QCAT for Safer Chemicals Example Chemical Assessment Worksheet Chemical Name: CAS #: Also Called: Identify Applications/Functional Uses: Molecular Formula: Molecular Weight: Chemical Structure: Delete row if not used Optional Physicochemical Properties: Hazard Summary Table: Human Health Group 1 (HH1) Human Health Group 2 (HH2) Ecological Fate Physical ST N SnS SnR IrS IrE AA CA P B Ex F C M R D E AT Note: Please see Appendix A for glossary of hazard endpoint acronyms. Grades Initial Data Gap Final Human Health Effects Group I – Carcinogenicity (C) Hazard Level (H, M, L or DG): Research Summary: References:
QCAT for Safer Chemicals Example Chemical Assessment Worksheet Chemical Name: CAS #: Also Called: Identify Applications/Functional Uses: Molecular Formula: Molecular Weight: Chemical Structure: Optional Physicochemical Properties: Delete row if not used Hazard Summary Table: Human Health Group 1 (HH1) Human Health Group 2 (HH2) Ecological Fate Physical C M R D E AT ST N SnS SnR IrS IrE AA CA P B Ex F Note: Please see Appendix A for glossary of hazard endpoint acronyms. Grades Initial Data Gap Final Human Health Effects – Group I Carcinogenicity (C) Hazard Level (H, M, L or DG): Research Summary: References:
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