You can cross-check compliance at *OSHA 174
You can enter your MSDS data and customize and distribute copies of
it for workers, trainers, handlers, responders, etc.
1. Material Safety Data Sheets
You can record Material Safety Data with either of OSHEP or MSDSANSI StrongForms.
To view an example of a screen, click on *MSDS ANSI Screen. Use your browser's BACK function to return to this page.
/SW\ O S H A M S D S AND E P A , O S H E P, R e c o r d RECNO: 1
Date,TimeZ: 09/17/1994,12:12E Due: / / About: Enter same as for LaPS.
DB File:HAZBEN HRecord Nbr: 10.00 Previous: n/a SS File: MINISS Column-Row: B3
Prepared by: Dick Strong Position: Proprietor Telephone: 800-COSMIC-0 FAX-EMAIL: 800-COSMIC-0
Section 1 - Material Identification and Hazardous Component %: 33 MSDS #: 9999
Identification: HAZMAT A NIIN : 999999 CAS#: 99-999
Manufacturer: ABC MFG. Telephone: 999-999-9999 Part Number: 999-9999
Org'n. Address: HAZMAT DIV. Dept: SALES Receiving Manifest#: 9999
St.# Address: 999 MAIN ST City: ANYTOWN State: AA ZIP: 99999-9999
ACGIH TLV: 99 OSHA PEL: 99 Carcinogen Reference: NTP Physical Form: LIQUID
Section 2 - Physical / Chemical Characteristics:
Boiling Point : 555 Vapor Pressure: 5 Vapor Density: 5.5 Water Solubility: 5.0
Specific Gravity: 1 Water Reactive?: 0
Section 3 - Fire and Explosion Hazard Data:
Flash Point: 666 Method: Evaporation: 0 Method: AutoIgnitionTemperature: 777
Flammability Limits in Air: LowerExpLimit: 4 UpperExpLim: 9 ExtinguishingMedia: A
ExplosiveClass: na Type: Life Expires: 1996/04/11 Weight: 1000.00 Gage/Caliber: 0.000
Firefighting Procedures: Hydrocarbon Fire Procedure Velocity: 0
Firefighting Hazards: Flashover in confined spaces. FF PPE: SCBA
Section 4 - Stability: Stable?:y pH: 5.5 Incompatibilities: Avoid oxidizers
Decompos. Products: Soot, CO, CO2 Polymers: n/a
Section 5 - Health Hazard Data: Health Hazard: SEPSIS Route of Entry: EATING
Target Organ: STOMACH Required Training: Demo Required Examination: ANNUAL
Exposure - Amount; .1E-8 Frequency; 9 Duration; 3.00
Symptoms: chestpan Medical Conditions Aggravated: pleurosy First Aid: wash,CPR
Section 6 - Control Measures: P.P.E.: RESP,faceshd Ventilation: local Hygiene: soap/wat
Section 7 - Precautions: NFPA Class: 4 Disposal Process: Incinerator
Handling and Storage: Store cool ventilated Other: n/a
C. ENVIRONMENTAL PROTECTION 40 CFR 621/624 AND SARA DATA AND DOT DATA
Facility ID: XYZ Bldg 13 Temp.Storage Start Date: 09/09/1995
Quantity~Gals: 123 Lbs/Gal: 8.0 Nbr.Items: 55 Qty~Lbs: 984 ReEnter: 98456
Disposal Location/Point Source: HazWaste Site 4 Geo. Coords: N-S: 45.40 E-W; 78.90
Disposal Orgn: EDC EPA Code: EPA Permit#: 999 EPA Waste#: abc123
Requisition Document: abc Disposal Manifest: 123abc
DoT Name(s): hydrocarbon fuel DoT Class: tbd Date Shipped: 02/03/1996
Gen.Name: Dick Strong Tel: 800-COSMIC0 Org: Safety Analysis
Address: 7514 Belle Plaine Dr City: Huber Heights St: OH ZIP: 45424-3229
Emergency Telephone: 513-236-0361
You can view and report and printout the data in a way that is more easily readable for workers with MSDSGW:
Note: If you want to include additional data that is larger than the
fields provided in the database, then you can copy and paste the data to the
OSHEP textfile form provided with your StrongWare.
If you are using Microsoft Access, then you can use the transfer to
Microsoft Word function to transfer your record to a Word file and then
enter in the additional data.
