Template

ACT COSHH Assessment Template

by Emma Page, from the Community

This ACT COSHH assessment template helps organizations document chemical hazards, intended use, exposed persons such as staff, learners, and visitors, hazardous properties, quantities, and Workplace Exposure Limits. Capture emergency procedures for eye, skin, inhalation, ingestion, spills, and fire. Define controls and prevention measures, including engineering controls such as fume cupboards and local exhaust ventilation, access restrictions, SOPs, and PPE. Record handling, storage, disposal, environmental risks, and training requirements. Assess residual risk, note further actions, and complete supervisor authorization with digital signature.

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Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

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Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
HSE COSHH Assessment Template
Use this HSE COSHH assessment template to document and control risks from hazardous substances at work. List chemicals and intended use, who may be exposed, hazard properties, and quantities. Record Workplace Exposure Limits (WELs) and detailed emergency procedures for eye and skin contact, inhalation, ingestion, and spills. Specify prevention and control measures including engineering controls, access restrictions, SOPs, and approved PPE. Capture disposal, handling and storage requirements, training needs, and overall risk assessment. Obtain supervisor authorization and signatures to validate the assessment.
by Sarah Littler, from the Community
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Template
COSHH Risk Assessment Form
Use this COSHH Risk Assessment Form to control exposure to hazardous substances and improve workplace safety. The template guides you to identify the substance, people at risk, and routes of exposure; record Workplace Exposure Limits (WELs); and assess hazards such as toxicity, corrosivity, flammability, and environmental risks. Capture control measures including ventilation, extraction, training, and health surveillance. Specify required PPE with standards, outline first aid responses for eye, skin, inhalation, and ingestion incidents, and document safe storage and disposal of hazardous waste and containers. Conclude with an overall risk rating after controls and capture inspector details and signature.
by luke palmer, from the Community
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Template
COSHH Risk Assessment Template
This COSHH risk assessment template helps teams control exposure to hazardous substances in the workplace. It guides users to record product details, MSDS information, hazard classifications, how and where the substance is used, and any by products created. Assess who may be affected, the type of hazard such as gas, vapor, mist, fumes, dust, liquid or solid, and the route of exposure including inhalation, skin, eyes or ingestion. Document existing controls like ventilation, PPE, and protective clothing, along with general precautions and first aid. Capture emergency actions for spills and fires, environmental impacts, and requirements for storage, disposal and transport. Conclude with an overall risk rating, improvements, and a review schedule to keep controls effective.
by Olusegun Stephen, from the Community
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Working with Hazardous Substances COSHH Assessment Form
This COSHH assessment form helps teams working with chemicals and other hazardous substances identify risks and put effective controls in place. Capture chemical names, verify current Safety Data Sheets, and record GHS hazard classes and H codes. Select appropriate PPE across eye, respiratory, hand, hearing, and protective clothing. Document storage requirements, spill response, firefighting media and considerations, and first aid actions for skin, ingestion, inhalation, and eyes. Evaluate risk by application method, amount used, exposure time, and who is exposed, then set a task hazard level and sign off to confirm controls.
by Wendy Prescott, from the Community
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ACT COSHH Assessment Template

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HSE COSHH Assessment Template

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