📋 Assessment Details

? Enter the name of the organisation conducting this COSHH assessment.
? Unique identifier for this assessment (e.g., COSHH-001). Used for tracking and records.
? Specify the department, building, or work area where this assessment applies.
? The date when this risk assessment was conducted. Important for audit trail.
? Describe the specific work activity or task where workers are exposed to the hazardous substance.
? Name of the competent person conducting this COSHH risk assessment.
? When this assessment must be reviewed or reassessed. Required under COSHH Regulations 2002.

🧪 Substance Identification

? Full commercial name and grade of the hazardous substance, as it appears on packaging and SDS.
? Name and contact details of the manufacturer or supplier from whom you obtain the substance.
? Confirm whether you have obtained the Safety Data Sheet (SDS) from supplier. Required by COSHH.
Yes
No
? Date of the Safety Data Sheet version you are using. Ensures you have the most current hazard information.
? The state of the substance (liquid, powder, gas, etc.). Important for determining exposure routes and control measures.
? Select hazard symbols from the Globally Harmonised System that apply to this substance.
? Hazard statements from SDS describing physical, health, and environmental hazards of the substance.
? Precautionary statements from SDS specifying prevention, response, and disposal measures for safe handling.
? UK WEL or occupational exposure limit for airborne concentration. From SDS or HSE published limits.

👥 Who is Exposed

? List all job titles or roles of people who may be exposed to this substance during normal work.
? How many workers are potentially exposed to this hazardous substance in their work?
? How long per shift or day are workers exposed to the substance (e.g., 2 hours, continuous).
? How often per week do workers encounter this substance? Daily, weekly, or occasionally.
? How can the substance enter the body? Inhalation, skin contact, eye contact, or ingestion.

⚕️ Health Effects

? Acute health effects that occur immediately or shortly after exposure (irritation, burns, allergic reactions).
? Chronic health effects from repeated or prolonged exposure (occupational disease, cancer, organ damage).
? Which body systems or organs are most likely to be harmed by this substance if exposure occurs.
? Select any special hazard properties (carcinogenic, mutagenic, toxic to reproduction, sensitiser).

📦 Quantity and Storage

? Volume or mass of substance used or handled during a single work task.
? Total quantity held in storage at the workplace. Affects spillage response and emergency planning.
? Where is the substance stored? Should be a secure location away from incompatible substances.
? Environmental requirements for safe storage (temperature range, humidity, ventilation, light protection).
? Chemicals that must not be stored together as they may react dangerously. From SDS Section 10.

🛡️ Control Measures

6.1 Elimination & Substitution

? Elimination is the highest control priority under COSHH. Can this substance be replaced with a less hazardous alternative?
Yes
No
? Substitution is the second-highest control priority. Is there a less hazardous substance that can do the same job?
Yes
No
? Explain why the substance cannot be eliminated or substituted, or document past substitution decisions.

6.2 Engineering Controls

6.3 Administrative Controls

6.4 Personal Protective Equipment

📊 Monitoring & Health Surveillance

? Is atmospheric or workplace exposure monitoring needed to verify control measures are effective?
Yes
No
? Is periodic medical surveillance or health checks needed to detect early signs of occupational disease?
Yes
No
? Specify what type of health checks are needed (skin checks, respiratory, audiometry, etc.) and frequency.
? How often should workplace or health surveillance monitoring be conducted and reviewed?

🚨 Emergency Procedures

? Step-by-step instructions for safe containment and cleanup if substance is spilled. From SDS Section 6.
? Immediate actions to take if someone is exposed or injured (skin contact, eye contact, inhalation). From SDS Section 4.
? Names and contact details of trained first aiders, H&S manager, and emergency services to call.

📈 Risk Evaluation & Actions

? How probable is exposure to occur? 1=Unlikely/never, 5=Very likely/certain in normal conditions.
1=Unlikely, 5=Very Likely
? How serious would the consequences be if exposure occurred? 1=Minor injury, 5=Permanent disability or death.
1=Minor, 5=Catastrophic
Risk Score: 9 / 25
? After applying all control measures, is the residual risk reduced to an acceptable level?
Yes
No
? If risk is not adequately controlled, list the additional control measures required to make it safe.
? Name of the person responsible for implementing the additional control measures.
? By when should the additional control measures be completed? Essential for tracking implementation.

Sign-Off

? Space for the competent person conducting the assessment to sign and date the document.
? Date the assessor signs off on this assessment. Should match or follow the assessment date.
? Space for the manager or supervisor to sign, confirming they approve and endorse this assessment.
? Date when the manager approved and signed off on this risk assessment.
? When must this assessment be reviewed and updated? Required annually or when circumstances change.
? Have affected employees been informed of the hazards and control measures? Required under COSHH Regulation 12.
Yes
No
? When were employees informed about the hazards and control measures in this assessment?

COSHH Risk Assessment Document

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