ADEM Form 407 "Sara Title Iii Section 311: Sds/Msds Reporting" - Alabama

What Is ADEM Form 407?

This is a legal form that was released by the Alabama Department of Environmental Management - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 13, 2020;
  • The latest edition provided by the Alabama Department of Environmental Management;
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  • Fill out the form in our online filing application.

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Download ADEM Form 407 "Sara Title Iii Section 311: Sds/Msds Reporting" - Alabama

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SARA Title III Section 311: SDS/MSDS Reporting
Safety Data Sheets (SDSs) (formerly known as Material Safety Data Sheets (MSDSs) are a one‐time reporting requirement due within three months of becoming 
subject to OSHA regulations. E‐mail a PDF of the SDS(s) or this form to AL312@adem.alabama.gov for submission to the Alabama Emergency Response Commission 
(AERC). Note: All fields are required.
Facility Name:
Company Name:
Master ID Number:
Street Address:
Phone Number:
City:
Date:
County:
Zip Code:
Hazardous Chemical Name (Should match SDS)
CAS#
Physical Form (i.e. solid, liquid, gas, aerosol)
Immediate/Acute
Key: 
Delayed/Chronic
Physical Hazards
Check all that apply
Health Hazards
Check all that apply
Combustible Dust
Acute Toxicity (any route of exposure)
Corrosive to Metal
Aspiration Hazard
Explosive
Carcinogenicity 
Flammable
Germ Cell Mutagenicity
Gas under pressure
Reproductive Toxicity 
Hazard Not Otherwise Classified (HNOC)
Respiratory or Skin Sensitization
In contact with water emits flammable gas
Serious eye damage or eye irritation
Organic Peroxide
Simple Asphyxiate
Oxidizer
Skin Corrosion or Irritation
Pyrophoric 
Specific target organ toxicity (single or 
Self‐heating
repeated exposure)
Self‐reactive
Page 2 of this document is optional and is for additional chemicals. Please fill out as many as necessary to fulfill your reporting requirements.
For questions or assistance, contact: AL312@adem.alabama.gov .
ADEM FORM 407 [M‐1: 4/13/20]
SARA Title III Section 311: SDS/MSDS Reporting
Safety Data Sheets (SDSs) (formerly known as Material Safety Data Sheets (MSDSs) are a one‐time reporting requirement due within three months of becoming 
subject to OSHA regulations. E‐mail a PDF of the SDS(s) or this form to AL312@adem.alabama.gov for submission to the Alabama Emergency Response Commission 
(AERC). Note: All fields are required.
Facility Name:
Company Name:
Master ID Number:
Street Address:
Phone Number:
City:
Date:
County:
Zip Code:
Hazardous Chemical Name (Should match SDS)
CAS#
Physical Form (i.e. solid, liquid, gas, aerosol)
Immediate/Acute
Key: 
Delayed/Chronic
Physical Hazards
Check all that apply
Health Hazards
Check all that apply
Combustible Dust
Acute Toxicity (any route of exposure)
Corrosive to Metal
Aspiration Hazard
Explosive
Carcinogenicity 
Flammable
Germ Cell Mutagenicity
Gas under pressure
Reproductive Toxicity 
Hazard Not Otherwise Classified (HNOC)
Respiratory or Skin Sensitization
In contact with water emits flammable gas
Serious eye damage or eye irritation
Organic Peroxide
Simple Asphyxiate
Oxidizer
Skin Corrosion or Irritation
Pyrophoric 
Specific target organ toxicity (single or 
Self‐heating
repeated exposure)
Self‐reactive
Page 2 of this document is optional and is for additional chemicals. Please fill out as many as necessary to fulfill your reporting requirements.
For questions or assistance, contact: AL312@adem.alabama.gov .
ADEM FORM 407 [M‐1: 4/13/20]
Hazardous Chemical Name (Should match SDS)
CAS#
Physical Form (i.e. solid, liquid, gas, aerosol)
Immediate/Acute
Key: 
Delayed/Chronic
Physical Hazards
Check all that apply
Health Hazards
Check all that apply
Combustible Dust
Acute Toxicity (any route of exposure
Corrosive to Metal
Aspiration Hazard
Explosive
Carcinogenicity 
Flammable
Germ Cell Mutagenicity
Gas under pressure
Reproductive Toxicity 
Hazard Not Otherwise Classified (HNOC)
Respiratory or Skin Sensitization
In contact with water emits flammable gas
Serious eye damage or eye irritation
Organic Peroxide
Simple Asphyxiate
Oxidizer
Skin Corrosion or Irritation
Pyrophoric 
Specific target organ toxicity (single 
Self‐heating
or repeated exposure)
Self‐reactive
Hazardous Chemical Name (Should match SDS)
CAS#
Physical Form (i.e. solid, liquid, gas, aerosol)
Immediate/Acute
Key: 
Delayed/Chronic
Physical Hazards
Check all that apply
Health Hazards
Check all that apply
Combustible Dust
Acute Toxicity (any route of exposure
Corrosive to Metal
Aspiration Hazard
Explosive
Carcinogenicity 
Flammable
Germ Cell Mutagenicity
Gas under pressure
Reproductive Toxicity 
Hazard Not Otherwise Classified (HNOC)
Respiratory or Skin Sensitization
In contact with water emits flammable gas
Serious eye damage or eye irritation
Organic Peroxide
Simple Asphyxiate
Oxidizer
Skin Corrosion or Irritation
Pyrophoric 
Specific target organ toxicity (single 
Self‐heating
or repeated exposure)
Self‐reactive
ADEM FORM 407 [M‐1: 4/13/20]
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