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.