<INSERT ORGANISATION NAME> COSHH RISK ASSESSMENT

COSHH RISK ASSESSMENT

Company Name Department/Process

Date of Assessment Assessor’s Name

Date of Staff Training Training Refresh Date

Step 1. Identify the Hazards

Substance Hazards

Step 2. What Harm May Occur and to Whom?

Type of Harm Persons at Risk

Step 3. What Controls are Already in Place?

Risk Control

Step 4. What Additional Controls are Required?

Risk Control

Step 5. What Action is Required?

Action Employee Completion Manager
Name Date

© Agora Business Publications LLP. The information in this document is for general guidance only and is not intended to address the circumstances of any particular individual or entity.
The document may need to be tailored to suit individual circumstances and professional advice should be sought before any action is taken, or any decision is made to refrain from action.
To the fullest extent permitted by law, Agora Business Publications LLP and our contributors do not accept liability for any direct, indirect, special, consequential or other losses or
damages of whatsoever kind arising from any action or inaction of the user other than liability limited to the fee paid for the document.
Additional Requirements
Supervision

Information and Instruction

Training

Emergency Response Plans

Health Surveillance

General Control Monitoring

LEV Examination and Test

Step 6. Scheduled Review

Employee Name Date

© Agora Business Publications LLP. The information in this document is for general guidance only and is not intended to address the circumstances of any particular individual or entity.
The document may need to be tailored to suit individual circumstances and professional advice should be sought before any action is taken, or any decision is made to refrain from action.
To the fullest extent permitted by law, Agora Business Publications LLP and our contributors do not accept liability for any direct, indirect, special, consequential or other losses or
damages of whatsoever kind arising from any action or inaction of the user other than liability limited to the fee paid for the document.
Signature of Assessor: .......................................................................................................

Date: ...................................................................................................................................

Name in Block Capitals: .......................................................................................................

Appointment: ......................................................................................................................

© Agora Business Publications LLP. The information in this document is for general guidance only and is not intended to address the circumstances of any particular individual or entity.
The document may need to be tailored to suit individual circumstances and professional advice should be sought before any action is taken, or any decision is made to refrain from action.
To the fullest extent permitted by law, Agora Business Publications LLP and our contributors do not accept liability for any direct, indirect, special, consequential or other losses or
damages of whatsoever kind arising from any action or inaction of the user other than liability limited to the fee paid for the document.