Reference Number-

JOB SAFETY / HAZARD ANALYSIS &

RISK ASSESSMENT FORM
UNIVERSITY OF KUALA LUMPUR
(MICET)

 Safety data sheets for NEW chemicals used in your project (and NOT available in the
laboratory) need to be attached WITH this form.
 Once this assessment has been signed by you, a technician, your project supervisor and
safety health officer; an assigned reference number will be given, please submit:
 the original document of this assessment to be kept by you.
 The copy of the document of this assessment to TECHNICIAN IN-CHARGED [TIC]
of main laboratory used; to be kept in the laboratory safety file.
 If more than one laboratory used in this project, submit a copy of this document to
the TIC to be kept in the laboratory safety file.
 Ensure this assessment is resubmitted for approval when work out of office hour.
 Ensure this assessment is read and signed annually by all concerned.
 Postgraduate student is required to submit After hours risk management procedure
together with this submission.
 Ensure this assessment is reviewed annually by the project supervisor for posrgraduate.
Remember that anything that you put in this form you must follow!

1. Title of Research Project

Studies on antimicrobial surgical latex glove using PANI as conductive layer

2. Name of Supervisor
DR. MUZAFAR ZULKIFLI
Supervisor
NIL
Co supervisor

JSA FORM revision 8 ( Feb 2017) 1

3. Details information
Name HAFIY DARWISY BIN SUPHI

Researcher Identification No. 55213217144

[Student ID – UniKL MICET or

IC No – others]
Contact No. 010-7890095
UniKL MICET (Program) PROCESS / ENV. / POLYMER /
FOOD / BIOPROCESS / BIOSYSTEM
/ ICOLE
External Researcher
( School/College/University/Company)
Fyp Starting Time Sem: 5 Year: 2019
Expiry Date Date:DEGREE
(Diploma – 1 semester; DECEMBER 2019
Degree – 2 semester
Master – 2 years; PhD: 4 years
External – as specified in Letter of intention)

4. Method / Procedure
Synthesization of PANI

1. In preparation of 0.1 M HCl solution, 10 ml of HCl was added into 100 ml deionized
water inside measuring cylinder and stirrred by using glass rod.
2. 2 mL of aniline was obtained via pipette method and mix with 1 M HCl solution
prepared earlier.
3. Both aniline and 1 M HCl solution was added and stirred inside beaker.
4. Mechanical stirrer was set up and ice bath was prepared in suitable container.
5. The solution was stirred for 30 minutes with 500 rpm stirring speed.
6. 6 g of APS is weighed in a beaker.
7. 2 mL of aniline was obtained via pipette method and mix with 1 M HCl solution
prepared earlier.
8. After 30 minutes of stirring, solution of APS was added drop by drop into the aniline
solution.
9. After colour change was observed from colourless to light green, change the stirring
speed to 260 rpm.

JSA FORM revision 8 ( Feb 2017) 2

 10. After the APS solution was completely used up, let the solution stirred for 5 hours
with temperature in ice bath maintained low at 5 oC.
11. The solution then filtered by using Buchner filtration setup. The filtrate then scraped
from the filter paper and transferred in a beaker.
12. The filtrate then washed by using methanol and filtered again.
13. Step 11 to 12 is repeated by using deionized water.
14. The filtrate (PANI) then placed in petri dish and dried in oven for 24 hours at 60
o
C.
15. The product then placed in dessicator.

PANI-ZnO Methodology

1. 6 g of Zinc oxide nanoparticle (ZnO NPs) (13 nm) is disperse in 50 mL of distilled

water containing 40 mg of sodium dodecyl sulphate (Na-SDS) under
ultrasonication for 20 min.
2. The solution will be stir for overnight (8-12 hrs) at room temperature.
3. 2 mL of Aniline monomer (ANI) and 0.5 mL of 1M HCl (as a dopant) add to the
suspension.
4. The ratio that be use between ZnO NPs & ANI was 3:1 (m/m).
5. 114 mg of Ammonium persulfate ((NH3)2S2O8) with 5 mL of distilled water is add
into the system as an oxidant to initiate polymerization.
6. The mixture will be stir for 3 hrs in an ice/water bath.
7. ZnO/PANI were recover by centrifugation and rinses several times with water &
ethanol.
8. The sample are dry in 50 ᵒC for 24 hrs.
9. Finally, the ZnO/PANI was deprotonated with a 0.1 M Ammonium hydroxide
(NH4OH) solution and stir it for 24 hrs.
10. The product is then washed several times with water and dried at 50 ᵒC for another
24 hrs.

