7.5.6 CONTROL OF SUBSTANCES HAZARDOUS TO HEALTH (COSHH) ASSESSMENT FORM (Sample) (For completion by academic staff supervisor of final year project students) Notes for Completion of COSHH Form The COSHH will be done by you as project supervisor. You should use the COSHH assessment form below which is available in an electronic format. All the relevant information is available from the MSDS provided by chemical suppliers. One COSHH sheet should be used per chemical. ‘High risk’ procedures should be reviewed every two years, with others every five years. For some staff members, who are not involved in any potential chemical or biohazards, one ‘nil return’ on your COSHH will cover all your project students (although the student still has to complete the Risk Assessment). Once completed, the assessment should be discussed with each student to make sure they understand it and the precautions required. A copy should then be retained by the student (for inclusion in their final report), the supervisor and in the Department (submit to Head of Department). A separate form should be completed for each Hazardous Substance used. CONTROL OF SUBSTANCES HAZARDOUS TO HEALTH (COSHH) ASSESSMENT (For completion by academic staff supervisor of final year project students) Procedure................................................. Full Chemical Name Label Risk Nos. and Phrases Safety Nos. and Phrases Likely Route of Exposure Personal Protection Equipment First Aid Fire Fighting Spillage Waste Disposal Other Properties Project Student Name(s) ………………………………………………………………… ………………………………………………………………………………………………. Supervisor Signature.............................................. Review Date............................................................... Date.....................