Chemical Risk Assessment Form This form follows international chemical safety and risk assessment best practices. It is designed for use in laboratories, manufacturing, healthcare, and other industrial settings where hazardous substances are handled. Date: Assessment done by: Site Location: Name of Chemical CAS Number State Used for Frequency of Use SDS Available Chemical Information Pg: 01 Powered by Gas Yes No Liquid Solid Hazard Symbol Hazard Information GHS01: Explosive GHS02: Flammable GHS03: Oxidizer GHS04: Gas under pressure GHS05: Corrosive GHS06: Acute Toxicity GHS07: Harmful GHS08: Health Hazard GHS09: Environmental Hazard