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Hazard Identification

Add chemical in use

Chemical

State/Figure

What is this used for?

Location of the process or work where the chemical is used

People at Risk

other people at risk

Hazard
Indicate below which route(s) of exposure the substance takes

List the risks to health below from exposure to the substance

Containment and Disposal

Containment measure and disposal method

Prevention of Hazards

Prevention of Hazards

Photos of identified hazards and annotations.
Risk Rating

Is the exposure adequately controlled?

Risk rating after following control measures

Recommendations

Recommendations

Completion
Full Name and Signature of the Inspector

Chemical Risk Assessment Form Checklist

Created by: SafetyCulture Staff | Industry: General | Downloads: 150

This Chemical Risk Assessment Form can be used to identify chemical hazards in the workplace and recommend controls to reduce exposure and minimize harm to workers.

Signup for a free iAuditor account to download and edit this checklist. It will be added to your free account and you will be able to conduct inspections from your mobile device.

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Audit

Hazard Identification

Add chemical in use

Chemical

State/Figure

What is this used for?

Location of the process or work where the chemical is used

People at Risk

other people at risk

Hazard
Indicate below which route(s) of exposure the substance takes

List the risks to health below from exposure to the substance

Containment and Disposal

Containment measure and disposal method

Prevention of Hazards

Prevention of Hazards

Photos of identified hazards and annotations.
Risk Rating

Is the exposure adequately controlled?

Risk rating after following control measures

Recommendations

Recommendations

Completion
Full Name and Signature of the Inspector