Southern Health and Social Care Trust
COSHHASSESSFORM
Pathology and Laboratory Service
Page 1 of 6
Trust Form
Date of issue
09/07/2013
COSHH RISK ASSESSMENT
Directorate: Acute
Date of Risk
Assessment:
Brief Description of
process/activity
(Include details of
equipment used, how
long and how often this
is carried out and the
quantity of substance
used)
Division: Point of Care Testing
05/03/2014
Aution sticks are used as a diagnostic tool in the semiquantative assay of multiple urine constituents. Some units read
sticks visually with other units having meters available for analysis. Tests are carried out daily in most units with one
strip being used per sample.
Location of process Most units throughout the Southern Trust.
being carried out?
Identify the
persons
at risk:
Staff
x
Name the substance involved in
the process, quantity used and its
manufacturer
(A copy of a current safety data sheet for
this substance should be attached to this
assessment)
COSHH Risk Assessment Form
Contractors
Patients/Clients
Substance:
Test strip
Quantity Used:
1 per sample
Manufacturer:
Aution micro .
Visitors
Controlled Document at: 12/02/2016
Southern Health and Social Care Trust
COSHHASSESSFORM
Pathology and Laboratory Service
Page 2 of 6
Trust Form
Date of issue
09/07/2013
HAZARD SYMBOL AND ABBREVIATION
Explosive
Flammable
Oxidising
Corrosive
Compressed Gas
Environmentally
Damaging
Toxic
Irritant
Health hazard
WARNING AND PRECAUTIONARY STATEMENTS
Hazard Statement e.g. H240
Precautionary Statement e.g. P233
(replaces Risk Phrases e.g. R31)
(replaces Safety Phrases e.g. S1)
N/A
N/A
HAZARD TYPE (TICK ALL THAT APPLY)
N/A
Gas
Vapour
Mist
COSHH Risk Assessment Form
Fume
Dust
Liquid
Solid
Other (State)
Controlled Document at: 12/02/2016
Southern Health and Social Care Trust
COSHHASSESSFORM
Pathology and Laboratory Service
Page 3 of 6
Trust Form
Date of issue
09/07/2013
ROUTE OF EXPOSURE (TICK ALL THAT APPLY)
N/A
Inhalation
Skin
Eyes
Ingestion
Other
(State)
WORKPLACE EXPOSURE LIMITS (WELS) PLEASE INDICATE N/A WHERE NOT APPLICABLE
Substance
Long-term exposure level
(8hrTWA):
Short-term exposure level (15 mins):
STATE THE RISKS TO HEALTH FROM IDENTIFIED HAZARDS
N/A
CONTROL MEASURES: (for example : local exhaust ventilation, fume cupboard, total enclosure,training,
supervision). Include special measures for vulnerable
groups, such as disabled people and pregnant workers. Take account of those substances that are produced from activities undertaken by another employer’s employees.
N/A
COSHH Risk Assessment Form
Controlled Document at: 12/02/2016
Southern Health and Social Care Trust
COSHHASSESSFORM
Pathology and Laboratory Service
Page 4 of 6
Trust Form
Date of issue
Is health surveillance required?
Yes
No
x
Is environmental/air monitoring required?
Yes
No
x
Yes
No
x
(If yes, refer to Flow Chart for Air Monitoring)
Is LEV testing required?
(If yes, refer to Flow Chart for LEV)
09/07/2013
FIRST AID MEASURES
What first aid equipment is
available?
All units have first aid kits available on site.
What action should be taken if substance(s) are:
Swallowed:
N/A
In contact with
Skin:
In contact with
Eyes:
Breathed in:
N/A
Other:
N/A
N/A
N/A
Storage: please specify how the substance should be stored
Strips should be stored at room temperature
How should an accidental release/spillage be dealt with?
N/A
Disposal: How should these substance(s) be disposed of?
Unused test strips may be disposed of in black domestic waste bins. Used strips are disposed of in orange clinical waste bins. Urine sampple
disposed of in sluice and containers in orange clinical waste bags.
COSHH Risk Assessment Form
Controlled Document at: 12/02/2016
Southern Health and Social Care Trust
COSHHASSESSFORM
Pathology and Laboratory Service
Page 5 of 6
Trust Form
Date of issue
09/07/2013
Fire Precautions: What actions will be taken in the event of a fire involving these substance(s)?
N/A
Exposure Control
Is exposure adequately controlled?
Yes
(If No, please complete Action Plan below)
x
No
ACTION PLAN
Action Required
COSHH Risk Assessment Form
Target Date
Action by whom
Completion date
Controlled Document at: 12/02/2016
Southern Health and Social Care Trust
COSHHASSESSFORM
Pathology and Laboratory Service
Page 6 of 6
Trust Form
Date of issue
09/07/2013
COSHH Risk Assessor
I hereby declare that a suitable and sufficient COSHH assessment has been carried out whereby hazards have been identified, actions
suggested and risks prioritised
Name:
Signature:
Date:
Nigel Quinn
Nigel Quinn
06/03/14
Person in charge/Manager
I acknowledge the risks identified by the assessment and will ensure that the risks are reduced as far as is reasonably practicable.
Name:
Derek McKillop
Review Date (annually)
COSHH Risk Assessment Form
Signature:
Derek McKillop
Date:
06/03/14
Reviewed by
Controlled Document at: 12/02/2016