Chemical Survey

Fire

2018 Chemical Survey
kentwood fire department

To:  All Kentwood Businesses
Re:  Chemical Inventory Reports

Federal and state laws require facilities that use, produce, or handle hazardous chemicals to report their hazardous chemical inventory to the local fire department each year.  Michigan law further requires each fire chief to provide such information to fire fighters who may respond to an emergency at your business. To assist the Kentwood Fire Department in this effort, we ask that you complete the enclosed survey.   If your company does not have any hazardous chemicals, you still must complete the form.  

Indicate whether your site uses or produces any of the chemical types listed.  Check all the categories that apply when a chemical has more than one characteristic; e.g., both a Class 3 flammable and a Class 6 poison. Indicate the quantity category for each chemical group on your site.  You may need to reference Safety Data Sheets (SDS) or other reporting forms to complete the survey.  Your supplier, product labels, or chemical dictionaries may be helpful in determining if any of the chemicals at your facility fall into the specified categories. Complete each line.  Do not leave blanks. If you do not use a chemical group, mark the box in the "DO NOT HAVE" column.  

If the chemicals on site meet or exceed the specified quantities, we may seek additional information to help us prepare site-specific response plans.  You may be asked to provide material safety data sheets, listing of the chemicals by name; maximum quantities; and the locations of the chemicals at your facility.  
If there is a change in use, production, or quantity of hazardous chemicals at your firm, a revised survey must be submitted to the fire department as soon as possible after the change.

All responses will be kept on file in the fire department.

If you have any questions, please contact me at 616-554-0800. Thank you for your cooperation.

Sincerely,

Brent J. Looman
Fire Chief


 2018 Chemical Survey Instructions

Indicate whether your site uses or produces any of the chemical types listed. Check all the categories that apply when a chemical has more than one characteristic: e.g., both a Class 3 flammable and a Class 6 poison. Each chemical group listed in this survey includes a specified quantity.  Indicate the quantity category for each chemical group on your site.   To complete this survey, you may need to reference Material Safety Data Sheets and other reporting forms.
 
Complete each line.  Do not leave blanks.   If you do not use a chemical group listed, choose "DO NOT HAVE" in the drop down list.
 
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.

CLICK HERE FOR CHEMICAL DEFINITIONS

KENTWOOD FIRE DEPARTMENT
2018 HAZARDOUS CHEMICAL INVENTORY SURVEY