Thermogravimetric Analysis

1. 2 mg sample placed in aluminium pan

2. Heating rate is set up to 10 Co/min
3. Starting temperature at 25 Co until 600 Co
4. Nitrogen gas is used in atmosphere with a flow rate of 60mL/min

JSA FORM revision 8 ( Feb 2017) 3

Fourier-Transfrom Infrared Spectroscopy
1. 2 mg of dry PANI-ZnO-Latex pressed into pellet
2. Samples pressed using pottasium bromide disk technique
3. The spectrum accumulation of 64 scans and resolution of 4 cm-1

Scanning Electron Microscopy (SEM)

1. PANI is grounded into powder
2. PANI is coated with lead sputter
3. Voltage used is 5kV-15kV

Differential Scanning Calorimetry (DSC)

1. Approximately 10 mg of sample is weighed
2. The scan rate used is 10 oC/min within temperature range of 100 to 150 oC
3. The analysis carried under nitrogen atmosphere.

Determination of Tensile Properties

1. The specimen condition is must 16 hour within 23 oC to 27 oC.
2. The tensile test will be conducted in standard laboratory MS ISO 37:1998 method
at room temperature using Testing machine of model Lyyod Instrument LR30K
with speed at least 500 mm/min and load cell of 1kN.

JSA FORM revision 8 ( Feb 2017) 4

5 Type of hazards identified in this project.
i. All hazards must be identified during sampling in & out the campus, performing the experiment in the laboratory and analyzing of results.
ii. If your experiment is going to be carried out at external laboratory, it is a requirement to do hazard identification at those laboratories.

Type of hazards Table to be completed Potential Hazards

Yes No
Physical hazards Please fill in table 5a /
Biological hazards Please fill in table 5b /
Chemical hazards Please fill in table 5c /

5a Hazards that have potential to cause harm (potential hazard)

( Do not forget to include ergonomic hazards AND all the physical hazards)
Physical hazards identified Precautions / Emergency action
[at ALL sites; sampling site, laboratory etc]
Avoid contact with electrical instrument when having a wet hand/ Check the main power.
Electrical shock
Handle with care/ Report any broken glassware to the lab technician
Glassware

Handling chemical Always wear proper personal protection equipment (PPE) when handling chemical

Slippery surface Wear safety boots

Wear gloves
Handling hot vials
Take rest breaks; avoid extreme working time.
Ergonomic hazards

JSA FORM revision 8 ( Feb 2017) 5

5b Hazards that have potential to cause harm (potential hazard)
( All the biological hazards)
Biological hazards identified Precautions / Emergency action
[at ALL sites; sampling site, laboratory etc]

5c. Substances used which have potential to cause harm (potential hazard)
NB: This section is concerned with hazards inherent in the substances rather than the way they might be used in this procedure. All columns must be filled
according to Safety Data Sheet.

Substance Hazards identified EXPOSURE LIMIT Precautions in handling Emergency action

