Fillable Printable Coshh Risk Assessment Sample Form
Fillable Printable Coshh Risk Assessment Sample Form
![Coshh Risk Assessment Sample Form](/resources/formfile/images/10000/coshh-risk-assessment-sample-form-page1.png)
Coshh Risk Assessment Sample Form
![](/resources/formfile/htmls/10000/coshh-risk-assessment-sample-form/bg1.png)
COSHH RISK ASSESSMENT FORM
Location:
Task:
Task Length:
Substance(s) Involved
Hazards Identified with substance(s), and exposure to substances
Category of substance(s) (please circle)
Very toxic Toxic Corrosive Irritant Harmful
Carcinogen/Teratogen/Mutagen
Risk Rating (please circle) Low Medium High
Low risk: exposure unlikely to cause health problems but if it did would be
such as to be easily treated with no lasting effects.
Medium risk: exposure may have acute effects which may have lasting
effects.
High risk: exposure may have chronic effects or could result in death.
Precautions to be Taken (including PPE)
a. under normal circumstances
b. in an emergency (e.g. following a
spillage)
First Aid Treatment
Fire Fighting
Assessed by:
Position:
Signed:
Date: