Spreadsheet: 215716d1361462754-excel-2010-tick-box-help-coshh
Sheet: Sheet1

 | COSHH Risk Assessment No:
 | Product Name:
Company name: |  |  |  |  |  |  |  | Dept. (if applicable):
Describe the activity or work process.
(Inc. how long/ how often this is carried out and quantity substance used)
Location of process being carried out?
Identify the persons at risk: |  |  |  | Employees |  |  |  |  | Sub-contractors |  | Public
Name the substance involved in the process and its manufacturer.
(A copy of a current safety data sheet is attached to this assessment)
Classification (state the category of danger)
[NAME]
Gas       Vapour      Mist        Fume        Dust       Liquid       Solid      Other  (State)
Route of Exposure
Inhalation          Skin                    Eyes              Ingestion                Other      (State)
Workplace Exposure Limits (WELs) please indicate n/a where not applicable
Long-term exposure level (8hrTWA): 100mg/m3 |  |  |  |  |  |  | Short-term exposure level (15 mins):
 |  |  |  |  |  |  | Unknown
State the Risks to Health from Identified Hazards
EC Classification: [NAME] 3. Dangerous for the Environment
R40: Limited evidence of a carcinogenic effect
R65: Harmful: may cause lung damage if swallowed
R66: Repeated exposure may cause skin dryness and cracking
R51/53: Toxic to aquatic organisms, may cause long-term
adverse effects in the aquatic environment
Control Measures:
Only use in well-ventilated areas. Prevent spillages. Avoid naked flames.
Avoid inhalation of vapours and contact with skin when undertaking fuelling operations.
When using do not eat, drink or smoke. Never siphon by mouth.
Avoid prolonged or repeated contact with skin.
Select gloves tested to a relevant standard (EN374). Personal hygiene is a key element of effective hand care. Gloves must only be worn on clean hands. After using gloves, hands should be washed and dried thoroughly.
Wear safety glasses or full-face shield if splashes are likely to occur.
Safety Phrases:
[NAME] out of the reach of children
S29 Do not empty into drains
[NAME] suitable protective clothing and gloves
S61 Avoid release to the environment. Refer to special instructions / safety data sheets
S62 If swallowed, do not induce vomiting : seek medical advice immediately and show the label or container
Is health surveillance or monitoring required?
Yes No
Personal Protective Equipment (state type and standard)
 |  |  |  |  |  |  |  |  |  | Suitable for chemical splashes
Dust mask
 |  |  |  |  |  | Visor
Respirator
 |  |  |  |  |  | Goggles
 |  | EN 374 – protection against chemicals & micro-organisms
Gloves
 |  |  |  |  |  | Overalls
Footwear
 |  |  |  |  |  | Other
First Aid Measures
Inhalation: Remove the affected person to fresh air. If breathing but unconscious place in recovery position. If breathing has stopped apply artificial respiration. If heartbeat absent give cardiac massage. Monitor breathing and
pulse. Obtain medical assistance immediately.
Skin: Flush the contaminated skin with water. Use soap if available. Contaminated clothing should be soaked with
water, removed and laundered before reuse. When using high pressure equipment, injection of product under the skin can occur. If high pressure injuries occur, the casualty should be sent immediately to hospital. Do not wait for symptoms to develop.
Eyes: Flush the eye with copious quantities of water. If irritation persists refer for medical attention.
Ingestion: DO NOT INDUCE VOMITING. Protect airway if vomiting begins. Give nothing by mouth. If breathing but unconscious, place in recovery position. If breathing has stopped , apply artificial respiration. OBTAIN MEDICAL ATTENTION IMMEDIATELY.
Storage
Storage: In ambient temps. This product must never be stored in buildings occupied by people. Drums and small containers should be stored in well-ventilated areas, flameproof cabinets or stores. Keep container tightly closed in a dry well ventilated place away from direct sunlight and other sources of heat and ignition. Keep in a bunded area with a sealed floor to provide containment against spillage. Stack drums to a height not exceeding three metres without the use of racking. Locate tanks away from heat and other sources of ignition. Seek specialist advice for the design, construction and operation of bulk storage facilities.
Disposal of Substances & Contaminated Containers
Hazardous Waste       Skip                 Return to Depot              Return to Supplier         Other
(If Other Please State):
Is exposure adequately controlled? |  |  |  |  | Yes No
Risk Rating Following Control Measures
High Medium Low