Hydrochloric acid
JSA FORM revision 8 ( Feb 2017)
(e.g. toxic, flammable) (MEL or OEL) (if (if gloves required state type) in the event of spillage etc.
assigned- do not quote
LD50 etc.)
Precautions: Eye Contact:
Skin contact (corrosive, Exposure Limits:
Keep locked up. Keep container Check for and remove any
irritant, permeator) CEIL: 5 (ppm) from OSHA dry. Do not ingest. Do not contact lenses. In case of
Eye contact (irritant, (PEL) [United States] CEIL: 7 breathe gas/fumes/ vapor/spray. contact, immediately flush
corrosive) (mg/m3) from OSHA (PEL) Never add water to this product. eyes with plenty of water for at
[United States] CEIL: 5 from In case of insufficient least 15 minutes. Cold water
Ingestion
NIOSH ventilation, wear suitable may be used. Get medical
Inhalation (lung respiratory equipment. If attention immediately.
CEIL: 7 (mg/m3) from
sensitizer) ingested, seek medical advice
NIOSH TWA: 1 STEL: 5
immediately and show the Skin Contact:
6
 (ppm) [United Kingdom container or the label. Avoid
(UK)] TWA: 2 STEL: 8 contact with skin and eyes. Keep
(mg/m3) [United Kingdom away from incompatibles such as
(UK)]Consult local authorities oxidizing agents, organic
materials, metals, alkalis,
for acceptable exposure
moisture. May corrode metallic
limits.
surfaces. Store in a metallic or
coated fiberboard drum using a
strong polyethylene inner
package.
Storage: Keep container tightly
closed. Keep container in a cool,
well-ventilated area.
JSA FORM revision 8 ( Feb 2017)
In case of contact, immediately
flush skin with plenty of water
for at least 15 minutes while
removing contaminated
clothing and shoes. Cover the
irritated skin with an emollient.
Cold water may be used. Wash
clothing before reuse.
Thoroughly clean shoes before
reuse. Get medical attention
immediately.
Serious Skin Contact:
Wash with a disinfectant soap
and cover the contaminated
skin with an anti-bacterial
cream. Seek immediate
medical attention.
Inhalation:
If inhaled, remove to fresh air.
If not breathing, give artificial
respiration. If breathing is
difficult, give oxygen. Get
medical attention immediately.
Serious Inhalation:
Evacuate the victim to a safe
area as soon as possible.
Loosen tight clothing such as a
collar, tie, belt or waistband. If
breathing is difficult,
administer oxygen. If the
victim is not breathing,
perform mouth-to-mouth
7

Sodium hydroxide
JSA FORM revision 8 ( Feb 2017)
resuscitation. WARNING: It
may be hazardous to the
person providing aid to give
mouth-to-mouth resuscitation
when the inhaled material is
toxic, infectious or corrosive.
Seek immediate medical
attention.
Ingestion:
If swallowed, do not induce
vomiting unless directed to do
so by medical personnel.
Never give anything by mouth
to an unconscious person.
Loosen tight clothing such as a
collar, tie, belt or waistband.
Get medical attention
immediately.
Precautions:
Skin contact (corrosive, STEL: 2 (mg/m3) from Eye Contact:
Keep container dry. Do not
irritant, permeator) ACGIH (TLV) [United
breathe dust. Never add water to Check for and remove any
States]
Eye contact (irritant, this product. In case of contact lenses. In case of
corrosive) TWA: 2 CEIL: 2 (mg/m3) insufficient ventilation, wear contact, immediately flush eyes
from OSHA (PEL) [United suitable respiratory equipment. If with plenty of water for at least
Ingestion
States] CEIL: 2 (mg/m3) from you feel unwell, seek medical 15 minutes. Cold water may be
Inhalation. NIOSHConsult local attention and show the label when used. Get medical attention
authorities for acceptable possible. Avoid contact with skin immediately.
exposure limits. and eyes. Keep away from
incompatibles such as oxidizing
agents, reducing agents, metals, Skin Contact:
acids, alkalis, moisture. In case of contact, immediately
flush skin with plenty of water
for at least 15 minutes while
8
 Storage: Keep container tightly removing contaminated
closed. Keep container in a cool, clothing and shoes. Cover the
well-ventilated area. irritated skin with an emollient.
Hygroscopic. Deliquescent. Cold water may be used.Wash
clothing before reuse.
Thoroughly clean shoes before
reuse. Get medical attention
immediately.

Serious Skin Contact:

Wash with a disinfectant soap
and cover the contaminated
skin with an anti-bacterial
cream. Seek medical attention.

Inhalation:
If inhaled, remove to fresh air.
If not breathing, give artificial
respiration. If breathing is
difficult, give oxygen. Get
medical attention immediately.

