SAFETY HEALTH AND WELLBEING
PRE-PROCUREMENT CHECKLIST FOR HAZARDOUS MATERIAL
1. DESCRIPTION
Purchase order number
Supplier
Name of item
CAS No.
2. GHS CLASSIFICATIONS
GHS Classification
☐ Flammable liquid
☐ Flammable solid
☐ Self-reactive /
Organic peroxide
☐ Oxidising liquid or solid
☐ Corrosive to metals
☐ Skin corrosion /
irritation
☐ Serious eye damage /
eye irritation
Category
(please circle)
☐1 ☐2 ☐3 ☐4
☐1 ☐ 2
☐A ☐B ☐C ☐D ☐E ☐F
☐G
☐1 ☐2 ☐3
☐1
☐1A ☐1B ☐1C ☐2
☐1 ☐2A
☐ Compressed gas
☐ Gas under pressure
☐ Liquefied gas
☐ Dissolved gas
☐ Refrigerated liquefied gas
GHS Classification
☐
☐
☐
☐
☐
☐
☐
☐
☐
Acute toxicity
Reproductive toxicity
Carcinogenicity
Germ cell mutagen
Self-heating
Aspiration toxicity
Pyrophoric liquids
Pyrophoric solid
Water reactive giving
flammable gases
☐ Specific target organ toxicity
☐ Sensitiser
☐ Flammable gas
☐ Oxidising gas
Category
(please circle)
☐1 ☐2 ☐3 ☐4
☐1A ☐1B ☐2
☐1A ☐1B ☐2
☐1A ☐1B ☐2
☐1 ☐2
☐1
☐1
☐1 ☐2 ☐3
☐1 ☐2
☐ repeat ☐ single
☐skin ☐respiratory
☐ 1
☐ 1
3. FOR ALL HAZARDOUS CHEMICALS
☐ A current safety data sheet (SDS) is accessible and has been consulted.
☐ No safer alternative is able to be used for the application required.
☐ The minimum pack size is to be ordered to meet rate of use.
☐ The lowest concentration is to be ordered to meet requirements of the activity.
☐ An appropriate workspace is available for this chemical (ventilation, fume cupboard etc.).
☐ Appropriate storage is available for the chemical (DG cabinet or depot).
☐ PPE specific for the chemical is available.
☐ Appropriate emergency/spill procedures and spill kits for the chemical are accessible.
☐ Disposal processes have been considered and are in place.
☐ Appropriate training has been completed by those who will use handle and store the chemical.
Please specify
additional training:
4. FOR HIGH RISK OR REGULATED HAZARDOUS CHEMICALS
If a high risk chemical or the following regulated chemicals have not been used in the workplace before, a detailed risk
assessment for the activity using the chemical must be completed and submitted to the Head of School.
WHS_CHE_MTL_1_Pre-purchase checklist for hazardous material
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SAFETY HEALTH AND WELLBEING
Chemical
Requirement
☐ Restricted carcinogen
☐ A WorkCover Authorisation has been obtained
☐ Prohibited carcinogen ( listed Schedule 10, NSW
WHS Regulation)
☐ An end user agreement has been completed with
approval from Head of School or Dean
☐ Restricted S4 poison
☐ Pentobarbitone
☐ Purchase by person who has authority from the
Pharmaceutical Services Unit, Ministry of Health
☐ Highly dangerous S7 poison
☐ An end user agreement has been completed with
approval from Head of School or Dean
☐ S8 poison (controlled drug)
☐ S9 poison
☐ Drugs register and cabinet is available for use
☐ Arrangements made for immediate and secure
receipt of chemicals
☐Other: Click here to enter text.
5. RADIOISOTOPES
☐ Radiation Project Clearance been obtained from the University Radiation Safety Committee?
RSC Approval number: Click here to enter text.
☐ Alternative non-radioactive options been considered?
☐ Appropriate storage and handling facilities are present (e.g. shielding, personal monitoring devices)?
☐ Disposal been considered and organized (i.e. short term vs long-term storage due to half-life)?
☐ School’s Radiation Safety Officer (Click here to enter text. ) been consulted?
NOTE: Radioisotopes must be ordered by a licensed person and all of the above ticked
6. MICROORGANISM, INFECTIOUS MATERIAL, GENETICALLY
MODIFIED ORGANISM (GMO) OR BIOLOGICAL SAMPLE
☐ Risk Grouping has been determined (e.g. Risk Group 1 or Risk Group 2). Risk Group 3 or above is not permitted.
☐ If material is Risk Group 2, a PC2 compliant facility is available to handle material.
☐ Safe Work Procedures for handling, storage, spills, disposal in place.
☐ Institutional Biosafety Committee (IBC) approval has been obtained for any material that is genetically modified.
IBC approval number: Click here to enter text.
☐ The material is not on the list of Security Sensitive Biological Agents (SSBAs).
7. QUARANTINE MATERIAL
☐ A current Department of Agriculture import permit for this work has been obtained.
☐ Material is to be used, handled and stored in QAP (Quarantine Approved Premises) by approved person
8. APPROVAL
Note: A laboratory requiring repeat purchases of the same item will not have to submit repeat checklists after the initial
purchase checklist has been approved. Exception would be if there were new users, or the substance was to be used
for a different purpose with a different set of risks.
Purchaser: signature
Click here to enter text.
print name
date
Supervisor / license holder: signature
Click here to enter text.
print name
date
If required: Safety Officer or RSO: signature
Click here to enter text.
print name
date
WHS_CHE_MTL_1_Pre-purchase checklist for hazardous material
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