Occupational health template, free to use
COSHH assessment
Assessment of a hazardous substance: hazards, exposure routes, controls, RPE, health surveillance and emergency actions.
Print it blank and fill it in on site, or use it as the structure for your own version. No sign-up, no email, no watermark. A competent person must adapt and approve any document before it is used on a real project.
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COSHH assessment
Free template from thebuildingsafetyact.com. To be reviewed and approved by a competent person.
Substance and task
| Substance / product name: | Manufacturer: |
| Safety data sheet reference and date: | Task and process: |
| Quantity used: | Frequency and duration of use: |
Hazard classification and exposure routes
Persons who may be exposed
Control measures
| Item | Yes | N/A | Comment |
|---|---|---|---|
| Elimination or substitution considered | |||
| Local exhaust ventilation or on-tool extraction | |||
| Water suppression | |||
| Enclosure or segregation | |||
| Limited exposure time or rotation | |||
| Washing and decontamination facilities | |||
| Safe storage arrangements | |||
| Waste disposal route defined |
PPE and RPE (specify type, standard and face-fit status)
Health surveillance required?
Emergency procedures: spillage, fire, first aid
Assessment
| Assessed by: | Signature: |
| Date: | Review date: |
Free template from thebuildingsafetyact.com. This is a starting template, not professional advice. It must be reviewed, amended and approved by a competent person for the specific task, site and conditions before use. The Building Safety Act site and AI Metric Ltd accept no liability for its use.