Templates / Health and safety

COSHH assessment

Form · Before a hazardous substance is used, and when anything changes

The assessment of a substance hazardous to health used on site, covering everything COSHH regulation 6(2) says it must consider, the controls chosen and when it will be reviewed.

Use it in Sitro: add it to a project and fill it on a phone, free for 14 days.

The law and guidance behind it

Control of Substances Hazardous to Health Regulations 2002 (COSHH), Regulation 6 (assessment) and 7 (control)

The questions

The substance

Product name and supplier
What it is used for, and where
Safety data sheet

What was considered (COSHH reg. 6(2))

(a) Its hazardous properties (Control of Substances Hazardous to Health Regulations 2002, Regulation 6(2)(a))
(b) Health effects the supplier gives, including the safety data sheet (Control of Substances Hazardous to Health Regulations 2002, Regulation 6(2)(b))
(c) The level, type and length of exposure (Control of Substances Hazardous to Health Regulations 2002, Regulation 6(2)(c))
(d) The circumstances of the work, including how much is used (Control of Substances Hazardous to Health Regulations 2002, Regulation 6(2)(d))
(e) Activities, such as maintenance, where exposure could be high (write "None" if none) (Control of Substances Hazardous to Health Regulations 2002, Regulation 6(2)(e))
(f) Any workplace exposure limit (write "None" if none) (Control of Substances Hazardous to Health Regulations 2002, Regulation 6(2)(f))
(g) The effect of the control measures taken or to be taken (Control of Substances Hazardous to Health Regulations 2002, Regulation 6(2)(g))
(h) Results of health surveillance (write "None" if none) (Control of Substances Hazardous to Health Regulations 2002, Regulation 6(2)(h))
(i) Results of exposure monitoring (write "None" if none) (Control of Substances Hazardous to Health Regulations 2002, Regulation 6(2)(i))
(j) The risk of combined exposure to more than one substance (write "None" if none) (Control of Substances Hazardous to Health Regulations 2002, Regulation 6(2)(j))
(k) The approved classification of any biological agent (write "Not a biological agent" if not) (Control of Substances Hazardous to Health Regulations 2002, Regulation 6(2)(k))
(l) Anything else needed to complete the assessment (write "None" if nothing) (Control of Substances Hazardous to Health Regulations 2002, Regulation 6(2)(l))

Controls

PPE and RPE needed
First aid and spill measures
Storage and disposal
Users told the risks and the controls
Review by

Sign-off

Assessed by
Date and time
Signature

A template to adapt to your site, not legal advice.