Note: Strongware® also provides forms and reports in ANSI Z400.1 style, MSDSANSI.
/SW\ Material Safety Data Sheet ( ANSI Z400.1-1993 ) RECNO: 3 Date: 09/01/1996 Time: 1212 E Due: 97/02/23 About: J0000002; TxtFil HK000002 DB: HAZBEN RecId: HI00001a Prev: n/a LaPSRecId: L0000001 SS: MINISS01 CR: B3 Prepared by: Rich Strong Tel#: 800-COSMIC-0 E-Mail : 800-COSMIC-0 Section 1. Chemical Product and Company Identification: MSDS#: 9999 Identification: HAZMAT A NIIN: 999999 CAS #: 99-999 Manufacturer: ABC MFG. Part Nbr.: 999-9999 Mfr Tel.#: 999-999-9999 Org'n Address: HAZMAT DIV. Dept: Receiving Manifest #: tbd # & St. Address: 999 MAIN ST City: ANYTOWN State: AA ZIP: 99999 Section 2. Composition, Information on Ingredients: Comp.%: 100 [Remarks] Section 3. Hazards Identification: Hazard: Casting Entry: EATING Organ : Foot Carcinogen Reference: NTP Section 4. First Aid Measures: wash,CPR Section 5. Firefighting Measures: NFPA Class: 4 Autoignition Temp: 777 Flash Point: 666 Method: tbd Evaporation Rate: Method: tbd Flammability Limits: LEL: 9 UEL: 4 Fire Extinguisher: A FF PPE: SCBA Explosive Class: n/a Type: n/a Life Exp: 96/04 ExplosWt.: 0000 Ga/Cal: 100 FF Procedure: Hydrocarbon Fire Procedure Vel: 0000 FF Hazards: Flashover in confined spaces. Section 6. Accidental Release Measures: Absorb. Section 7. Handling & Storage; Store cool / ventilate Hygiene: soap/water Section 8. Exposure Controls, Personal Protection: PPE: RESP,facesh Ventilation Required: local OSHA PEL: tbd ACGIH TLV: tbd Exposure: Amount; 0.1 Frequency; 10 Duration; 4 Section 9. Physical and Chemical Characteristics: Physical Form: LIQUID Boiling Point: 555 Vapor Density: 5. Vapor Pressure: Water Solubility: 5 Specific Gravity: 0 pH: 5. Water Reactive?: 1 1 Accel: 1 Noise: 77 Environs: dusty Press: Temp: 212 Volts: 12 Amps: 999 Freq.Min: 5.50e+05 Freq.Max: 1.08e+09 Rads: 0.00e+0 Rad.Type: Radio E.R.P.: 2000 Section 10. Stability and Reactivity: Stable?: y Incompatibilities: Avoid oxidizers Decomposition Products: Soot, CO, CO2 Hazardous Polymers: n/a Section 11. Toxicological Information: Training: Demo Exam: ANNUAL Symptoms: chestp Medical Condition Aggravated: pleurosy Section 12. Ecological Information: Disposal Location: HazWaste Site Geo.Coordinates : N-S 39.80; E-W :68.00 Section 13. Disposal Considerations: Disposal Process : Incinerator Disposal Organization: EDC Requisition Doc.#: tbd Disposal Manifest #: 123abc Section 14. Transport Information: Date Shipped: 02/03/1996 DOT Names : hydrocarbon fuel DOT Class :tbd Section 15. Regulatory Information: ( EPA Form 0317 data) USEPA Code : tbd EPA Permit #: tbd EPA Waste #: tbd Facility ID#: XYZ Bldg 13 Temp. Stor. Start Date:09/09/1995 Nbr.Items: 123 Quantity~Gals: 55 Lbs/Gal: 5.4 Qty~Lbs: 0.4 ReEnter Qty: Section 16. Other Information: Emergency Telephone: 800-COSMIC-0 Generator Name : Rich Strong Tel: 513-236-036 Orgn. Adrs : Safety Analysis # & St: 7514 Belle Plaine Dr City: Huber Heights ST: OH ZIP: 45424-3229
/SW\ H A Z M A T / H A Z R A D I N V E N T O R Y 12/28/94
1.OWNER NAME 2.OWNER PHONE # 3.RECORD NBR.V 4.STORAGE DATE
5.MANUFACTURER 6.MFR PHONE # 7.MFR PART NBR 8.REQUISITION DOC #
