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

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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 ?