COSHH Risk Assessment

Use this interactive form to carry out and record a COSHH risk assessment for hazardous substances in your workplace, aligned with the HSE “How to carry out a COSHH risk assessment” guidance.

Fields marked with * are recommended for a suitable and sufficient COSHH assessment.

Section 1

Activity & Assessment Details

What is being assessed and where?

Assessment title *
Site / department *
Activity / process *
Date of assessment *
Assessor *
Planned review date

You must review your assessment regularly and when there are changes to the activity, staff, substances or equipment.

Section 2

Substance & SDS Information

What hazardous substances are involved?

Substance / product name *
Hazardous by-products
Supplier / manufacturer
SDS reference / version
Physical form *	Gas / vapour Mist / aerosol Dust / powder Fume / smoke Liquid Solid
Workplace exposure limit (WEL)?	Yes No Unknown – check EH40

Main health hazards (from label / SDS) *

Section 3

Identify Hazards & Routes of Exposure

How can harm occur?

Routes of exposure *	Inhalation Skin contact Eye contact Ingestion Injection
Frequency & duration *	Frequency: Typical duration:

Describe how exposure can occur (normal work, cleaning, maintenance, spills) *

Section 4

People Who Might Be Harmed

Who could be exposed?

Groups at risk *	Process operators Maintenance staff Cleaners Supervisors / managers Contractors Visitors Members of the public

Details of people at risk (numbers, vulnerable persons, etc.)

Section 5

Existing Control Measures

What is already in place?

Engineering controls	Process enclosure Closed transfer system LEV General ventilation
Systems of work & organisation	Restricted access Safe operating procedure PPM / inspection regime Safe storage / segregation
Cleaning & housekeeping	Vacuum (no dry sweeping) Spill kits available Smooth, cleanable surfaces
PPE	Gloves Eye / face protection Protective clothing RPE
Information, training & supervision	COSHH training SDS accessible Instruction in use of controls / PPE Emergency procedures briefed

Comment on the effectiveness of existing controls

Section 6

Further Action / Controls Required

What more needs to be done?

Elimination / substitution
Process / engineering changes
Systems of work & organisation
Cleaning & waste management
PPE (if still required)
Training, information & supervision
Monitoring & health surveillance
Emergency arrangements
Action owner & target date *	Responsible person: Target completion date:

Additional comments on actions / priorities

Section 7

Residual Risk & Approval

Is risk now adequately controlled?

Residual risk level *	Low Medium High

Justification of residual risk rating *

Assessor name & signature *

Manager approval