Chemical Substance COSHH Assessment Template

Utilize this Chemical Substance Risk Assessment Form to identify and address the risk of harm to health associated with the chemical substances listed. Depending on the method or procedure used, additional risk assessments may be necessary to control the risks posed by other hazards.

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Chemical Substance COSHH Assessment Template

Hazards Identified

Additional Information

Emergency Procedures

Chemical Info

Methods Of Prevention Or Control Of Exposure

Disposal Procedures

Training Requirements

Handling And Storage Requirements

Assessment Of Risk Using Controls Detailed Above

General Information

Hazards Identified

Additional Information

Emergency Procedures

Chemical Info

Methods Of Prevention Or Control Of Exposure

Disposal Procedures

Training Requirements

Handling And Storage Requirements

Assessment Of Risk Using Controls Detailed Above

General Information

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Chemical Substance COSHH Assessment Template

Utilize this Chemical Substance Risk Assessment Form to identify and address the risk of harm to health associated with the chemical substances listed. Depending on the method or procedure used, additional risk assessments may be necessary to control the risks posed by other hazards.

1. Substance

2. Hazardous Properties

3. Quantity

1. Workplace Exposure Limits:

2. R-phrases:

3. S-phrases:

4. H and P statements:

1. Eye contact:

2. Inhalation:

3. Skin contact

4. Ingestion:

5. Spill procedure:

1. What will the chemical be used for? (insert title of experiment or experimental procedure) Who may be exposed?

1. Engineering controls required

2. Access control

3. Special procedures

4. Approved PPE

1. Are chemicals with risk phrases R50-R59 or hazard statements H400 – H413 (environmental hazards) involved?

1. Training Requirements

1. Handling and Storage Requirements

1. Assessment of Risk Using Controls Detailed Above

1. Employer/Supervisor

2. Dates Reviewed

1. Substance

2. Hazardous Properties

3. Quantity

1. Workplace Exposure Limits:

2. R-phrases:

3. S-phrases:

4. H and P statements:

1. Eye contact:

2. Inhalation:

3. Skin contact

4. Ingestion:

5. Spill procedure:

1. What will the chemical be used for? (insert title of experiment or experimental procedure) Who may be exposed?

1. Engineering controls required

2. Access control

3. Special procedures

4. Approved PPE

1. Are chemicals with risk phrases R50-R59 or hazard statements H400 – H413 (environmental hazards) involved?

1. Training Requirements

1. Handling and Storage Requirements

1. Assessment of Risk Using Controls Detailed Above

1. Employer/Supervisor

2. Dates Reviewed