COSHH Risk Assessment

• COSHH Risk Assessment No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Address
  Address

• Personnel

• Product Name

• Manufacturer

• Product code

• Manufacturer Contact Number

• Section where used

• Description

• MSDS held

  Yes

  No

  N/A

• Date of MSDS

Information

• Substance Name

• Manufacturer

• Product Code

• Manufacturers Contact Details

• MSDS Held

  Yes

  No

  N/A

• Appearance Form Colour Odour

Hazard Classification

• Select Acute Toxicity (Cat 1-3) Corrosive Compressed Gases Oxidising Flamable Explosive Acute Toxicity (Cat 4) General Harm Hazardous to the environment No Classification

  • Acute Toxicity (Cat 1-3)
  • Corrosive
  • Compressed Gases
  • Oxidising
  • Flamable
  • Explosive
  • Acute Toxicity (Cat 4)
  • General Harm
  • Hazardous to the environment
  • No Classification

• GHS-01 Explosive

  

• Explosives

  Select Self-reactive substances and mixtures Type A Self-reactive substances and mixtures Type B Organic Peroxides Type A Organic Peroxides Type B

  • Self-reactive substances and mixtures Type A
  • Self-reactive substances and mixtures Type B
  • Organic Peroxides Type A
  • Organic Peroxides Type B

• GHS-02 Flammable

  

• Select Flammable gases, aerosols, liquids or solids Self reactive substances and mixtures Pyrophoric liquids and solids Self-heating substances and mixtures Substances and mixtures, which in contact with water emit flammable gases Organic peroxides

  • Flammable gases, aerosols, liquids or solids
  • Self reactive substances and mixtures
  • Pyrophoric liquids and solids
  • Self-heating substances and mixtures
  • Substances and mixtures, which in contact with water emit flammable gases
  • Organic peroxides

• GHS-03 Oxidising Gasses, Liquids and Solids

  

• GHS-04 Compressed Gases

  

• Select Compressed gases, liquids and solids Liquefied gases Refrigerated liquefied gases Dissolved gases

  • Compressed gases, liquids and solids
  • Liquefied gases
  • Refrigerated liquefied gases
  • Dissolved gases

• GHS 05 Corrosive

  

• Select Corrosive to metals Skin corrosion Severe eye damage

  • Corrosive to metals
  • Skin corrosion
  • Severe eye damage

• GHS-06 Acute toxicity (Cat 1 - 3)

  

• GHS-07 Acute Toxicity (Cat 4)

  

• Select Skin and eye irritation Skin sesitisation Specific target organ toxicity Respiratory tract irritation Narcotic effects

  • Skin and eye irritation
  • Skin sesitisation
  • Specific target organ toxicity
  • Respiratory tract irritation
  • Narcotic effects

• GHS-08 Personal Harm

  

• Harm

  Select Respiratory sensitisation Germ cell mutagenicity Carcinogenicity Reproductive toxicity specific target organ toxicity Aspiration hazard

  • Respiratory sensitisation
  • Germ cell mutagenicity
  • Carcinogenicity
  • Reproductive toxicity
  • specific target organ toxicity
  • Aspiration hazard

• GHS-09 Hazardous to the Aquatic Environment

  

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

• Select Gas Vapour Mist Fumes Dust Liquid Solid Other

  • Gas
  • Vapour
  • Mist
  • Fumes
  • Dust
  • Liquid
  • Solid
  • Other

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

Route of exposure

• Route of Exposure

  Select Inhalation Skin Eyes Ingestion Other

  • Inhalation
  • Skin
  • Eyes
  • Ingestion
  • Other

• If other, state type?

What Controls Are Currently In Place

• Select Total Enclosure of the Process Partial Enclosure of the Process General Workplace Ventilation Wet Methods (to control Dust) Respiratory Protection Eye Protection Gloves Protective Overalls Rubber Apron Other

  • Total Enclosure of the Process
  • Partial Enclosure of the Process
  • General Workplace Ventilation
  • Wet Methods (to control Dust)
  • Respiratory Protection
  • Eye Protection
  • Gloves
  • Protective Overalls
  • Rubber Apron
  • Other

• Total Segregation of the Process

  

• 

• 

• 

• 

• Overalls
  

  

• 

• If other, state type?

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

• National Poisons helpline
  In England and Wales: NHS 111 - dial 111
  If symptoms persist consult a doctor

Chemical Spill

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

Environmental

• What are the environmental implications?

Fire Fighting

• Melting point Boiling Point Flash point Self Ignating Danger of Explosion

• Appropriate Extinguishers

  Select Water Dry Powder Foam CO2 Carbon Dioxide Wet Chemical

  • Water
  • Dry Powder
  • Foam
  • CO2 Carbon Dioxide
  • Wet Chemical

• Firefighting methods

Storage Disposal and transportation Information

• Storage

• Disposal

• Transport

Assessment Of Risk

• Assessment Matrix

  Drawing

• 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

• Is air monitoring considered appropriate

  No

  Yes

• 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 periodically or it there are any changes in the process.

• Date of next review

  Date

Assessment Completed By

• Assessor Signature

  Sign