新增化学品评估表

1、精选优质文档-倾情为你奉上精选优质文档-倾情为你奉上专心-专注-专业专心-专注-专业精选优质文档-倾情为你奉上专心-专注-专业新增化学品评估表New Chemical Evaluation Form 新增化学品评估表To be completed by User/Applicant 使用/采购申请部门填写Dept Applicant 申请部门Name名称Synonym别名Formula分子式Physical State状态PhFlashpoint 闪点Ingredients 成分Content百分含量Quantity per year 年使用量Storage site储存地点Name of K

2、eeper 保管人Use Description 用途描述Will it generate a Hazardous Waste? 会不会产生危险废弃物？Yes No .Will it add a waste stream? 会不会产生废液？Yes No .Will this chemical ever touch product?这种化学品会不会接触到公司产品？Yes No .To be completed by Corporate EHS according to MSDS安全环境健康工程师根据安全技术说明书填写Does this chemical require any additiona

3、l PPE that is not currently used? 需不需要添置新的劳保用品Yes No . If so ，What is it？如果需要，是哪些劳保用品？goggles 护目镜 respirators 呼吸器 gloves手套 others其他 .Will it create a hazard to the skin or eyes? 对眼镜或皮肤有没有危害？Yes No .Does it require any special storage?需不需要专用储藏室？Yes No .Must it be stored at a specific temperature? 有没有

4、特殊的储藏温度要求？Yes No .Will this chemical react with itself (Hazardous Polymerization) or anything in the area? 会不会自身反应（危险的聚合反应）或与该区域的其他物品发生反应？ Yes No .If so what is the likelihood that these chemicals will come in contact with each other? 如果反应，有哪些情况会导致这种情况发生? High temperature 高温 Flame明火 Watery 潮湿 Vibrat

5、ion振动 Sock 冲击 Taboo substance 禁忌物品 Others其他 .Will it be used in a confined space ?会不会用到封闭空间？Yes No .Could it produce and IDLH (immediately dangerous to life and health) atmosphere？会不会产生急性中毒事件？Yes No .Will it require a flammable cabinet?需不需要易燃物储藏柜？Yes No .Do you need to purchase a spill kit for this

6、chemical? 需不需要采购一套专用取用工具？Yes No .Is secondary containment required? 需不需要备用防泄漏方案？Yes No . Does it require any special fire fighting equipment? 需不需要特殊的防火装备？Yes No .Can Water Treatment System treat the generated waste?污水处理厂能不能处理废液？Yes No .Is this a new chemical that need to notify to local government ？

7、该化学品需不需要报知当地政府？Yes No .Does it have any specific disposal concerns? 有没有指定的处置承包方？Yes No .If bulk quantities are involved have you ensured tanks have proper labels？如果有较大批量，是否能保证容器被正确标识？Yes No .Will the product increase or decrease potential VOC emissions from the plant? 这种产品是减少还是增加工厂潜在的挥发性有机化合物排放物？ Increase 增加 Decrease 减少 . Yes No .Category 类型：Hazardous chemical 危险化学品 CN No危险货物编号 Detailed description 具体描述： .Highly toxic chemical剧毒化学品 Chemical susceptible to change into drugs易制毒化学品 Supervised Chemical 监控化学品 . Timken forbidden che