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
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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
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