Hazardous Substances Inventory Audit

• Document No.

• Conducted on

  Date

• Prepared by

• Personnel

Location Information

• Site

  Dunedin Hospital

  Wakari Hospital

  Southland Hospital

  Lakes Hospital

  Dunstan Hospital
• Building
  Address
• Room number or description
  Address

• Inventory
  

Hazardous Substance

• Name of product

• State

  solid

  liquid

  gas

• Size of container (kg, L)

• Total amount (kg, L)

• Location

• Photo

  Media

• Safety Data Sheet available

  yes

  no

• Location of Safety Data Sheet

• Special storage requirements

• HSNO Approval number and group standard or UN class and packing group.

• HSNO Classification

• Notes