SECTION B : LIST OF CHEMICALS HAZARDOUS CHEMICAL TO HEALTH
Location : S T O R E No. of Hazardous Chemical : 3 3 No. of Workers : Male : 1
Female :
Process Operation :
Usage Of Comply with Classification,
Chemical Labelling and Safety Data
Type of Control Measures Sheet (CLASS 2013)
Name, Address of Supplier and
Product Name of Physical Form of No. of Worker Name of Active Regulation
No. Name Chemical Chemical Exposed
CAS No.
Ingredients
Contact Number (Tel.
No/email)
Engineering PPE Type # Quantity## SDS Class Label
Control (Y/N) (Y/N)
1 ENGINE OIL ENGINE OIL SAE Liquid 1 GV C, E, M, R, O S 5 PAIL Y Y LHB MOTOR WORKS
SAE 20W-50 20W-50 LOT 6241, BATU 12,
JALAN KOTA TINGGI,
81800 ULU TIRAM,
2 HYDRAULIC HYDRAULIC OIL Liquid 1 GV C, E, M, R, O
OIL AW68 AW68
3 2T-OIL 2T-OIL Liquid 1 GV C, E, M, R, O
4 FUJIDA BREAKER Semi-solid 1 GV C, E, M, R, O
BREAKER GREASE
GREASE
5 CHASIS CHASIS Semi-solid 1 GV C, E, M, R, O
GREASE GREASE
6 GREASE GREASE Semi-solid 1 GV C, E, M, R, O
SHELL GADUS
GADUS
7 CYLINDER CYLINDER OIL Liquid 1 GV C, E, M, R, O
OIL SAE 40 SAE 40
8 OMALA SG OMALA SG Liquid 1 GV C, E, M, R, O
GX220/D209L GX220/D209L
9 GEAR OIL GEAR OIL Liquid 1 GV C, E, M, R, O
OSCAR
SECTION B : LIST OF CHEMICALS HAZARDOUS CHEMICAL TO HEALTH
Location : S T O R E No. of Hazardous Chemical : 3 3 No. of Workers : Male : 1
Female :
Process Operation :
10 CASTROL HYSPIN HLP 68 Liquid 1 GV C, E, M, R, O
HYSPIN HLP
68-18L
12 ADHESIVE ADHESIVE Semi-solid 1 GV C, E, M, R, O
DUNLOP DUNLOP
13 AROX MOULD OIL Liquid 1 GV C, E, M, R, O
CONBELEZE
OB 2 (MOULD
OIL)
14 BR 2038 BROMINE Liquid 1 GV C, E, M, R, O
15 NITOBOND NITOBOND SBR Liquid 1 GV C, E, M, R, O
SBR/SIKA
LATEX
16 NITO NITO MORTAR Liquid 1 GV C, E, M, R, O
MORTAR UA-
FOSROC
EPOXY
17 RUGASOL G- RUGASOL G Liquid 1 GV C, E, M, R, O
CONCRETE
SURFACE
RETARDER
18 SIKA ANTISOL A Liquid 1 GV C, E, M, R, O
ANTISOL A-
CONCRETE
CURING
COMPOUND
19 SIKA FORMOL-EX Liquid 1 GV C, E, M, R, O
FORMOL-EX
20 Non Shrink Non Shrink Grout Liquid 1 GV C, E, M, R, O
Grout
SECTION B : LIST OF CHEMICALS HAZARDOUS CHEMICAL TO HEALTH
Location : S T O R E No. of Hazardous Chemical : 3 3 No. of Workers : Male : 1
Female :
Process Operation :
21 STOCRETE FINISH-GREY Liquid 1 GV
T/PLAST
FINISH-GREY
22 SIKA GROUT SIKA GROUT Liquid 1 GV C, E, M, R, O
220 220
23 COLORITE COLORITE Liquid 1 GV C, E, M, R, O
880W PNB 880W PNB
GREY- GREY
WATER
BASED
24 SILICONE SILICONE Semi-solid 1 GV C, E, M, R, O
SEALANT- SEALANT-
CLEAR (SA- CLEAR
107 RTV
ACETIC)
25 INJECTABLE INJECTABLE Liquid 1 GV C, E, M, R, O
MOTAR HILTI- MOTAR HILTI-
RE 500 RE 500
26 SILICA FUME SILICA FUME Powder 1 GV C, E, M, R, O
27 SIKA FIBRE SIKA FIBRE Powder 1 GV C, E, M, R, O
28 DISPOSABLE DISPOSABLE Gas 1 GV C, E, M, R, O
BUTANE BUTANE
CAMPING
GAS
29 Sika ViscoCrete-2192 Powder 1 GV C, E, M, R, O
ViscoCrete-
2192
29 sika_viscocret viscocrete_-1200 Powder 1 GV C, E, M, R, O
e_-1200
SECTION B : LIST OF CHEMICALS HAZARDOUS CHEMICAL TO HEALTH
Location : S T O R E No. of Hazardous Chemical : 3 3 No. of Workers : Male : 1
Female :
Process Operation :
29 sika_viscocret viscocrete_- Powder 1 GV C, E, M, R, O
e_-1250nt 1250nt
30 SIKA WT 220 SIKA WT 220 Powder 1 GV C, E, M, R, O
31 SIKA TOP SIKA TOP SEAL Powder 1 GV C, E, M, R, O
SEAL 109MY 109MY (A+B)
(A+B)
32 MAPELASTIC CEMENT Powder 1 GV C, E, M, R, O
CEMENT
33 MAPELASTIC MAPELASTIC Liquid 1 GV C, E, M, R, O
SUSU SUSU
SECTION C : NAME OF PERSON WHO PREPARED OF REVIEWED
PREPARED BY : REVIEWED BY :
Name : Title N U R S Z A Z W A N I Name : F O O N G K E E C H I N
: Title :
Date : S A F E T Y E X E C U T I V E Date : PR O D M A N A G E R
2 5 0 2 2 0 2 1 2 5 0 2 2 0 2 1
(Signature) (Signature)
