Free COSHH Assessment Template
COSHH Assessment
Prepared by: [Your Name], [Your Company Name]
1. Introduction
The Control of Substances Hazardous to Health (COSHH) assessment ensures compliance with workplace safety regulations by identifying hazardous substances, evaluating risks, and implementing control measures to safeguard health. This document evaluates potential exposure risks and establishes actions to minimize harm.
2. General Information
|
Criteria |
Details |
|---|---|
|
Assessment Reference No. |
COSHH-2073-014 |
|
Assessor's Name |
[Your Name] |
|
Date of Assessment |
February 10, 2073 |
|
Department/Location |
Research and Development Lab, Building 4 |
|
Substance/Product Name |
Ethanol Solution (95%) |
|
Purpose/Use of Substance |
Cleaning and sterilization |
3. Substance Identification
|
Criteria |
Details |
|---|---|
|
Hazard Classification |
Flammable Liquid, Irritant |
|
Physical Form |
Liquid |
|
Route of Exposure |
Inhalation, Skin Contact |
|
Manufacturer/Supplier Info |
NovaChem Industries, Tacoma, WA 98401 |
4. Hazard Evaluation
|
Criteria |
Description/Rating |
|---|---|
|
Potential Health Effects |
Eye irritation, dizziness from vapor, skin dryness |
|
Environmental Impact |
Toxic to aquatic life if released in large quantities |
|
Risk of Fire/Explosion |
Yes – highly flammable |
|
Emergency Response Needed |
Evacuate area, use fire extinguisher (Class B) |
5. Exposure Risk Assessment
|
Task/Activity |
Frequency |
Duration |
Number of Workers Exposed |
Control Measures |
|---|---|---|---|---|
|
Cleaning lab equipment |
Daily |
30 minutes |
2 |
Use gloves, goggles, and ensure ventilation |
|
Transferring to smaller containers |
Weekly |
15 minutes |
1 |
Use spill-proof funnels and wear flame-resistant lab coat |
6. Control Measures
-
Engineering Controls: Install ventilation hoods in sterilization rooms.
-
Administrative Controls: Provide annual COSHH training for all lab personnel.
-
Personal Protective Equipment (PPE): Use nitrile gloves, safety goggles, and lab coats.
7. Storage and Disposal
|
Criteria |
Details |
|---|---|
|
Storage Requirements |
Store in a cool, dry, well-ventilated area away from ignition sources. |
|
Spill/Leak Response |
Use absorbent material to contain spills. Dispose of as hazardous waste. |
|
Disposal Method |
Collected by licensed waste management service. |
8. Assessment Conclusion
|
Criteria |
Details |
|---|---|
|
Overall Risk Rating |
Medium |
|
Further Actions Required |
Regular checks on ventilation systems and availability of spill kits. |
|
Review Date |
February 10, 2074 |
9. Approval
|
Name |
Position |
Signature |
Date |
|---|---|---|---|
|
[Your Name] |
COSHH Assessor |
02/10/2073 |
|
|
Alex Morgan |
Lab Supervisor |
02/11/2073 |
Ensure that this assessment is reviewed regularly and updated as necessary to maintain a safe and compliant work environment.
