COSHH Risk Assessment

• Client Site

  Select
• Location
  Address

• Department

• Assessed by

• Date completed

  Date

• Review required by:

  Date

• Product:

• SDS reference:

• SDS date:

  Date

• Activity, task or details of use:

• Persons exposed during task:

  Select Employee Contractor Member of the Public

  • Employee
  • Contractor
  • Member of the Public

• Hazards:

• Explosive

  Yes

  No

  N/A

• Oxidising

  Yes

  No

  N/A

• Flammable

  Yes

  No

  N/A

• Harmful to environment

  Yes

  No

  N/A

• Gas under pressure

  Yes

  No

  N/A

• Hazards:

• Serious long term health hazard

  Yes

  No

  N/A

• Toxic

  Yes

  No

  N/A

• Harmful /irritant

  Yes

  No

  N/A

• Corrosive

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

• Further information:

• Control Measures

• Gloves

  Yes

  No

  N/A

• Protective footwear

  Yes

  No

  N/A

• Protective overalls

  Yes

  No

  N/A

• Face mask

  Yes

  No

  N/A

• Respiratory Protection

  Yes

  No

  N/A

• Safety glasses

  Yes

  No

  N/A

• Hearing protection

  Yes

  No

  N/A

• Other

• Storage and transport:

• Recycling and disposal considerations:

• Emergency action

• Spillage action

• Fire Steps to be taken

• First aid requirements

• Eyes

• Skin

• Swallowing

• Inhalation

Details of substance

• Details of hazardous/dangerous substances which the product contains:

• Workplace exposure limits which apply:

• Level, type and duration of potential exposure:

• Hazardous properties (include hazard statements):

• Manufacturers’ limitations of use:

Risk control measures for normal use

• Describe any exposure monitoring and health surveillance:

• Risk control measures already in place:

• New or improved risk control measures required:

• Chemical reactions to be avoided:

• Maintenance arrangements, e.g. for extraction systems, PPE etc.:

Assessment of risk

• With the above risk controls the risk is:

  High

  Medium

  Low

• Is the risk adequately controlled?

  Yes

  No

  N/A

• Can the substance be substituted for one that is less hazardous?

  Yes

  No

• Assessment findings communicated to all relevant persons?

  Yes

  No

  N/A

• Please Note. A copy of the safety data sheet must be filed with this assessment

• Further information on completing COSHH assessments can be found at http://www.hse.gov.uk/coshh/essentials/index.htm