Scribd Logo
Upload

Welcome to Scribd!

  • 718 views

    COSHH Assessment Template

    Uploaded by

    richard
    This COSHH assessment template provides guidance for assessing risks from hazardous substances. It includes sections to identify the substance, who may be exposed, hazards, exposure limits, required protective equipment, substance properties, control measures, and an assessor checklist. The assessment aims to control health risks from substances and ensure compliance with regulations. It should be re-evaluated regularly if tasks, personnel, or substances change significantly.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    COSHH Assessment Template

    Uploaded by

    richard
    718 views2 pages
    This COSHH assessment template provides guidance for assessing risks from hazardous substances. It includes sections to identify the substance, who may be exposed, hazards, exposure limits, required protective equipment, substance properties, control measures, and an assessor checklist. The assessment aims to control health risks from substances and ensure compliance with regulations. It should be re-evaluated regularly if tasks, personnel, or substances change significantly.

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This COSHH assessment template provides guidance for assessing risks from hazardous substances. It includes sections to identify the substance, who may be exposed, hazards, exposure limits, required protective equipment, substance properties, control measures, and an assessor checklist. The assessment aims to control health risks from substances and ensure compliance with regulations. It should be re-evaluated regularly if tasks, personnel, or substances change significantly.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    718 views2 pages

    COSHH Assessment Template

    Uploaded by

    richard
    This COSHH assessment template provides guidance for assessing risks from hazardous substances. It includes sections to identify the substance, who may be exposed, hazards, exposure limits, required protective equipment, substance properties, control measures, and an assessor checklist. The assessment aims to control health risks from substances and ensure compliance with regulations. It should be re-evaluated regularly if tasks, personnel, or substances change significantly.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    COSHH Assessment Template Document Number

    This assessment only addresses the risk of harm to health from the substances listed. Additional risk assessments may be required to
    control the risk from other hazards associated with these work/the procedures used. The task/process should be re-assessed on a regular
    basis either annually, or if there are significant changes to the task or process or if there is a significant change in personnel who carry it out
    it e.g., young/inexperienced workers, pregnancy, workers with pre-existing conditions such as asthma, dermatitis, etc.
    COSHH ASSESSMENT SHEET

    Name of Substance

    Supplied by

    Date of Assessment

    What is the substance to be used for

    Department

    Site and Location of Substance

    Workplace exposure limit specified □ Yes □ No


    Who are at Risk

    □ Staff □ Public □ Visitors □ Pregnant Workers □ Contractors


    Route of Entry

    □ Inhalation □ Absorption □ Ingestion

    Exposure Limits

    Occupational Exposure Maximum Exposure Workplace Exposure Limits


    Hazard & Precautionary Statements:
    Standard (OES): Limits (MEL): (WEL):

    PPE Identification

    Personal
    Protective
    Equipment (Tick
    Required Boxes Hand Protective Protective
    Safety Glasses Face Shield Face Mask Respirator
    Protection clothing Footwear
    □ □ □ □ □ □ □
    Substance Properties (Tick all that apply)

    Dangerous
    Human Gas under
    Harmful for
    Oxidizing Explosive Flammable Toxic Corrosive Health pressure
    environment
    □ □ □ □ □ □ □ □ □

    Prepared by: Engr. Mohsin www.hsefiles.com


    COSHH Assessment Template Document Number

    Hazard Type

    □ Gas □ Vapor □ Smoke □ Mist □ Dust □ Fume □ Solid □ Liquid □ Other


    Control Measures

    General Precautions First Aid Measures

    Spillage Procedure Fire and Explosion Prevention

    Handling and Storage Disposal Considerations

    Assessor Checklist YES/NO Further Action


    Has the assessment considered all factors pertinent to the use of the
    substance? If NO, please give details of further action required.
    Has the assessment considered the practicability of preventing exposure? If
    NO, please give details of further action required.
    Has the assessment considered the steps to be taken to achieve and
    maintain adequate control of exposure where prevention is not reasonably
    practicable? If NO, please give details of further action required.
    Has the assessment considered the need for monitoring exposure to the
    substance? If NO, please give details of further action required.
    Has the assessment identified all action required to comply with
    regulations? If NO, please give details of further action required.

    COSHH Assessment

    The task is safe to be carried out with The task is safe to be carried out subject to Task/substance is unsafe, significant non-
    current control procedures. actions listed. compliance with health & safety standards.

    □ □ □
    Prepared By

    Name: Designation: Signature:

    Approved By

    Name: Designation: Signature:

    Prepared by: Engr. Mohsin www.hsefiles.com

    You might also like