COSHH Risk Assessment

• COSHH Risk Assessment No.

• Chemical name

• Department/area/zone of use

Chemical description

• Description of chemical and its function

• Manufacturer name

• Manuafacturer contact details

• Provide code/number

• Scan product barcode

• Photograph both sides of container

  Media

Hazard Classification

• Hazard symbols (old)

  

• Hazard symbols (new)

  

• Hazard type

  Select Explosive Flammable Oxidising agent Compressed gas Corrosive (skin and metal) Toxic Serious Health hazard Ozone depletion/irritant Environmental damage Other (Specify)

  • Explosive
  • Flammable
  • Oxidising agent
  • Compressed gas
  • Corrosive (skin and metal)
  • Toxic
  • Serious Health hazard
  • Ozone depletion/irritant
  • Environmental damage
  • Other (Specify)

• Details of hazard type

• Photograph of symbol

  Media

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?

• Photograph of process or activity

  Media

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 Other (specify)

  • Employees
  • Contractors
  • Trainees
  • Visitors
  • Members of the public
  • Other (specify)

• Specify person(s) at risk

Hazard Type

• Identify hazard type

  Select Gas Vapour Mist Fumes Dust Liquid Solid Other (specify)

  • Gas
  • Vapour
  • Mist
  • Fumes
  • Dust
  • Liquid
  • Solid
  • Other (specify)

• Specify hazard type

Exposure route

• Identify exposure route

  Select Inhalation Skin contact Eye contact Ingestion Other (specify)

  • Inhalation
  • Skin contact
  • Eye contact
  • Ingestion
  • Other (specify)

• Specify exposure route

What Controls Are Currently In Place

• Identify control measures

  Select Total enclosure of process Partial enclosure of process General workplace ventilation Wet to control dust Respiratory protection Eye protection Gloves Protective overalls Rubber apron Other (specify)

  • Total enclosure of process
  • Partial enclosure of process
  • General workplace ventilation
  • Wet to control dust
  • Respiratory protection
  • Eye protection
  • Gloves
  • Protective overalls
  • Rubber apron
  • Other (specify)

• Specify control measure

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

• Score in report will show 1 for each hazard, each exposure route and each hazard type (1 for each)
  Contrast this score with the suitability of the control measures

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

  Low

  Medium

  High

Improvements

• Are the current controls effective

  No

  Yes

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

  All compliant

  Not all compliant

• Is air monitoring considered appropriate

  Yes

  No

• Can the process be re-engineered

  Yes

  No

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

  Yes

  No

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 name and Signature

  Sign