COSHH Assessment

Control of Substances Hazardous to Health — new assessment

Substance & Project

Project * Reference Number Substance Name * Manufacturer Quantity

Hazard Information

Hazard Classification (comma-separated) Hazard Type (comma-separated) Route of Exposure (comma-separated) WEL Long Term WEL Short Term Risks to Health Persons at Risk (comma-separated)

Activity & Controls

Activity Description Control Measures PPE Required

Training Conducted

Health Surveillance Required

Emergency Procedures

Eye Contact Inhalation Skin Contact Ingestion Spill Procedure

Storage & Disposal

Storage/Handling (comma-separated) Storage Location Disposal Method

Assessment & Approval

Assessed By * Assessed By — Designation Approved By Approved By — Designation