Follow the steps to fill out the New Chemical Request Form correctly.

1. Click the ‘Get Form’ button to access the form and open it in your chosen editing tool.
2. In the first section, fill in the responsible individual's name, department, room number, and extension. Ensure you provide accurate contact information for the person overseeing the chemical request.
3. Enter the request date and the date when the chemical is needed. This will help prioritize the ordering process.
4. Provide the name of the chemical substance you wish to order. Make sure the name matches exactly what is needed for compliance.
5. Specify the amount of the chemical to be ordered, along with its CAS number and vendor or catalog number. This information is crucial for accuracy in ordering and safety assessments.
6. Evaluate the health and fire hazards associated with the chemical. Use the hazard ratings scale (0 to 4) to indicate the severity of each risk.
7. Below the hazard section, provide details about storage requirements. Check all applicable options, including engineering controls needed, such as a chemical fume hood or glove box.
8. Indicate the personal protective equipment required for handling the chemical. Be sure to check all that apply for safety compliance.
9. If there are any special labeling requirements, check the relevant boxes to indicate hazards associated with the chemical.
10. Answer whether employee exposure is anticipated and provide any expected amounts if applicable.
11. Complete the section regarding workplace exposure levels, again providing estimates if risks are anticipated.
12. Provide a brief description of the procedure related to the chemical use. This section helps clarify the context of the request.
13. Finally, the responsible individual must sign and date the form to verify accuracy and accountability.
14. After completing the form, save your changes. You can then download, print, or share the document as needed for submission.

Start filling out your New Chemical Request Form online today!