COSHH Risk Assessment Ref No:

School/Service/Unit Unit Safety Coordinator/Supervisor:

Describe the activity

or work process.
(Inc. how long/ how often
this is carried out and
quantity substance used)
Location of process
being carried out?
Identify the persons at risk: Employees Students Public

Name the substance(s) involved in

the process
(Attach data sheets to this assessment)

GHS Classification (state the category of danger)

Hazard Type

Gas Vapour Mist Fume Dust Liquid Solid Other (State)

Route of Exposure

Inhalation Skin Puncture Ingestion Other (State)

Workplace Exposure Limits (WELs) please indicate n/a where not applicable
Long-term exposure level (8hrTWA): Short-term exposure level (15 mins):

What are the risks to Health from the process /tasks? (look at the H and P codes on the data sheet)

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 What Personal Protective Equipment is used ? (state type and standard)

Dust mask Visor

Respirator Eye wear

Gloves Overalls

Footwear Other
Assessment of the process/task
(List the summary of controls already in place and identify any gaps)

Now rate the overall rating with the controls you have listed

High Medium Low

List the new controls that need to be in place to give adequate control (consider the need for monitoring as well as
changes to the task or substitution of chemicals used)

Final check: Has the risk rating been reduced to as low as possible with the new controls?

yes Note any monitoring that may be needed………………………………….

Emergency Plans and procedures (this will apply to carcinogens, mutagens or similar health risks)

Are plans in place to deal with spillages or emergencies? Yes N/a

Refer to any first aid emergency that should be noted in this assessment

Has waste disposal been considered and established Yes N/a

Is there a requirement to carry out health surveillance?

Yes No

Assessed by: Date: Review Date:

Approval by: Date

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Sign off Sheet of Understanding

I have been taken through the COSHH assessment for the listed task/process and understand the
safety controls and responsibilities to ensure I work safely.

NAME Signature DATE

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