Template

Working with Hazardous Substances COSHH Assessment Form

by Wendy Prescott, from the Community

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.

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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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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
Working with Hazardous Substances (COSHH) Assessment Form
This COSHH assessment form helps teams control the risks of working with chemicals and other hazardous substances. It guides users to confirm up-to-date Safety Data Sheets, identify GHS/H-code hazards, and select appropriate PPE (hearing, eye, respiratory, hand, and protective clothing) to EN standards. The template covers first aid responses, fire-fighting media and considerations, storage requirements, environmental precautions, and spill cleanup procedures. It also supports documenting application methods, exposure frequency, affected persons, and calculating task hazard levels, culminating in sign-off and assessor details.
by Tiffany Argent, from the Community
Downloads: 20+
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Template
COSHH Assessment Form for Hazardous Substances
This COSHH assessment form helps teams identify and control risks when working with chemicals and other hazardous substances. It guides users to reference current Safety Data Sheets, select appropriate PPE, record H codes and EUH statements, and document storage and environmental precautions. The template includes first aid actions, fire-fighting media and considerations, spill response and clean-up steps, exposure and application methods, and risk evaluation to set task hazard levels. Use it to standardize COSHH reviews after process changes or incidents and ensure safe, compliant operations.
by Tiffany Argent, 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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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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Working with Hazardous Substances COSHH Assessment Form

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