Safety Knights

Our form we've created has the person making the request document and submit the following:
- Basic chemical information (name, state of matter, maximum quantity needed)
- Selection of GHS pictograms on the form, as well as HMIS and NFPA 704 ratings
- First aid and emergency response procedures needed
- Why you need it, what department will use it, and who is responsible for managing it
- Required PPE
- Where and how will it be stored
- Additional training requirements (aside from reviewing the SDS)
- Requirement for specific EHS Dept. review if health or flammability on HMIS is 2 or higher
- Signed statement by the manager/supervisor/foreman making the request (statement below)

"In accordance with the Company's Environmental, Health, and Safety (EHS) policies, I accept responsibility for the EHS requirements and proper use of these materials described in the document above. I have only allowed use of these materials by people within the organization with appropriate training and/or experience. I also know that it is my responsibility to either train these personnel myself or get in contact with the Company EHS Dept. to do that training."

Anyone want one email me and I will send you a form.

My form requires the attachment of the current SDS to the form, going through the approval process.

True Story when I learned about the importance of this form, THE HARD WAY!

About 20 years ago we had been given an impossible edict/metric by Corporate, to cut the OSHA Recordable Rate by 50%. About 6 months in we were doing fairly well and on track to come in with a 75% reduction. I was feeling pretty good! "Momma needed new shoes!"
One day a CNC Machinist came in and showed me is rash on both arms. Sure as heck it was Dermatitis. Since it was late spring from experience I suspected we were sloppy on keeping the coolant clean in our machines. I knew I would have to send the man to the doctor, which would mean a Recordable. So I took care of that employee. I got up to go the CNC Department when 7 more Machinists walked in with rashes too. Through out the day we had a total of 15.
An immediate investigation took place. In talking to the supervisor I discovered to my surprise we had been very diligent about following our procedures to keep the coolant clean of bacteria. We were at wits end to discover the reason when I asked if anything had changed. I was at first told, "No!". But then the supervisor slipped and said we did change suppliers, but the chemical "composition was the same!" I asked for the MSDS of both the new and old. On careful exam found that indeed the coolants were the same just different distributors. However, then I found that the old had biocide (bleach) to control the bacteria, the new did not! The supervisor had missed it when he made the change. He wondered why the new was cheaper, but did not investigate why!
I immediately instituted a Chemical Approval Process! Never had the problem again! We ended up with 15 Recordables and missed our goal! "Momma got no new shoes!"

PS: Second Comment.
Instead of writing a second policy, procedure, and form, I add a section (a couple paragraphs) titled, "Chemical and Product Approval Process" to my Haz Com Policy! I then add the form as an appendix and reference it in my new section. "Kills two birds with one stone!"
Many new EHS software has this form and follows and approval process you set up!