Serious Inhalation:
Evacuate the victim to a safe
area as soon as possible.
Loosen tight clothing such as a
collar, tie, belt or waistband. If
breathing is difficult,
administer oxygen. If the

JSA FORM revision 8 ( Feb 2017) 9


Aniline
JSA FORM revision 8 ( Feb 2017)
Precautions: Keep locked up..
Skin contact (irritant, TWA: 7.6 (mg/m3) from
Keep away from heat. Keep away
permeator) ACGIH (TLV) [United
from sources of ignition. Ground
States] SKIN TWA: 2 (ppm)
Eye contact (irritant) all equipment containing
from ACGIH (TLV) [United
material. Do not ingest. Do not
Ingestion States] SKIN TWA: 2
breathe gas/fumes/ vapor/spray.
Inhalation [Canada] TWA: 7.6 (mg/m3)
Wear suitable protective
[Canada] TWA: 5 (ppm) from
clothing. In case of insufficient
OSHA (PEL) [United States]
ventilation, wear suitable
TWA: 19 (mg/m3) from
respiratory equipment. If
OSHA (PEL) [United States]
ingested, seek medical advice
victim is not breathing, perform
mouth-to-mouth resuscitation.
WARNING: It may be
hazardous to the person
providing aid to give mouth-to-
mouth resuscitation when the
inhaled material is toxic,
infectious or corrosive. Seek
immediate medical attention.
Ingestion:
Do NOT induce vomiting
unless directed to do so by
medical personnel. Never give
anything by mouth to an
unconscious person. If large
quantities of this material are
swallowed, call a physician
immediately. Loosen tight
clothing such as a collar, tie,
belt or waistband.
Eye Contact:
Check for and remove any
contact lenses. Immediately
flush eyes with running water
for at least 15 minutes, keeping
eyelids open. Cold water may
be used. Get medical attention.
Finish by rinsing thoroughly
with running water to avoid a
possible infection.
10
 TWA: 1 (ppm) [United
Kingdom (UK)] TWA: 4
(mg/m3) [United Kingdom
(UK)]Consult local authorities
for acceptable exposure
limits.
JSA FORM revision 8 ( Feb 2017)
immediately and show the
container or the label. Avoid
contact with skin and eyes. Keep
away from incompatibles such as
oxidizing agents, metals, acids,
alkalis.
Storage: Air and light sensitive. shoes. Cold water may be
Store in light-resistance used.Wash clothing before
container. Keep container in a
cool, well-ventilated area. Keep
container tightly closed and attention.
sealed until ready for use. Avoid
all possible sources of ignition
(spark or flame).
Skin Contact:
In case of contact, immediately
flush skin with plenty of water.
Cover the irritated skin with an
emollient. Remove
contaminated clothing and
reuse. Thoroughly clean shoes
before reuse. Get medical
Serious Skin Contact:
Wash with a disinfectant soap
and cover the contaminated
skin with an anti-bacterial
cream. Seek immediate medical
attention.
Inhalation:
If inhaled, remove to fresh air.
If not breathing, give artificial
respiration. If breathing is
difficult, give oxygen. Get
medical attention immediately.
Serious Inhalation:
11

Ethanol
JSA FORM revision 8 ( Feb 2017)
Evacuate the victim to a safe
area as soon as possible.
Loosen tight clothing such as a
collar, tie, belt or waistband. If
breathing is difficult,
administer oxygen. If the
victim is not breathing, perform
mouth-to-mouth resuscitation.
WARNING: It may be
hazardous to the person
providing aid to give mouth-to-
mouth resuscitation when the
inhaled material is toxic,
infectious or corrosive. Seek
immediate medical attention.
Ingestion:
Do NOT induce vomiting
unless directed to do so by
medical personnel. Never give
anything by mouth to an
unconscious person. If large
quantities of this material are
swallowed, call a physician
immediately. Loosen tight
clothing such as a collar, tie,
belt or waistband.
Precaution:
Skin (irritant) STEL: 1000 ppm from Eye Contact:
Obtain special instructions before
ACGIH
Eye contact (irritant) use. Do not handle until all safety Rinse immediately with plenty
precautions have been read and of water. Do not apply
Ingestion (may caue
understood. Keep away from neutralizing agents. Take
cancer)
heat, hot surfaces, open flames,
12

