Lumileds Facilities Web Portal

Chemical Approval

Instruction: Please complete the entire form and submit to EHS department with the SDS, Once approved, you will be notified. Upon approval of this chemical, it is your responsibility to inform all employees using chemical of the hazards associated with this chemical

Requestor Name:

Requestor is required

Requestor Contact no:

Requestor Contact no is required

Requestor email:

Requestor email is required

Department:

Department is required

Date:

Date is required

Chemical Information

Product Name (per SDS):

Product Name is required

Product Manufacturer (per SDS):

Product Manufacturer is required

Synonym(s) (if known):

Product Ingredients (Per SDS)	Product CAS RN (Per SDS)	Product Composition (Per SDS)
interchangeable low viscosity base oil	Not Available	0-90
naphthenic distillate, light, hydrotreated	64742-53-6.	NotSpec.
paraffinic distillate, heavy, hydrotreated	64742-54-7.	NotSpec.
paraffinic distillate, light, hydrotreated	64742-55-8.	NotSpec.
paraffinic distillate, light, solvent-dewaxed	64742-56-9.	NotSpec.
paraffinic distillate, heavy, solvent-dewaxed	64742-65-0.	NotSpec.
1-decene homopolymer, hydrogenated	68037-01-4	NotSpec.
lubricating oils, petroleum C15-30	72623-86-0.	NotSpec.
lubricating oils, petroleum C20-50,	72623-87-1.	NotSpec.
white mineral oil (petroleum)	8042-47-5	NotSpec.
distillates (Fischer-Tropsch), heavy, C18-50,	848301-69-9	NotSpec.

GHS Classification (Per SDS)

GHS Signal words (Per SDS)

GHS PICTOGRAM (Per SDS)

Chemical Hazards (Per SDS)

Precautionary statement (Per SDS)

English SDS Upload:

*Please do not use @#$%^&*() to name your attachment.

Roto Z Oil.pdf

SDS Effective Date:

Chinese SDS Upload:

*Please do not use @#$%^&*() to name your attachment.

SDS Effective Date:

Chemical Properties

Flashpoint

Auto Ignition temperature

pH

Physical State

Classification

(Please specfiy if others)

Incompatibles listed on SDS

Acids Flamables Oxidizers Metals

(Please specify if metals)

Base/Alkali Solvents Others

(Please specify if others)

Chemical Storage Information

Where will the chemical be used?

Describe the process the chemical will be used in

Estimated Quantity to be used per month

Container size:

Lumileds Part No:

Declaration Requestor's declaration for the below information are to his/her knowledge

1. Will the Chemical be retained on LUMILEDS' product?

Yes

No

2. Will the chemical be used as cleaning/demolder/degreaser?

Yes

No

Please attached the below document if applicable

a) Supplier Disclosure Form

*Please do not use @#$%^&*() to name your attachment.

b) Test Report/Supplier Declaration Form

*Please do not use @#$%^&*() to name your attachment.

Working Conditions Where Chemical is Being Used

It is the requestor responsibilities to confrom to the general guideline for safe handling and usage of chemicals

Requestor are the ensure safe handling of chemicals at all time

Requestor are to provide a safe environment for the use of the chemicals (e.g. under exhaust environment)

Requestor are to provide a proper storage for the chemicals

Requestor are to ensure the proper discharge of the chemicals as per Lumileds Singapore requirement

Requestor are to ensure any chemical wastes generated are to be disposed as per Lumileds Singapore requirements

Requestor are to ensure the proper use of PPE when handling the chemicals