Click to Home
PrintEmail
Go To Search

Rochester Hills Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Rochester Hills Fire Department Chemical Safety Inspection

  1. This survey is requested to determine the quantity of specific chemical groups used, produced or stored in your facility. Fire Chiefs are 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, PA 207 of 1941, as amended.

  2. 1. Indicate below whether your site uses or produces any of the chemical types listed. Complete or revise the site information.

    2. Gather information to complete the chemical inventory sheet. refer to the Hazardous Chemical Definitions (at the bottom of this form), the Safety Data Sheets, and/or SARA Title III reporting forms.

    3. Check all the categories that apply. When a chemical has more than one characteristic (example: both a Class 3 flammable and a Class 6 poison), check both Poison and Class 3 Flammable Liquid based on the specified quantity for each class.

    4. Each chemical listed in this survey includes a specified quantity. Indicate the quantity category for each chemical class on your site. mark at least one box for each chemical. If you do not use or produce a chemical group listed, mark the "DO NOT HAVE" box.

    5. Click Submit

    6. If you have trouble filling out or submitting, please contact the Community Risk Reduction Division at 248.656.4717.

    When a substantial change occurs in the quantity, type of chemical, use and manufacturing or related storage, a revised survey must be submitted to the Fire Chief. In addition, a revised survey will be requested every five years or as the Fire Chief deems necessary.

    This survey may be followed-up with a request for more detailed information. This may include a request for Safety Data Sheets, chemical lists maintained under the Employee Right to Know provisions of MIOSHA and other information.

  3. Class1.jpg

  4. Class2.jpg

  5. Class3.jpg

  6. Class4.jpg

  7. Class5(2).jpg

  8. Class6.jpg

  9. Class7.jpg

  10. Class8.jpg

  11. NoDOTCategory2.jpg

  12. Hazardous Chemical Definitions

  13. Leave This Blank:

  14. This field is not part of the form submission.


Stay Connected
FacebookTwitterRSS