9.MATERIAL/ DEVICE NAME 10.QUANTITY 11.NBR. OF ITEMS 12.LOCATION
13.DoT NAME 14.DoT CLASS 15.PERMIT # 16.USAGE
17.NIIN 18.EPA CODE # 19.MSDS # 20.CAS #
21.CONTROLLED SUBS.CLASS 22.pH 23.NFPA CLASS 24.EXPLOSIVE CLASS
25.RADIATION TYPE 26.RADIOACTIVITY 27.EXPIRATION 28.POWER
1. Strong 2. 999-999-9999 3. 10.00 4. 01/01/1995
5. ABC Oil Co. 6. 123-456-7890 7. 99999999 8. 999999999
9. Gasoline and ethanol 10. 84 11. 1 12. Garage
13. TBDL 14. TBDL 15. TBDL 16. 4200
17. TBDL 18. TBDL 19. TBDL 20. TBDL
21. N/A 22. 5.5 23. TBDL 24. TBDL
25. N/A 26. N/A 27. 04/11/1996 28. 7.20e+03
You can print 1"*3.5" labels for affixing to HazMats:
H A Z A R D O U S M A T E R I A L MATERIAL: Gasoline; ethanol; CO OWNER: Strong TEL: 937-236-0361 RECId: 10.20 PPE Reqd: Faceshield Hazard: Asphyx. Target Organ: Lungs
You can also print 3" x 5" HazWaLbl labels to affix to HazWaste containers and/ or use them for a rotary cardfile.
/SW\ H A Z A R D O U S W A S T E
Federal Law Prohibits Improper Disposal
DATE: 1993.10.12 TEMP. STORAGE DATE: 10/30/1993
DATABASE FILENAME: HazBen RECORD NUMBER: 10.20
GENERATOR: Rich_______ Strong______ TEL: 937-236-0361
GEN.ORGN:_________________ ADRS: 7514 Belle Plaine Dr.
CITY: _______________________ ST: __ ZIP: __________
MAT'L NAME: Gasoline; ethanol; oil PPE REQ:Glove,visor
NBR. ITEMS:___1 QTY EACH: ___42 LOCN: _______________
MFR: Local service station MFR.TEL: ______________
MFR.PART #: Unknown MSDS#: TBD ______ NIIN: 12345678
DISPOSAL ORGN: __________ DISP.LOCN: ________________
EPA CODE: _____ EPA WASTE: _____ EPA PERMIT: N/A_____
DOT NAME(S): TBD_________________ DOT CLASS: tbd
NFPA CLASS: TBD pH: 5.5 DISPOSAL MANIFEST: __________
EMERGENCY TEL: ___-___-____X___ SHIP DATE: ___/___/__
You can summarize HazMats for Threshold Planning Quantities.
Weights, and totals are automatically calculated in your TPQ for
EPA Form 0317, Emergency and Hazardous Chemical Inventory, EPA0317,
spreadsheet. TPQ provides for 10 columns of materials, only two are
shown here for clarity.
Component CAS#=> ||64742-47-8|108-88-3
Component Name=> || Naptha | Toluene
|| | |
Record Id=> || | | |
========================================================================
Record ID: Material Name: | Gals|#/Gal # || % | # | % | #
========================================================================
O000006a Alkyd Enamel | 800|8.00| 6400|| 45| 2880| 12| 768
O000007a Alkyd Vehicle | 1200|8.00| 9600|| 16| 1536| 9| 864
AAA Safety Solvent | | |11000|| | 0| | 0
Calcium Hydroxide HP | 1000|7.00| 7000|| | 0| | 0
Kwik Dry Adhesive | 1000|7.00| 7000|| | 0| 18| 1260
Zip Etch 50 | | | 1100|| | 0| | 0
Unleaded Gasoline | 3600|8.00|28800|| | 0| 25| 7200
=========================================================================
Totals => | | | || | 4416| | 10092
=========================================================================
Threshold Quantity=> na 500
=========================================================================
Excess over TQ=> na 9592
You can record your Emergency Planning and Hazardous Chemical with
a spreadsheet StrongForm that is a facsimilae of Ohio EPA Form 0317.
