Project List Of Hazardous Material Substances

Magicsoft Asia
Project :
PROJECT LIST OF HAZARDOUS MATERIAL/ SUBSTANCES

S/No Product Name Name of Supplier/
Contractor		 Description – Type of Hazards/ PPE / 1st Aid/ Storage/ Handling
1. test test test
2.      
3.      
4.      

Note : 1) To submit a copy of the SDS for the Chemicals/ Substances to be used on site to Shimizu Safety
Department prior to any use.

2) To inform Shimizu EHS Department of any new chemicals to be brought onto the site.

Magicsoft Asia

Project :

HAZARDOUS MATERIAL/ SUBSTANCES DECLARATION FORM

Contractor/ Supplier : Magicsoft Asia

DECLARATION

I hereby declare and certify that the site vicinity under my charge has the following hazardous materials and are stored at the
mentioned areas only :

Type of Hazardous Materials Quantity Location Remarks
1. Petrol 1 test location Remarks
2. Diesel      
3. Solvent      
4. Paints      
Others, pleas specify :      

Note : 1 The disposal of these hazardous materials/ chemicals must be undertaken carefully by the contractor as not to contravene any of the statutory regulations & requirements

2 Any transfer, movement or usage of these hazardous materials must be informed or requested through the Site EHS Section
by the application of the Control of Hazardous Substances/ Chemicals Register Form & Control of Hazardous Substances/
Chemicals Issuance Form

Name : Admin

Company Stamp : ________________________

Designation : Admin

Signature / Date : 09/08/2018

APPROVAL BY EHS DEPARTMENT

I hereby confirm that the above state chemical have been checked and the Safety Data Sheet (SDS) is attached.

Name : Admin

Designation : Admin

Signature / Date : 09/08/2018