title: Accuracy, comprehensibility, and use of material safety data sheets: a review.
abstract: OBJECTIVE
  Material safety data sheets (MSDSs) are used in workplaces to communicate to workers the hazards of chemical products. This article describes a review of the peer-reviewed scientific literature regarding the accuracy, comprehensibility and use of MSDSs in the workplace.
  
  
  METHODS
  Articles were retrieved via a systematic search of indexes and databases, followed by hand searching and citation index searching. Two reviewers independently read and coded the articles using an iterative matrix.
  
  
  RESULTS
  Of the 280 unique articles retrieved, 24 fit the review criteria. Eligible articles included a range of methodologies: laboratory analyses, site audits, surveys and qualitative inquiry. Articles were grouped into three main topic categories: accuracy and completeness, awareness and use, and comprehensibility. Accuracy and completeness were found to be relatively poor, with the majority of studies presenting evidence that the MSDSs under review did not contain information on all the chemicals present, including those known to be serious sensitizers or carcinogens. Poor presentation and complex language were consistently associated with low comprehensibility among workers. Awareness and use of MSDSs was suboptimal in workplaces where these factors were studied.
  
  
  CONCLUSIONS
  Despite the fact that these studies varied in methodology and spanned a period of more than 15 years, a number of common themes emerged regarding inaccuracies, incompleteness, incomprehensibility and overall low use of MSDSs. The results of the literature review suggest that there are serious problems with the use of MSDSs as hazard communication tools. The article concludes with recommendations for governments, regulatory bodies, and occupational health and safety personnel to seriously reassess the ways in which MSDSs are written, monitored, regulated, and used.
authors.affiliation: Centre for Health and Environment Research, University of British Columbia, Vancouver, British Columbia, Canada. anicol@interchange.ubc.ca
authors.forename: Anne-Marie
authors.initials: AM
authors.lastname: Nicol
authors.forename: A Christie
authors.initials: AC
authors.lastname: Hurrell
authors.forename: Desy
authors.initials: D
authors.lastname: Wahyuni
authors.forename: William
authors.initials: W
authors.lastname: McDowall
authors.forename: Winnie
authors.initials: W
authors.lastname: Chu
mesh_terms: D003257:Consumer Product Safety; D004282:Documentation; D015386:Hazardous Substances; D006801:Humans; D016272:Occupational Health
chemical_list: D015386:Hazardous Substances