The University of Delaware College of Engineering must comply with State and Federal laws that require prior approval to purchase and to use hazardous chemicals. You are required to complete the lookup tables and to answer these questions when ordering hazardous chemicals including embryotoxins, carcinogens, highly corrosives, shock-sensitive, air or water reactive, and high toxicity materials. You are responsible to verify that all Chemical Hygiene requirements are satisfied by signing this chemical order form. Please use this resource to help us reduce research overhead costs by minimizing the bottle volume of chemicals ordered and avoiding bulk chemical orders. Use the MSDS links listed below to help you determine the toxicity ratings, target organ, and routes of entry of chemicals and to select appropriate protective equipment. This form is directed to your Advisor, Principal Investigator or Chemical and Hazardous Materials Approver for approval; incomplete forms are returned to you for more information. Please attach the completed form to the chemical MSDS and include it in your process Standard Operating Procedure (SOP).

Basic Information

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INSTRUCTIONS: Complete the following section for ALL requests for chemical purchases

Chemical Description & Item Number Health (0-4) Fire (0-4) Reactivity (0-4) Special Hazards (A,B,C,D,N/A) Building and Room # CAS Number
Hazard level table
Health Fire Reactivity Special Hazards
4 - DANGER: May be fatal on short exposure. Specialized protective equipment required. LD50 < 50 ppm 4 - DANGER: Flammable gas or extremely flammable liquid. 4 - DANGER: Explosive material at room temperature. A - Carcinogen
3 - WARNING: Corrosive or toxic. Avoid skin contact or inhalation. 3 - WARNING: Flammable liquid. Flash point below 100°F. 3 - DANGER: May be explosive if shocked, heated under confinement, or mixed with water. B - Emryotoxin
2 - WARNING: May be harmful if inhaled or absorbed. 2 - CAUTION: Combustible liquid. Flash point of 100° to 20°°F. 2 - WARNING: Unstable, or may react if mixed with water. C - Corrosive
1 - CAUTION: May cause irritation. 1 - Combustible if heated. 1 - CAUTION: May react if heated, or mixed with water. D - Water Reactive
0 - No unusual hazard. *Health hazard describes short-term contact or inhalation hazard only. 0 - Not combustible 0 - Stable. Not reactive when mixed with water. N/A

Chemical #1

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Chemical Name Volume PEL LD50 Flash Point State of Matter

Chemical #2

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Chemical Name Volume PEL LD50 Flash Point State of Matter

Chemical #3

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Chemical Name Volume PEL LD50 Flash Point State of Matter

Chemical #4

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Chemical Name Volume PEL LD50 Flash Point State of Matter

Chemical #5

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Chemical Name Volume PEL LD50 Flash Point State of Matter