Acetone
JSA FORM revision 8 ( Feb 2017)
sparks. No smoking. Keep
containe tightly closed . irritation persists.
Ground/bond container and
receiving equipment. Use
explosion-proof electrical,
lighting, ventilating equipment .
Use only non-sparking tools.
Take precautionary measures
against static discharge. Do not
breathe mist, spray, vapors. Wash
exposed skin thoroughly after
handling. Do not eat, drink or
smoke when using this product.
Wear eye protection, face
protection, protective clothing,
protective gloves . Remove/Take
off immediately all
contaminated.
Storage:
Store in a well-ventilated place.
Keep cool. Store locked . Dispose
of contents/container to comply
with local, state and federal
regulations
Precautions:
Eye contact (irritant) TWA: 500 ppm from ACGIH
Keep away from heat, hot
TWA: 750 ppm from OSHA surfaces, open flames, sparks. No
smoking. Keep container tightly
TWA: 250 ppm from NIOSH
closed. Ground/bond container
and receiving equipment. Use
explosion-proof electrical,
lighting, ventilating equipment.
victim to an ophthalmologist if
Skin Contact:
Rinse with water. Take victim
to a doctor if irritation persists.
Ingestion:
Rinse mouth with water. Do not
induce vomiting. Call Poison
Information Centre
(www.big.be/antigif.htm).
Consult a doctor/medical
service if you feel unwell.
Ingestion of large quantities:
immediately to hospital.
Inhalation:
Remove the victim into fresh
air. Respiratory problems:
consult a doctor/medical
service.
Eye Contact:
Rinse immediately with plenty
of water. Do not apply
neutralizing agents. Take
victim to an ophthalmologist if
irritation persists.
13
 Use only non-sparking tools.
Take precautionary measures
against static discharge. Avoid
breathing mist, spray, vapors.
Wash exposed skin thoroughly
after handling. Use only outdoors
or in a well-ventilated area. Wear
eye protection, face protection,
protective clothing, protective
gloves.
Storage:
Store in a well-ventilated place.
Keep container tightly closed.
Store locked up. Dispose of
contents/container to comply
with local, state and federal
regulations. Keep cool.
JSA FORM revision 8 ( Feb 2017)
Skin Contact:
Wash immediately with lots of
water. Soap may be used. Do
not apply (chemical)
neutralizing agents. Remove
clothing before washing. Take
victim to a doctor if irritation
persists.
Ingestion:
Rinse mouth with water.
Immediately after ingestion:
give lots of water to drink. Do
not give milk/oil to drink. Do
not induce vomiting. Give
activated charcoal. Call Poison
Information Centre
(www.big.be/antigif.htm).
Consult a doctor/medical
service if you feel unwell.
Ingestion of large quantities:
immediately to hospital.
Doctor: gastric lavage.
Inhalation:
Remove the victim into fresh
air. Respiratory problems:
consult a doctor/medical
service.
14

