NB151010-16-02783_v6_11-28-2016_ATTACHMENT_B.doc
DOC document 109 KB Posted
- Attached to
- SAFETY DATA SHEET (SDS) AUTHORING SERVICES
- Solicitation number
- SB1341-17-RQ-0074
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SDS AUTHORING SERVICES ATTACHMENT B SAFETY DATA SHEET AUTHORING REQUEST
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| File | Type | Posted |
|---|---|---|
| SDS_AUTHORING_11-28-2016.doc | DOC document | |
| NB151010-16-02783_v7_11-28-16_SDS_AUTHORING.doc | DOC document |
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Request for Safety Data Sheet Preparation – Prepared by NIST OU Representative
ATTACHMENT B
SAFETY DATA SHEET AUTHORING REQUEST
(Prepared by Product Owner)
Requestor Information
Requested by:
Date:
OU/Division Number:
Why is an SDS being generated?
(New Product, Change to Existing Product’s Formulation, or Change to Existing Product’s Information)
Do you require a shipped container label?
Delivery Schedule: standard (12 business days) or rush (4 business days):
Product Information
Product Name/Identifier to Appear on SDS (Include ®/™ when appropriate):
Does the product as a whole have an assigned CAS#? If so, what is it?
Synonyms (e.g. common names, trade names):
Product Use (R&D only?) and intended users:
Name, Address and telephone numbers of the chemical manufacturer, importer, or other responsible party
Other Information:
For products that are mixtures, list all constituent substances and mole/weight percentage or amount, Constituent Substance Names
| Substance Synonym or common name |
| Trade Secret (Yes or No) |
| Substance CAS Number |
| Substance Concentration (Mole/Weight percentage) |
| Impurities or additives that may contribute to the product’s hazards |
Any Available Physical Data for the Product
Physical State (solid, liquid, or gas)
Appearance (e.g., color, transparency, etc.)
Odor
Odor threshold pH
Melting point/freezing point
Initial boiling point and boiling range
Flash point
Evaporation rate
Flammability (solid, gas)
Upper/lower flammability or explosive limits
Vapor pressure
Vapor density
Relative density
Solubility(s)
Partition coefficient: n-octanol/water
Auto-ignition temperature
Decomposition temperature
Viscosity
Chemical Formula
Chemical Formula Weight
Miscibility
Fat Solubility
Conductivity
Volatile Organic Compounds (VOCs)
Explosive
Oxidizing
Any Available Stability/Reactivity Information for the Product
Reactivity
Chemical stability
Possibility of hazardous reactions
Conditions to avoid (e.g., static discharge, shock, or vibration)
Incompatible materials
Hazardous decomposition products
Any available handling/storage information for the Product
Precautions for safe handling
Conditions for safe storage, including any incompatibilities
Accidental Release Measures (Containment/Clean-up/Evacuation):
Is Product considered Hazardous Waste?
Is Product regulated as a Dangerous Good or Controlled Substance?
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