Get the free Proposition 65 Report Form

This is a report form used to document incidents involving suspected hazardous materials as per Proposition 65 regulations. It includes sections for reporting details such as time, date, and nature

How to fill out proposition 65 report form

How to fill out proposition 65 report form

1. Obtain the Proposition 65 report form from the appropriate regulatory agency or their website.
2. Review the instructions provided with the form to understand the required information.
3. Fill in the contact information for the reporting entity, including the name, address, and phone number.
4. Identify and describe the product or substance being reported, including any relevant identifiers such as batch numbers.
5. Specify the type of exposure, indicating whether it is environmental or occupational.
6. List any hazardous chemicals involved, referencing the official list of Proposition 65 chemicals.
7. Provide details on the amount and duration of exposure, if applicable.
8. Include any relevant supporting documentation or evidence that may assist in the review process.
9. Review the completed form for accuracy and completeness.
10. Submit the report form in accordance with the submission guidelines provided by the agency.

Who needs proposition 65 report form?

1. Businesses that manufacture, sell, or distribute products containing chemicals listed under Proposition 65.
2. Employers where workers may be exposed to listed chemicals in the workplace.
3. Any entity required to report potential exposures to chemicals that may pose a risk to public health in California.

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What is proposition 65 report form?

The Proposition 65 report form is a document used to report exposures to chemicals known to the state of California to cause cancer or reproductive toxicity, as required by California's Safe Drinking Water and Toxic Enforcement Act of 1986.

Who is required to file proposition 65 report form?

Businesses that expose individuals to chemicals listed under Proposition 65 must file the report form, including manufacturers, distributors, and retailers.

How to fill out proposition 65 report form?

To fill out the Proposition 65 report form, provide details about the business, description of the chemical exposure, date of exposure, and any measures taken to mitigate the exposure. Accurate information must be included to ensure compliance.

What is the purpose of proposition 65 report form?

The purpose of the Proposition 65 report form is to provide transparency about chemical exposures to consumers and to facilitate the enforcement of safety regulations regarding hazardous substances.

What information must be reported on proposition 65 report form?

The information that must be reported includes the name and address of the business, a description of the chemical exposed, the nature of the exposure, the date of the exposure, and any remediation actions taken.