Sodium Dodecyl Sulphate
Ammonium Persulfate
JSA FORM revision 8 ( Feb 2017)
Use a NIOSH/MSHA or Precautions for safe handling Personal precautions,
Physical hazards
Wear personal protective protective equipment and
European Standard EN
Flammable solids equipment. Ensure adequate emergency procedures
149:2001 approved respirator
Health hazards ventilation. Do not get in eyes, Use personal protective
if exposure
on skin, or on clothing. Avoid equipment. Ensure adequate
Acute oral toxicity limits are exceeded or if ingestion and inhalation. Avoid ventilation. Avoid dust
Acute Inhalation irritation or other symptoms dust formation. formation.
Toxicity - Dusts and are experienced. Hygiene Measures
Mists Recommended half mask:- Handle in accordance with good Environmental precautions
Skin Corrosion/irritation Particle filtering: EN149:2001 industrial hygiene and safety Do not flush into surface water
practice. or sanitary sewer system.
Serious Eye Damage/Eye When RPE is used a face Conditions for safe storage,
Irritation piece Fit Test should be including any incompatibilities Methods and material for
conducted Keep containers tightly closed in containment and cleaning up
Specific target organ
a dry, cool and well-ventilated
toxicity Sweep up or vacuum up
place. Flammables area.
spillage and collect in suitable
Environmental hazards
container for disposal. Keep in
Chronic aquatic toxicity suitable, closed containers for
disposal.
Precautions:
Skin contact (irritant, TLV: (as persulfates) 0.1 Eye Contact:
Keep away from heat. Keep away
sensitizer) mg/m3 as TWA (ACGIH
from sources of ignition. Keep Check for and remove any
2001).
Eye contact (irritant) away from combustible material.. contact lenses. In case of
MAK: sensitization of Empty containers pose a contact, immediately flush eyes
Ingestion
respiratory tract and skin fire risk, evaporate the residue with plenty of water for at least
Inhalation (lung irritant, (Sah); (DFG 2006). under a fume hood. Ground all 15 minutes. Cold water may be
lung sensitizer) equipment containing material. used. Get medical attention.
Do not ingest. Do not breathe
dust. Wear suitable protective
clothing. In case of insufficient Skin Contact:
ventilation, wear suitable In case of contact, immediately
respiratory equipment. If flush skin with plenty of water
ingested, for at least 15 minutes while
15
 seek medical advice immediately
and show the container or the
label. Avoid contact with skin
and eyes. Keep away from
incompatibles such as reducing
agents, combustible materials,
organic materials, metals.
Storage:
Strong Oxidizer. Moisture
Sensitive. Keep container tightly
closed. Keep container in a cool,
well-ventilated area. Separate
from acids, alkalies, reducing
agents and combustibles. See
NFPA 43A, Code for the Storage
of Liquid and Solid Oxidizers.
Do not store above 23°C
(73.4°F).
JSA FORM revision 8 ( Feb 2017)
removing contaminated
clothing and shoes. Cover the
irritated skin with an emollient.
Cold water may be used.Wash
clothing before reuse.
Thoroughly clean shoes before
reuse. Get medical attention.
Serious Skin Contact:
Wash with a disinfectant soap
and cover the contaminated
skin with an anti-bacterial
cream. Seek immediate medical
attention.
Inhalation:
If inhaled, remove to fresh air.
If not breathing, give artificial
respiration. If breathing is
difficult, give oxygen. Get
medical attention.
Serious Inhalation:
Evacuate the victim to a safe
area as soon as possible.
Loosen tight clothing such as a
collar, tie, belt or waistband. If
breathing is difficult,
administer oxygen. If the
16
 victim is not breathing, perform
mouth-to-mouth resuscitation.
WARNING: It may be
hazardous to the person
providing aid to give mouth-to-
mouth resuscitation when the
inhaled material is toxic,
infectious or corrosive. Seek
medical attention.

Ingestion:
Do NOT induce vomiting
unless directed to do so by
medical personnel. Never give
anything by mouth to an
unconscious person. If large
quantities of this material are
swallowed, call a physician
immediately. Loosen tight
clothing such as a collar, tie,
belt or waistband.

Zinc Oxide Skin corrosion/irritation LC50 – Oncorhynchus mykiss Precautions: Inhalation:

Avoid contact with skin and eyes.
(rainbow trout) – 1.1 mg/l –
Acute toxicity Avoid formation of dust and If breathe in, move person into
96.0 h (zinc oxide)
aerosols. Provide appropriate fresh air. If not breathing, give
Serious eye
EC50 – Daphnia magna exhaust ventilation at places artificial respiration. Consult a
damage/irriation
(Water flea) – 0.098 mg/l – 48 where dust is formed. physiscian.
Respiratory or skin h (Zinc oxide)
sensitsation Storage:
Store in cool place. Keep Skin Contact:
container tightly closed in a dry
and well-ventilated place.
JSA FORM revision 8 ( Feb 2017) 17
 Wash off with soap and plenty
of water. Consult a physician

Eye Contact:
Rinse thoroughly with plenty of
water at least 15 minutes and
consult a physician.

Swallowed:
Never give anything by mouth
to an unconcious person. Rinse
mouth with water. Consult a
physician.

