REGISTER OF CHEMICALS HAZARDOUS TO HEALTH

SECTION A : COMPANY INFORMATION

Name : C H E C M S D N B H D DOSH Registration No. :

(Refer to Appendix 4 for Code of Sector and Appendix 5 for Class of Industry)

Address : E - 11 - 1 6 P L A Z A MO N T K I A R A

N O 2 J A L A N K I A R A Code of Sector : 0 1

City : M O N T K I A R A Postcode : 5 0 4 8 0 Class of Industry : 4 2 0 0 0

State : K U A L A L U MP U R MA L A Y S I A Company Activity (Please enter ( / ) in the appropriate box :

K
Telephone No. : 0 3 6 2 1 1 3 7 1 6 Manufacturer :
Distributor :
Formulator :
Email c h e c r a p i d @g m a i l . c o m Importer :
@ End-User : /
 REGISTER OF CHEMICALS HAZARDOUS TO HEALTH

SECTION B : LIST OF CHEMICALS HAZARDOUS CHEMICAL TO HEALTH

Location : F I N I S H E D P R O D U C T No. of Hazardous Chemical : 4 No. of Workers : Male : 6

Process Operation : L A M I N A T I O N Female : -

Usage Of
Type of Control Measures Name, Address of Supplier and Contact
Name of Physical Form No. of Worker Chemical Name of Active
Product Name CAS No. Number (Tel.
Chemical of Chemical Exposed Ingredients
No/email)
Engineering #
PPE Type Quantity##
Control

PSX 60 PART A Not applicable Epoxy phenol novolac NOV Fibre Glass Systems, 17115 San
6 Rubber Glove 0.255 028064-14-4 resin Pedro Avenue, Suite 200, San Antonio,
L LEV P
kg/month Texas 78232 USA.

PSX PART B Hardener m-Phenylenebis NOV Fibre Glass Systems, 17115 San
L 6 LEV Rubber Glove P 001477-55-0
3.06 (methylamine) Pedro Avenue, Suite 200, San Antonio,
kg/month Texas 78232 USA.

NPEL-127H Not applicable Bisphenol-A-epoxy resin NAN YA Plasticx Corporation, 201, Tung
2842
L 6 Rubber Glove 25068-38-6 Hwa North Road, Taipei, Taiwan,R.O.C
LEV P kg/month

Vestamin IPD Isophoron L 6 LEV Rubber Glove P 682.43 2855-13-2 Isophorone diamine Evonik Industries AG Coatings &
diamine kg/month Additives, D-45764 Marl,

SECTION C : NAME OF PERSON WHO PREPARED OF REVIEWED

PREPARED BY : REVIEWED BY :
Name : NUR AMMELIA BINTI AZMAN LIM Name : MD SHAFIQ ADLI

Title : ENVIRONMENT ENGINEER Title : HSE MANAGER

Date : 11/1/2017 Date : 11/1/2017

(Signature) __________________________
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(Signature)