Environmental - Chemical Inventory EJM

• Facility

  Charlotte

  Houston

  Indianapolis

  Oklahoma City

  St. Louis

• Date

  Date

• Team Members

Chemical Inventory

• Product/chemical name (exactly as appears on product label)

• Manufacturer (do not provide the name of the distributor)

• Chemical state

  solid

  liquid

  powder

  compressed gas

• Is a product SDS immediately available onsite or online?

  Yes

  No

• Operation where chemical is used

  Process

  Maintenance

  Utilities

  Logistics

  Office

• Is product used in process equipment?

  Yes

  No

• Identify equipment

• Describe manner of use

• Identify manner of use

• Is the product used in equipment (e.g., placed in a fluid reservoir)?

  Yes

  No

• Identify equipment

• Identify manner of use

• Is the product/chemical used in utilities equipment?

  Yes

  No

• Identify equipment

• Describe manner of use

• Describe manner of use

  Yes

  No

  N/A

• Is product/chemical used in Logistics equipment?

  Yes

  No

• Identify equipment

• Describe manner of use

• Describe manner of use

• Purchase manner

  Containerized

  Bulk

  Other

• Describe 'Other"

• Storage method

  Manufacturer container

  Tank or reservoir

  Secondary container

  Compressed gas cylinder

• Is tank/reservoir labeled with product name and appropriate GHS hazard symbol?

  Yes

  No

• Is the secondary container labeled with the product name and appropriate GHS symbol?

  Yes

  No

• If in a container greater than 55 gallons, is a spill pallet used if the drum is active (i.e., opened, in use)?

  Yes

  No

• Are records maintained and available on annual amount purchased/used?

  Yes

  No

Signatory

• Team Lead

  Sign