Health, Safety and Environment
Form Approved by: Manager Sustainability & Safety
HSEF0921.1 – Chemical Purchase
Date: 30th September
Checklist
Form Revision: 4
Page 1 of 2
2013
Form variations to suit user, system / software constraints, legal requirements or corporate requirements are permissible, as long
as the intent of the form is not compromised.
SITE:
CHEMICAL BEING CONSIDERED FOR PURCHASE:
PROJECT:
REF
FACTORS TO CONSIDER
CONSIDERATIONS
See also: HSEP0921 Chemical Management Procedure
Record notes if applicable
Is the chemical currently approved for use by Hydro
Tasmania? Check HSER0921.1 Approved Chemicals
Register
A.
Yes – Continue with this form
No – You will need to seek approval to use this
chemical. Follow the process described in Section 3.1 of
HSEP01921 Chemical Management Procedure
Has a check been made to see if the chemical is approved
for use for the intended application?
B.
Yes – continue with this form
No – You will need to complete a risk assessment for
your intended use. Follow the process described in Section
3.2 of HSEP01921 Chemical Management Procedure
Are there any restrictions on the purchase, storage or use
of the chemical that you must comply with?
Do you require manager approval or authorisation to
C. make the purchase?
If there are restrictions and/or controls placed on the
chemical or its use, has the person responsible for
acquiring chemicals ensured compliance?
D.
E.
Is the minimum quantity needed being acquired?
 Amount to be purchased: __________
Has it been determined when Hydro Tasmania assumes
ownership of, and/or has liability for, particular chemicals?
For example, whether it is delivery to Hydro Tasmania
store or at point of sale where transport is needed.
Are the planned storage facilities suitable for the type and
volume of chemical?
F.
Will a manifest quantity be exceeded, requiring storage
at a registered Manifest Quantity Workplace (see
HSEP0921)?
Will a threshold quantity be exceeded, requiring
notification to WST of a Major Hazard Facility (see
HSE0921)?
Date printed 16/02/2016
Health, Safety and Environment
Form Approved by: Manager Sustainability & Safety
HSEF0921.1 – Chemical Purchase
Date: 30th September
Checklist
Form Revision: 4
Page 2 of 2
2013
Form variations to suit user, system / software constraints, legal requirements or corporate requirements are permissible, as long
as the intent of the form is not compromised.
G.
Conduct a risk assessment for the planned use of your
chemical, using the Safety Data Sheet to provide key
information. Follow HSEF0303.1 Job Hazard Analysis
template
 What is the hazard classification of the chemical?
Has a reasonable effort been made to select the least
hazardous chemical to do the required job?
Have the requirements for handling, use, and disposal
been determined?
H.
Has a JHA been completed for the chemical use?
Do workers understand the risks and the controls in
place?
Are workers competent to manage the risks?
Have waste management requirements been considered?
I.
Has it been determined what types and amounts of
waste will be produced and how will it be managed?
Will any controlled wastes be produced?
Will a waste management plan be developed (refer to
HSEF0914.2 Waste Management Plan)?
PREPARED BY (PRINT NAME)
SIGNATURE
DATE
Receiving purchased chemicals
When receiving chemicals:
Are they properly identified?
J.
Is the condition of contained checked?
Did you receive what was ordered?
Did you receive, or have you sourced an up to date
SDS?
Is the SDS available on the Chemwatch online service?
K.
Yes – no action required
No – contact an HSE advisor to get the SDS online.
Is the site emergency services manifest up-to-date?
Yes – no action required
L.
No – notify the site manager that an update is
required. Provide the information in this form and a copy
of the SDS
RECIEVED BY (PRINT NAME)
SIGNATURE
DATE
– Keep completed form with the project files –
Date printed 16/02/2016