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School of Biological and Chemical Sciences COSHH form for laboratory work
QUEEN MARY UNIVERSITY OF LONDON

Control of Substances Hazardous to Health Regulations 2002
Risk Assessment Form
NAME: SUPERVISOR:
LOCATION:
PROCEDURE:
Substances Used
1
2
3
4
Quantity *Hazards *Avoid contact with
5
6
7
8
Chemical No.
PRECAUTIONS REQUIRED FOR EACH CHEMICAL IN USE (tick if necessary)
1 2 3 4 5 6 7
Lab coat
Safety goggles
8
Gloves
Fume hood
Other
Specify
*EMERGENCY ACTION (Special procedures must be detailed below or on an attached sheet)
Chemical No.
1
2
3

School of Biological and Chemical Sciences COSHH form for laboratory work
*WASTE DISPOSAL (Special procedures must be detailed below or on an attached sheet)
Chemical No.
1
2
3
4
5
6
7
8
I have assessed and understand the risk of using the chemicals as listed above and w ill carry out the experiment in accordance with this assessment. I undertake to follow good laboratory practise and the
Health and Safety guidelines laid down by QMUL and the SBCS.
Student Name: Supervisor Name:
Student Signature:
Date:
*NOTES
1.
Supervisor Signature:
Date:
Chemicals: Information regarding all chemicals can be found on Material Safety
Data Sheets (MSDS). These sheets include any known hazards associated with the chemical (eg Very Toxic, Toxic, Flammable, Irritant, Corrosive), what to avoid contact with when using the chemical and emergency/first aid instructions.
These sheets are available on the internet (use the search term “chemical name
MSDS”).
2.
3.
Precautions: This details measures required to control any possible risk associated with the use of the chemical. For example if your risk assessment indicates that you need to wear a lab coat or safety goggles you MUST wear them.
Emergency Action: This details what to do in the event of an emergency and any first aid measures.
4.
Waste Disposal: This will depend on the nature of the chemical and its concentration. If unsure ask your Supervisor or contact the School Health and
Safety Coordinator (Sam Court, x5034, s.j.court@qmul.ac.uk
).