• COSHH Risk Assessment No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Address
  • Personnel

  • Product Name

  • Manufacturer

  • Product code

  • Manufacturer Contact Number

  • Section where used

  • Description

  • MSDS held

  • Date of MSDS

Hazard Classification

  • Very toxic.

  • Toxic

  • Corrosive

  • Oxidising

  • Irritant

  • Harmful

  • Extremely flammable

  • Highly flammable

  • Flammable

  • Biological

  • Environmental

  • Sensitising

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?

  • Photo of chemical and/or process

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:

Hazard Type

  • Gas

  • Vapour

  • Mist

  • Fumes

  • Dust

  • Liquid

  • Solid

  • Other

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

Route of exposure

  • Inhalation

  • Skin

  • Eyes

  • Ingestion

  • Other

  • If other, state type?

What Controls Are Currently In Place

  • Total enclosure of process

  • Partial enclosure of process

  • General workplace ventilation

  • Wet methods (to control dust)

  • Respiratory protection

  • Eye protection

  • Gloves

  • Protective overalls

  • Rubber apron

  • Other

  • If other, give explanation

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)


  • What are the environmental implications?

Storage Disposal and transportation Information

  • Storage

  • Disposal

  • Transport

Assessment Of Risk

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


  • Are the current controls effective

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

  • Is air monitoring considered appropriate

  • Can the process be re-engineered

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

Assessment Review

  • This assessment should be reviewed periodically or it there are any changes in the process.

  • Date of next review

Assessment Completed By

  • Assessor Signature

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