EHS - Environmental Health & Safety

REHS.D.14
COSHH ASSESSMENT
Associated DCR: NONE
Location(s) Affected: Status: Version:
Rhymney Import Effective 1.0, CURRENT

COSHH ASSESSMENT

General Information
Department Assessment Ref / Issue No

Substance
Trade Name
Name of Substance
(list constituents if known)
Frequency of Use /
Exposure
Quantity used per operation
Material Safety Data Sheet
Yes No Revision Date / No
available
The Task / Substance *
Describe where the task is performed / *Substance is used

Import Effective
Describe the task / *how the Substance is used and handled

Hazardous Properties
Hazard Y/N (List specific details where relevant)

Toxic

Flammable

Carcinogenic

Corrosive
* Delete as applicable

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EHS - Environmental Health & Safety
REHS.D.14
COSHH ASSESSMENT
Associated DCR: NONE
Location(s) Affected: Status: Version:
Rhymney Import Effective 1.0, CURRENT

Hazard Y/N (List specific details where relevant)

Biological
Harmful to the
Environment
Asphyxiant
Irritant
Harmful
Reactive
Other (please
describe)
List R phrases
List S phrases
List Occupational Exposure Standards / Limits:

Import Effective
Specify monitoring / health surveillance requirements:

Operational Control
Y/N List Specific Details
Required
General Ventilation
Fume Hood
Local Extraction
Other
Protective
Equipment Y/N List Specific Details
Required
Dust Mask / Respirator
Eye Protection
Face Shield
Gloves (specify type)
Chemical Resistant
Clothing
(please list)
Other

This Document is Confidential and Proprietary. Unless Otherwise Marked, It is an Uncontrolled Copy.
EHS - Environmental Health & Safety
REHS.D.14
COSHH ASSESSMENT
Associated DCR: NONE
Location(s) Affected: Status: Version:
Rhymney Import Effective 1.0, CURRENT

Import Effective

This Document is Confidential and Proprietary. Unless Otherwise Marked, It is an Uncontrolled Copy.
EHS - Environmental Health & Safety
REHS.D.14
COSHH ASSESSMENT
Associated DCR: NONE
Location(s) Affected: Status: Version:
Rhymney Import Effective 1.0, CURRENT

Are the risks * If no, list actions below that will

adequately Yes No * reduce the risks to an acceptable
controlled? level

Target Completion
Corrective Actions Responsibility
Date

Import Effective

This Document is Confidential and Proprietary. Unless Otherwise Marked, It is an Uncontrolled Copy.
EHS - Environmental Health & Safety
REHS.D.14
COSHH ASSESSMENT
Associated DCR: NONE
Location(s) Affected: Status: Version:
Rhymney Import Effective 1.0, CURRENT

Agreed By Name Position Date

Risk
Assessor(s)

QA / EHS
Specialist

Import Effective

This Document is Confidential and Proprietary. Unless Otherwise Marked, It is an Uncontrolled Copy.
EHS - Environmental Health & Safety
REHS.D.14
COSHH ASSESSMENT
Associated DCR: NONE
Location(s) Affected: Status: Version:
Rhymney Import Effective 1.0, CURRENT

HISTORY PAGE

Revision: 1 SCR: R00996 App Date: 14/05/04 Originator Claire

: Bolton

Document derived from HS.D.03 in line with ISO 9001:2000 numbering and format
Comments: changes. Sections added for risk controls and corrective actions.

Originator:
Comments:

Import Effective

This Document is Confidential and Proprietary. Unless Otherwise Marked, It is an Uncontrolled Copy.