Hazardous Substance Risk Assessment Form

Topics: Risk, Hazard, Risk assessment Pages: 4 (634 words) Published: May 30, 2013
HAZARDOUS SUBSTANCE RISK ASSESSMENT FORM

This document fulfils the requirements of the COSHH and DSEAR Regulations relating to a written risk assessment

When completing form, refer to Guidance Notes

|Experiment / Procedure / Process / Activity / Demonstration (include a brief description): | |Frequency (hourly, daily, weekly, monthly or ‘one-off’): | |Hazardous substances to be used (List ALL substances including solvents, expected products and by-products): | |Can any of the substances be substituted with a less hazardous substance or form of the substance? YES / NO | |If yes, you must do so, or justify not using it. ___________________________________________________________________ | |Substance |Approx. |Physical Form |Hazards | |Risk Phrases / GHS |Exposure Route(s) | | |quantity |gas, liquid, |Toxic, flammable, |WEL |Hazard Statements |inhalation, ingestion, | | | |solid, dust |corrosive, irritant, |Work |(see guidance note |injection, absorption | | | | |easily absorbed |Place |lists) | | | | | |through skin etc |Exp | | | | | | | |Limit | | | |...
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