COSHH Assessment
General Information
Criteria | Details |
|---|
Assessment Reference No. | |
Assessor's Name | |
Date of Assessment | |
Department/Location | |
Substance/Product Name | |
Purpose/Use of Substance | |
Substance Identification
Criteria | Details | Rating (1-5) |
|---|
Hazard Classification | Flammable Liquid, Irritant | |
Physical Form | Liquid | |
Route of Exposure | Inhalation, Skin Contact | |
Manufacturer/Supplier Info | NovaChem Industries, Tacoma, WA 98401 | |
Hazard Evaluation
Criteria | Description | Rating (1-5) |
|---|
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) | |
Exposure Risk Assessment
Task/Activity | Frequency | Duration | Number of Workers Exposed | Control Measures |
|---|
Cleaning lab equipment | | | | |
Transferring to smaller containers | | | | |
Control Measures
Storage and Disposal
Criteria | Details | Rating (1-5) |
|---|
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. | |
Assessment Conclusion
Criteria | Details |
|---|
Overall Risk Rating | |
Further Actions Required | |
Review Date | |
Approval
Name | Position | Signature | Date |
|---|
| | | |
| | | |
Ensure that this assessment is reviewed regularly and updated as necessary to maintain a safe and compliant work environment.
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