General Information

  • Department

  • Persons involved in COSHH Assessment

  • People at Risk

  • other people at risk

Hazard Identification

  • Add + activity or work process

  • Process
  • How long will it take?

  • How often will it be repeated?

  • How much substance is used?

  • Locaton of the process or work being carried out

  • Hazard

  • Indicate below which form the substance takes

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

  • Workplace Exposure Limits (WELs)

  • Long-term exposure level

  • Short-term exposure level

  • List the risks to health below from exposure to the substance

Control Measures

  • List below control measures eg extraction, ventilation, supervision, include additonal controls for vulnerable persons where necessary

  • Is health surveillance or monitoring required? (remember health surveillance may be required for vulnerable persons eg pregnant/young workers those with asthma, dermatitis etc)

Personal Protective Equipment

  • Identify type and specification

  • Other PPE

  • Provide standard measures for each PPE required

First Aid Measures

  • Write first measures when in contact with these chemicals

Storage and Disposal of Substances and Contaminated Containers

  • How do you store these substances?

  • Means of Disposing Hazardous Waste

  • Other means

Summary

  • Is the exposure adequately controlled?

  • Risk rating after following control measures

Completion

  • Full Name and Signature of the Inspector

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