To view an example of an EPA 317 screen, click on *EPA 0317 Screen
Strongware® provides a form to comply with
the OSHA 101 for recording incidents, OSHARep.
To view an example of a Form 101 screen, click on *OSHARep Screen
To view a report done with Access 7, click on *OSHARep
/SW\ Supplemental Record of Occupational Injuries and Illnesses (OSHA101)
Case#: K000001 RECNO: 1
Employer
1. Name: Safety Analysis Systems
2. Mail Address: 7514 Belle Plaine Dr Dayton OH 45424-3229
3. Location: n/a
Injured or Ill Employee
4. Name: Dick Allen Strong SSAN: 123-45-6789
5. Home Address: 123 Main City: Anytown ST: AA ZIP:12345-6789
6. Age: 67 7. Sex Male: 1 Female: 0
8. Occupation:
9. Department: Facility 1
The Accident or Exposure to Occupational Illness
10. Place of Accident or Exposure:
11. Was place of accident or exposure on employer's premises? Yes 1 No 0
12. What was the employee doing when injured?
Servicing vehicle.
13. How did the accident occur?
Failed to secure fuel shut-off valve.
Gasoline container fuel shut-off leaked.
Occupational Injury or Occupational Illness
14. Describe the injury or illness and part of body affected. Part:
Spilled HazMat. lung
15. Name the object or substance which directly injured the employee.
Gasoline. HAZMAT A.
16. Date of injury or diagnosis of occupational illness: 95/12/04 asphyx
17. Did employee die? Yes 0 No 1 Fatal? 0
Other
18. Name and address of physician n/a
19. If hospitalized, name and address of hospital:
n/a
Date of Report: 1995/12/05 Prepared by: D. Strong Position:Safety Mgr
TEXTFile: K0000001 LAPSRECId: LK000001
Lost Time Days: 80 Ending: 02/23/1996
Restricted Days: 150 Ending: 07/19/1996
Strongware® provides a StrongForm to report and
record hazards, *OSHazRep
Hazard Report Nbr: O00000 Date:
Potential Accident or Exposure:
Department:
Occupation:
What would an employee be doing when injured?:
How could an accident occur?:
Describe the potential injury or illness in detail:
Body Part Affected:
Name the object or substance that could directly injure an employee:
Substance:
What kind of occupational illness could result from the exposure?:
You can also use the Job Safety Analysis Report format:
SW JOB SAFETY ANALYSIS 04/07/1998 Page: 1
RECNBR: Sequence of Steps Potential Hazard Recommended Action
============================================================================
HM000001 Vehicle stored OR Sparks AND HAZMAT Seal HAZMATs. Ground/
maintained OR cause fire OR vent/ drain/ detect
operated. pollution. fumes/ fire.
/SW\ OSHA INCIDENT REPORT LOG 10/13/1996
EVENT DATE: INCIDENT: REST: LOST:
----------------------------------------------------------------------------
----------------------------------------------------------------------------
DEPARTMENT: SALES
----------------------------------------------------------------------------
/ / Vehicle stored OR maintained OR operated 150 80
----------------------------------------------------------------------------
DEPARTMENT SUMMARY FOR SALES 150 80
----------------------------------------------------------------------------
DEPARTMENT:
----------------------------------------------------------------------------
/ / 0 0
----------------------------------------------------------------------------
DEPARTMENT SUMMARY FOR 0 0
----------------------------------------------------------------------------
GRAND SUMMARY: 150 80
You can create Process Safety Block Diagrams with spreadsheets by
using the Strongware® techniques (Check hot-link to *Modeling ). The example shown
is based on the example shown in the OSHA directive on Process Safety.
Note that, as a spreadsheet, you can insert fault paths, formulae, and
transmit the sheet by Email.
To view an example of a PSA screen, click on *FloBlok Screen (Partial)
Raw
Material Primary
Feed >>> Reactor >\ Product Gas >>>
\
Steam >X>>>>>>>>>>>> >\> Distillation >>>
\ V V V
\ 1.Direct Cont.