JSA FORM revision 8 ( Feb 2017) 18

Skin Contact – Flush with copious amounts of water for at least 15 minutes. Remove contaminated clothing and wash before reuse. Unless contact has been
slight obtain medical attention.
Inhalation – Remove to fresh air, rest and keep warm. If breathing is difficult give artificial respiration and obtain medical attention.
Eye contact – Irrigate with copious amounts of eye wash or water for at least 15 minutes. Assure adequate flushing by separating the eyelids with fingers.
Obtain medical attention
Ingestion – Do not induce vomiting. If conscious provide water for person to thoroughly wash out mouth (and sip if required). Obtain medical attention.

Full safety data sheets for the above chemicals must available in file at the laboratory in use.
Please ensure data sheets for any previously unused chemical are added to the laboratory's safety file.
Nomenclature
CoSHH: Control of Substances Hazardous to Health MEL: Maximum exposure limit TWA: Time weighted average

SDS : Safety Data Sheet [or the old term is called OEL: Occupational exposure limit TLV: Threshold limit value
CSDS-CHEMICAL SAFETY DATA SHEET or
MSDS-MATERIAL SAFETY DATA SHEET

JSA FORM revision 8 ( Feb 2017) 19

5d. Equipment used in the procedure which may cause harm
NB: This section is concerned with hazards inherent in the equipment rather than the way it might
be used in this procedure.
Equipment Nature of hazard Precautions to be taken
FTIR Make sure read the guideline of
Electrical
using FTIR. Switch off when is
not use.
Glassware Handle the glassware carefully to
Pyhsical (Cut when skin contact
avoid any break from the
with broken glass)
apparatus.
SEM Make sure read the guideline of
Electrical
using SEM. Switch off when is
not use
TGA Make sure read the guideline of
Electrical
using TGA. Switch off when is
not use.
DSC Make sure read the guideline of
Electrical
using DSC. Switch off when is
not use.

NOTE:
ALL EQUIPMENTS USED ELECTRICAL POWER WILL HAVE ELECTRICAL HAZARDS.

6. Laboratories required
Polymer Processing, Testing and Analysis Lab 15 , Analytical Chemistry Lab 2C

6a. First Aid & Fire Fighting Equipment (FAFFE) Available

LABORATORY: Polymer LABORATORY:Analytical

FAFFE Processing, Testing and Chemistry Lab 2C
Analysis Lab 15
Eye wash & emergency shower Model: Haws Corporation Model:R2500 Haws Corp
Last date checked: Last date checked:
Condition: GOOD / 24/04/2018
NOT GOOD Condition: GOOD /
NOT GOOD
Antiseptic cream Expire: 7/18 Expire:October 2020
Dressing W.O.W bandage (2.5cm x Fabric bandage
5cm) Expire: 4/3/2022
W.O.W bandage (5.0cm x Gauze swabs
5cm) Expire:20/2/2020
W.O.W bandage (7.5cm x Elastic comforting Bandage
5cm) Expire:8/3/2022
Surgical tape Triangular bandage
Triangular bandage Cotton buds
Absorbent cotton wool Stainless steel scissor
Alcohol swab Woode splint
JSA FORM revision 8 ( Feb 2017) 20
 Cotton buds Cotton wool
Safety pin W.O.W bandage
Tweezer Elastic crepe bandage
Expire:November 2021
Eyemo Expire: Expire:
Yellow lotion Expire: Expire:
Dettol Expire: 10/17 Expire:January 2020
Chemical spill kit Good
Fire Extinguisher Checked on: 20/4/15 Checked on: 17/07/2018
Next checking on: Next checking
on:16/07/2019

7. Disposal routes for waste materials

Tick [ ] or complete appropriate box for each category of waste WITH reference to FIRST
SCHEDULE of ENVIRONMENTAL QUALITY (SCHEDULED WASTES) REGULATIONS 2005.

Nature of Route for disposal:

waste:
Sink Black Black Solvent drum Sharps Other route
bag bin (e.g. (SW311; bin (specify)
SW410) SW322; SW323)

Glove /

Mask /  

Chemical (Spent  /
HCL, APS, aniline)

NOTE:The following list of scheduled wastes are not exhausted, the above regulation must be
referred to complete this section.

