Multiple substance COSHH form

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COSHH RISK ASSESSMENT FORM
For multiple substances
Activity and hazard properties
College:
School/Department:
Location of activity:
Description of activity:
Substance
name
CAS Number
Quantity
(grams/litres)
Hazards
associated
Workplace
exposure limit
Please attach MSDS for each substance to the hard copy of this sheet
Can any of these products be
substituted with less hazardous ones?
Yes 
No
If yes give reason for not doing so:
Are any of the substances being decanted
from a larger container?
If yes what size is the other container?
How are the substances used?
(e.g. diluted, applied, dissolved)
Persons at
Staff
Students
risk
How often
Multiple
Daily
are the
times daily
substances
used?
How long are people exposed to the
substances when used?(mins)
When are
In contact
In contact
the
with eyes
with skin
substances
hazardous?
Yes 
No
Visitors
Contractors
Public
Weekly
Monthly
Rarely
Inhaled
Ingested
Injected
What is the level of
risk is posed by
exposure
Low
Medium
High
Control measures
General precautions
Engineering controls
Training/briefing requirements
Do the control measure reduce the
risk to an acceptable level?
Are there any further control
measures required?
Required PPE
Other:
Other:

Type:
Type:
Type:
Area exposed
Skin
Type:
Type:
Type:
Type:
Type:
First aid procedure
Risk to health
First aid procedure
Eyes
Inhalation
Ingestion
Waste and spillage procedures
Storage requirements
Spillage procedure
Ecological controls
Disposal procedure
Fire controls
Water
Powder
Foam
CO2

Additional comments
Assessor:
Date completed:
Manager’s
signature:
Date:
Review date:
Wet
Chemical
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