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COSHH Assessment Record

This document outlines a COSHH (Control of Substances Hazardous to Health) risk assessment. It records information about materials used such as product name, manufacturer, hazard classification, how and where they are used, controls in place, emergency procedures, risk assessment, and communication of findings. The assessment considers risks to users and others from substances and processes, and identifies improvements if needed to controls, alternatives, or processes. Sign off is required from assessors and communication of the assessment to relevant parties.

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Parashuram Patil
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255 views

COSHH Assessment Record

This document outlines a COSHH (Control of Substances Hazardous to Health) risk assessment. It records information about materials used such as product name, manufacturer, hazard classification, how and where they are used, controls in place, emergency procedures, risk assessment, and communication of findings. The assessment considers risks to users and others from substances and processes, and identifies improvements if needed to controls, alternatives, or processes. Sign off is required from assessors and communication of the assessment to relevant parties.

Uploaded by

Parashuram Patil
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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COSHH RISK ASSESSMENT RECORD

MATERIAL SAFETY DATA SHEETS FOR ALL SUBSTANCES USED ARE LOCATED IN THE DESPATCH OFFICE
PRODUCT NAME MANUFACTURER Manufacturer Contact Number SECTION WHERE USED MSDS HELD YES / NO HAZARD CLASSIFICATION ( Tick as appropriate ) ASSESSMENT NO. PRODUCT CODE CAS Ref . DESCRIPTION DATE of MSDS

Irritant

Corrosive

Harmful

Toxic

Very Toxic

Dangerous to the Environment Oxidising

Flammable

Explosive

HOW IS IT USED ?
( Describe the process, quantities used, maximum temperatures reached, exposure periods )

ARE ANY HAZARDOUS SUBSTANCES PRODUCED BY ANY PROCESS


( eg fumes from heating a substance )

WHO MIGHT IT EFFECT ?


( Consider not only those using it, but also visitors, those working near by etc )

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

Other Please specify

GENERAL PRECAUTIONS & PERSONAL PROTECTION NEEDED


( Consider warning signs, ventilation, work patterns, personal hygiene / cleanliness, protective clothing )

QCR117

ISSUE 1 JULY 2006

EMERGENCY FIRST AID TREATMENT


( Eyes, skin, swallowed, inhaled and emergency phone numbers ) Eyes Skin Ingestion

Inhalation

ACTION IN CASE OF EMERGENCY ( Spillage, uncontrolled release, fire )

ENVIRONMENTAL IMPLICATIONS

STORAGE, DISPOSAL & TRANSPORT INFORMATION


Storage

Disposal Transport

OVERALL ASSESSMENT OF RISK WITH REGARD TO CURRENT USAGE OF THIS SUBSTANCE


LOW Not classified as Hazardous MEDIUM HIGH

IMPROVEMENTS
Are the current controls effective ?

Does the MSDS suggest any controls that we don't have in place ?

Is air monitoring considered approriate ?

Can the process be re-engineered ?

Have we considered the use of an alternative, less dangerous substance ?

ASSESSMENT COMPLETED BY : Name : Position : Name : Position : Date : Signature :

Signature :

NEXT REVIEW DUE :

QCR117

ISSUE 1 JULY 2006

ASSESSMENT FINDINGS COMMUNICATED TO ALL RELEVANT PERSONS

Name :

Date :

Signature :

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Date :

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QCR117

ISSUE 1 JULY 2006

COSHH - Department Usage


Department -

Substance -

Who uses it ?

How is it used ?

How much is used ?

How often is it used ?

Is any PPE used ?

Are there any other controls in place ?

How often is it used ?

Where is it kept ?

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