Novi Fire Department
Hazardous Chemical Survey
This survey is requested to determine the quantity of specific chemical groups used, produced or stored in your facility. The Novi Fire Department is required to collect chemical data under the Michigan Occupational Safety and Health Act (MIOSHA), P.A. 154 of 1974, as amended, and the Fire Prevention Code, P.A. 207 of 1974, as amended.
COMPLIANCE WITH THIS SURVEY IS MANDATORY
IDENTIFY THE TYPE OF HAZARDOUS CHEMICAL USER YOUR FACILITY IS:
IDENTIFY YOUR HAZARDOUS MATERIALS BY TYPE AND REPORTABLE QUANTITY
2. Indicate the reportable quantity category for each chemical type on your site based on the maximum quantity at any time.
When substantial changes occur in the quantity or type of chemical use, manufacture or related storage, a revised survey must be submitted to the Fire Department. This survey may be followed up with a request for more detailed information. This may include a request for Material Safety Data Sheets, chemical inventory, site plan, and a hazardous materials management plan. The undersigned has read the foregoing hazardous chemical survey and states that all of the facts and information contained are true to the best of his/her/their knowledge.
By checking the box below and entering my name, I attest that I have read the foregoing hazardous chemical survey and states that all of the facts and information contained are true to the best of my knowledge.
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