HSE COSHH Assessment Template

Use the HSE COSHH Assessment Template to identify hazardous substances, assess risks, and implement control measures for workplace safety and compliance.

HSE COSHH Assessment Template



General Information

1. Employer/Supervisor


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2. Dates Reviewed


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Hazards Identified

1. Substance


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2. Hazardous Properties


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3. Quantity


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Additional Information

1. Workplace Exposure Limits:


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2. R-phrases:


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3. S-phrases:


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4. H and P statements:


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Emergency Procedures

1. Eye contact:


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2. Inhalation:


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3. Skin contact


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4. Ingestion:


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5. Spill procedure:


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Chemical Info

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


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Methods Of Prevention Or Control Of Exposure

1. Engineering controls required


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2. Access control


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3. Special procedures


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4. Approved PPE


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Disposal Procedures

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


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Training Requirements

1. Training Requirements


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Handling And Storage Requirements

1. Handling and Storage Requirements


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Assessment Of Risk Using Controls Detailed Above

1. Assessment of Risk Using Controls Detailed Above


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Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

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