SAMPLE SAFETY DATA SHEET


Issuing Date January 5, 2015 Revision Date June 12, 2015 Revision Number 1 1. IDENTIFICATION OF THE SUBSTANCE/PREPARATION AND OF THE COMPANY/UNDERTAKING


Product identifier Product Name


Other means of identification EPA Registration Number


XXXXX Regular-Bleach1 XXXXX Regular-Bleach1 5813-100


Recommended use of the chemical and restrictions on use Recommended use Uses advised against


Details of the supplier of the safety data sheet


Supplier Address The XXXXX Company 1221 Broadway Oakland, CA 94612


Classification This chemical is considered hazardous by the 2012 OSHA Hazard Communication Standard (29 CFR 1910.1200). Skin corrosion/irritation


Household disinfecting, sanitizing, and laundry bleach No information available


Serious eye damage/eye irritation


Phone: 1-510-XXX-XXXX Emergency telephone number Emergency Phone Numbers


GHS Label elements, including precautionary statements Emergency Overview


Signal word


For Medical Emergencies, call: 1-800-446-1014 For Transportation Emergencies, call Chemtrec: 1-800-424-9300


Danger


Hazard Statements Causes severe skin burns and eye damage Causes serious eye damage


XXXXX Regular-Bleach1


Unknown Toxicity Not applicable.


Other information Very toxic to aquatic life with long lasting effects.


Interactions with Other Chemicals Reacts with other household chemicals such as toilet bowl cleaners, rust removers, acids, or products containing ammonia to produce hazardous irritating gases, such as chlorine and other chlorinated compounds.


Appearance Clear, pale yellow Physical State Thin liquid


Precautionary Statements - Prevention Wash face, hands and any exposed skin thoroughly after handling. Wear protective gloves, protective clothing, face protection, and eye protection such as safety glasses.


Chemical Name Sodium hypochlo


rite * The exact percentage (concentr


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First aid measures General Advice


Eye Contact CAS-No 7681-52-9


Precautionary Statements - Response Immediately call a poison center or doctor. If swallowed: Rinse mouth. Do NOT induce vomiting. If on skin (or hair): Take off immediately all contaminated clothing. Rinse skin with water. Wash contaminated clothing before reuse. If inhaled: Remove person to fresh air and keep comfortable for breathing. Specific treatment (see supplemental first aid instructions on this label). If in eyes: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue rinsing.


4. FIRST AID MEASURES


Call a poison control center or doctor immediately for treatment advice. data sheet to the doctor in attendance.


Show this safety


Hold eye open and rinse slowly and gently with water for 15 - 20 minutes. Remove contact lenses, if present, after the first 5 minutes, then continue rinsing eye. Call a poison control center or doctor for treatment advice.


Precautionary Statements - Storage Store locked up.


Skin Contact


Hazards not otherwise classified (HNOC) Although not expected, heart conditions or chronic respiratory problems such as asthma, chronic bronchitis, or obstructive lung disease may be aggravated by exposure to high concentrations of vapor or mist.


Inhalation Ingestion


Product contains a strong oxidizer. Always flush drains before and after use. Protection of First-aiders


Take off contaminated clothing. Rinse skin immediately with plenty of water for 15-20 minutes. Call a poison control center or doctor for treatment advice.


Precautionary Statements - Disposal Dispose of contents in accordance with all applicable federal, state, and local regulations.


Move to fresh air. If breathing is affected, call a doctor.


Have person sip a glassful of water if able to swallow. Do not induce vomiting unless told to do so by a poison control center or doctor. Do not give anything by mouth to an unconscious person. Call a poison control center or doctor immediately for treatment advice.


Avoid contact with skin, eyes, and clothing. Use personal protective equipment as required. Wear personal protective clothing (see section 8).


Most important symptoms and effects, both acute and delayed Most Important Symptoms and


Burning of eyes and skin.


Effects Indication of any immediate medical attention and special treatment needed Notes to Physician


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Odor Bleach Weight %


5 - 10 Revision Date June 12, 2015


Category 1 Category 1


2. HAZARDS IDENTIFICATION Revision Date June 12, 2015


Trade Secret *


ation) of composition has been withheld as a trade secret.


Treat symptomatically. Probable mucosal damage may contraindicate the use of gastric lavage.


17 Dangerous Goods & Hazardous Materials


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