SW109 Waste containing mercury or its compound

SW206 Spent inorganic acids
SW311 Waste of oil or oily sludge
SW322 Waste of non-halogenated organic solvents
SW323 Waste of halogenated organic solvents
SW421 Rags, plastics, papers or filters contaminated with scheduled wastes

NOTE:
PLEASE SPECIFY YOUR BIOHAZARD WASTE - ROUTE OF DISPOSAL

JSA FORM revision 8 ( Feb 2017) 21

8. Specific risk assessment for procedure and precautions to be
taken
1. Avoid direct contact with hot vials, wear heat resistant gloves if necessary.
2. Turn off all electrical equipment after finish use it.
3. Make sure that hands are dry enough to handle electrical appliance.
4. Wear facemask when dealing with chemical to avoid inhalation of harmful chemical
gaseous.
5. PPE must be worn all the time.
6. The waste product must be disposal on the suitable disposal container.
7. Extra care must be taken to avoid any spillage of chemical.
8. All the equipment and apparatus must be placed back on it original places
9. Housekeeping must be done after finish using the lab.
9. Level of supervision required and suitability for out-of-hours work
Please mark box [  ] to indicate appropriate supervision category for this procedure.

√ Category A
work may not be carried out except under the direct supervision of a
specified member of staff who is present continuously
work may not be started without the supervisor's advice and approval, some
Category B additional training and initial direct supervision
work may not be started without the supervisor's advice and approval and
Category C some additional training - no direct supervision required
 Category D although extra care must be observed, workers should already be competent
and adequately-trained for this task
risks are insignificant and supervision unnecessary
Category E

9a. Is this procedure authorised for out-of-hours work?

YES :___ NO:____

[TO BE FILLED FOR WORK TO BE DONE OUT OF OFFICE HOURS ]

Date and time Supervisor Approval HOS Approval SHO Approval

10. Emergency Contact

No NAME CONTACT NO

1. Security Guard 06-5512054

2. Safety Executive 016-6459211

Name: MOHD NAQUIB BIN
MOHAMMAD
JSA FORM revision 8 ( Feb 2017) 22
 3. Safety and Health Officer 019-2436965
Name: NOR AINI BTE BUROK
4. Supervisor 019-6664972
Name: DR. MUZAFFAR ZULKIFLI
5. Co-supervisor (if any)
Name:
Note:
Supervisor is required to make hourly phone calls to check on students when they work out of office
hour.

JSA FORM revision 8 ( Feb 2017) 23

11. Signature of technician involved in the project.

Form Checked By Signature

(Technician):- (Date)
Form Checked By Signature
(Technician):- (Date)
Form Checked By Signature
(Technician):- (Date)
Form Checked By Signature
(Technician):- (Date)

12. Signature of academic supervisor and co supervisor

Note that this assessment needs to be reviewed and signed annually to take into account any developments of the procedure [if the project is
more than one year, eg postgraduate].
Supervisor (Name): DR. MUZAFAR ZULKIFLI Signature
(Date)
Co-Supervisor (Name): Signature
(Date)

13. Signature of authorised signatory for JSA approval

Signature Name

Date

JSA FORM revision 8 ( Feb 2017) 24

14. Signature and contact number of workers involved with this procedure
Please sign annually to say you have read the attached document and understood it.
# Name of other student Signature & # Name of other student Signature &
involved Contact No. involved Contact No.
(Date) (Date)
1 2
3 4
5 6
7 8
9 10
11 12
JSA reference number of other JSA reference number
student involved of other student involved

JSA FORM revision 8 ( Feb 2017) 25

Review Section [TO BE FILLED BY POSTGRADUATE ONLY].

15. Signature of the reviewer/s

Note that this assessment needs to be reviewed and signed ANNUALLY to take into account any developments of the procedure
(This section should be signed by the technician/s in charge of the areas where the work is to be done)

Signature Could any less Signature Could any less

(Date) hazardous substance or (Date) hazardous substance or
procedure be used? procedure be used?

JSA FORM revision 8 ( Feb 2017) 26