemicals

Emergency Response Procedures: Required protocols for handling chemical emergencies, spills, leaks, and other incidents including evacuation plans

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Let's create your Chemical Hazard Assessment Form

Authors

Alex Denne

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