COSHH Risk Assessment

• COSHH Risk Assessment No.

• Conducted on

  Date

• Prepared by

• Product Name

• Manufacturer

• MSDS held

  Yes

  No

  N/A

• Date of MSDS

Hazard Classification

• Oxidising

• Flammable

• Explosive

• Corrosive

• Gases under pressure

• Carcinogenic/Target organ toxicity

• Environmental toxicity

• Severe acute toxicity

• Caution/Warning

How is it used

• Describe the activity or work process. (Include how long and how often this is carried out and the quantity of substance used)

• Location of the process being carried out?

Hazardous Substances produced

• Are any hazardous substances produced by any process. (eg fumes from heating substance)

Who It Might Effect

• Identify the person at risk:

  Select Employees; Contractors; Trainees; Visitors; Members of the public;

  • Employees;
  • Contractors;
  • Trainees;
  • Visitors;
  • Members of the public;

Hazard Type

• Gas

• Vapour

• Mist

• Fumes

• Dust

• Liquid

• Solid

• Other

• If Other, state the nature of the hazard type?

Route of exposure

• Inhalation

• Skin

• Eyes

• Ingestion

• Other

• If other, state type?

What Controls Are Currently In Place

• Total enclosure of process

• Partial enclosure of process

• General workplace ventilation

• Wet methods (to control dust)

• Respiratory protection

• Eye protection

• Gloves

• Protective overalls

• Apron

• Other

• If other, give explanation

General Precautions

• General precautions and personal protection needed (Consider warning signs, ventilation, work patterns, personal hygiene / cleanliness, protective clothing)

First Aid

• Eyes

• Skin

• Ingestion

• Inhalation

Chemical Spill

• Action in case of emergency (Spillage, uncontrolled release, fire)

Environmental

• What are the environmental implications?

Storage Disposal and transportation Information

• Storage

• Disposal

• Transport

Assessment Of Risk

• Overall assessment of risk with regard to current usage of this substance

  Low

  Medium

  High

Improvements

• Are the current controls effective

  Yes

  No

  N/A

• Does the MSDS suggest any controls that are not in place

  All compliant

  Not all compliant

• Can the process be re-engineered

  Yes

  No

  N/A

• Has the use of an alternative less dangerous substance been considered

  Yes

  No

  N/A

Assessment Review

• This assessment should be reviewed annually unless there are any changes in the process.

• Date of next review

  Date

Assessment Completed By

• Assessor Signature