\ /> Cooling
\ / V V V
\ \<
X >>>>>>>>>>>> >>> 3. Stripping >X> 2.Pump/Tank >>> Waste Water
\ \ ( P22 )
\ \> Compressor
\ V V V
\ Heat Exchanger
\ V V V
\ Condenser >\
\ Primary \
\ Liquifier \ /> Railroad Car >>> To Customers
\ V V V \ /
\ 7.Condenser \> 6.Liquid Prod >>> 9.35 PSIG >X> 8.100 PSIG >X> Evaporator
\ Secondary X> Accum. Tank Storage Tank Storage Tank / V V V
\ Liquifier \ / Product for
\ \ / Plant Use
\> >>>>>>>>>>> >>> >>>>>>>>>>>> >>> >>>>>>>>>>>> >>> >>>>>>>>>>>>> >>> >>>>>>>>>>>>> >>> >>>>>>>>>>>>>>/
\
\> 4. Gas >X> 11. Neutraliz->X< 12. Neutraliz->> Waste Water
Absorber \ ation Disposal / ation Scrubber
\ /
\> Caustic >/
Strongware® also includes a spreadsheet layout for your self-evaluation, based on OSHA's Program Evaluation Profile, OSHAPeP.
Area: Factor: Factor Average
Sub-Factor: Score: Score:
1 2 3 4 5
Management Leadership & Employee Participation
Management Leadership 1 2 3 4 5 3
Employee Participation 2 2
Implementation 1 1
Contractor Safety 1 1
Minimum of Mgmt&Ldrshp,
Emp.Part., or Average. 2
Workplace Analysis
Survey and Hazard Analysis 1 1
Inspection 1 1
Hazard Reporting 1 1
Average 1
Accident & Record Analysis
Accident Investigation 1 1
Data Analysis 1 1
Average 1
Hazard Prevention & Control
Hazard Control 1 1
Maintenance 1 1
Medical Program 1 1
Average 1
Emergency Response
Emergency Preparedness 1 1
First Aid 1 1
Average 1
Safety & Health Training
Safety & Health Training 1 1 1
Total Average 1
StrongWare provides both database JSAR log reports and spreadsheet StrongForms for documenting JSA.
You can use either your database or your spreadsheet for analyzing tasks, such as those you
described in your WorkPlan database records. You can use your [Wrkplnss]
translator to input from your WorkPlan to your JSA spreadsheet, analyze for hazards and
recommended actions, then revise your WorkPlan to include your actions.
Note that the timing may be critical, such as situations where there are
management pressures to reduce the timing allowed.
To view an example of a spreadsheet JSA screen, click on *JSA Screen
JOB SAFETY ANALYSIS JOB TITLE: DATE:
Co/ Org: NEW PAGE
Title of Person who does job: Analysis By:
Plant/ Location: Department: Reviewed By:
REQUIRED AND/ OR RECOMMENDED PERSONAL PROTECTIVE EQUIPMENT:
TimeReq'd: SEQUENCE OF JOB STEPS: POTENTIAL HAZARDS: RECOMMENDED ACTIONS:
1.2 1 1 1
2.3 2 2 2
3 3 3
...
3.5
You can record the data on your OSHAWC form, that is similar to your OSHARep form, but with added fields for the WC data.
Workers Compensation Claim Data- Claim Id: XYZ Date: 02/23/1997 Amount for Temporary: 44 Annual Amount for Permanent: 55 Company: tbdl Agent/Attorney: tbd Telephone: 1-800-888-8888 OSHA Workers Compensation Log Claim Last Name: Company: Date First Agent/Attorney: Annual: Temporary: ============================================================= XYZ Co. Strong tbdl 55 44 02/23/1997 Rich tbd ============================================================= Summaries: 55 44
You can calculate and summarize Workers Compensation data for various jobs ,SICs, or Job
Codes with your EXPERMOD spreadsheet.
To view an example of a screen, click on *ExperMod Screen
ExMod. Experience Modifier 200000.00 BLS Data Exper.Rate=(Incidents/Hours)*200000 Date: File: SIC: JobCode: BLS Rate: Premium: Incidents: Hours: Exper.Rate: Exp./BLS: Mod.Premium: ========================================================================================================= 04/05/2000 8888 na 5.00 $200.00 2 100000 4.00 0.80 $160.00 Enter additional line items ========================================================================================================= Summary (Enter Nbr of Items): $200.00 2 100000 4.00 $160.00 Gain: Base Premium less Modified Premium: $40.00 "Gain Ratio, Base Premium / Modified: 1.25
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