Information
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COSHH Risk Assessment No.
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Name of substance
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Manufacturer
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Address
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Manufacturer Emergency Contact Number
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Department/s
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Risk assessment conducted on
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Risk assessment completed by
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Supplier SDS held
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Date of SDS
Risk Assessment
1. How is it used
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Describe the activity or work process. (Include how long and how often this is carried out and the quantity of substance used)
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Location of the process being carried out?
2. Hazard Classification
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Moderate hazard
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Acutely toxic
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Corrosive
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Health hazard
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Flammable
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Oxidising
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Explosive
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Gas under pressure
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Harmful to the aquatic environment
3. Hazardous Substances produced
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Are any hazardous substances produced by any process. (eg fumes from heating substance)
4. Persons at risk of exposure
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Employees
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Young persons
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Trainees
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Contractors
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New and expectant mothers and women of a child bearing age
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Emergency responders
5. Hazard Type
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Gas
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Vapour
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Mist
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Fumes
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Dust
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Liquid
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Solid
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Other
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If Other, state the nature of the hazard type?
6. Route of exposure
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Inhalation
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Skin absorption
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Eyes
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Ingestion
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Other
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If other, state type?
7. What Controls Are Currently In Place
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Total enclosure of process
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Partial enclosure of process
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Local Exhaust Ventilation (LEV)
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General workplace ventilation
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Wet methods (to control dust)
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Respiratory protection
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Eye protection
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Hand protection
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Protective overalls
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Apron
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Other
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Safe Operating Procedures
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Good standards of personal hygiene
8. First Aid - See Safety Data Sheet (SDS)
9. Spillage procedures - See local spillage procedures
12. Safety disposal of residual waste and containers
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Hazardous waste
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Controlled waste
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Recycle
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Reuse
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Return to supplier
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Other
11. Handling and storage arrangements
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Storage
12. Assessment Of Risk
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Overall assessment of risk with regard to current usage of this substance
13. Considerations for improvement
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Has the use of an alternative less harmful substance been considered?
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Are the current controls suitable and sufficient?
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Does the SDS suggest any controls that are not in place?
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Is air monitoring considered appropriate to demonstrate controls are affective?
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Can the process be re-engineered to prevent the risk of exposure?
14. Assessment Review
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This assessment should be reviewed periodically or if there are any changes in the process.
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Date of next review
15. Assessment Completed By
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Assessor Signature