Template Examples Guide Two-page COSHH assessment template Free, no account
COSHH Assessment Project or site Assessment ref Date assessed Substance Product or substan… SDS date Supplier Form (liquid, dust… The work Task How often Amount used Where How long each time Used with Storage and waste Storage Handling Waste Hazards (H codes) Harmful or irritant Corrosive Toxic Serious health hazard Cancer or asthma Flammable Exposure limit WEL, 8-hour Monitoring result WEL, 15-minute Measured on How it gets in Breathing in Skin Eyes Swallowing Puncture Who could be harmed People doing it Others nearby Cleaners, fitters Visitors, public Higher risk Health effects Risk of ill health Negligible Remote Possible Probable Minor Significant Serious Before controls With controls Page 1 of 2 UNCONTROLLED COPY IF PRINTED COSHH Assessment Project or site Assessment ref Date assessed Controls In place Still needed Avoid or swap it Change the method Extract at source Fewer, for less time Washing, welfare PPE: type or standard Gloves Eye protection RPE Overalls Boots If it goes wrong Spill or leak Fire Breathed in or swallowed On skin or in eyes Also needed Yes No Detail Next due Exposure monitoring Health surveillance LEV examination RPE face-fit test Training, supervis… Further action Who By when Checked Date By Review: reason and changes Next review Assessed by Signed Date Shared with workers on Page 2 of 2 UNCONTROLLED COPY IF PRINTED
Choose a design One-page assessment COSHH Assessment Project or site Assessment ref Date assessed Substance Product or substan… SDS date Supplier Form (liquid, dust… The work Task How often, how long Where Amount, used with Hazards (H codes) Harmful or irritant Corrosive Toxic Serious health hazard Cancer or asthma Flammable How it gets in Breathing in Skin Eyes Swallowing Puncture Who could be harmed People doing it Others nearby Cleaners, fitters Visitors, public Higher risk Health effects Controls In place Still needed Avoid or swap it Change the method Extract at source Fewer, for less time Washing, welfare PPE: type or standard Gloves Eye protection RPE Overalls Boots If it goes wrong Spill or leak Fire First aid Further action Who By when Checked Assessed by Signed Date Next review UNCONTROLLED COPY IF PRINTED Two-page assessment COSHH Assessment Project or site Assessment ref Date assessed Substance Product or substan… SDS date Supplier Form (liquid, dust… The work Task How often Amount used Where How long each time Used with Storage and waste Storage Handling Waste Hazards (H codes) Harmful or irritant Corrosive Toxic Serious health hazard Cancer or asthma Flammable Exposure limit WEL, 8-hour Monitoring result WEL, 15-minute Measured on How it gets in Breathing in Skin Eyes Swallowing Puncture Who could be harmed People doing it Others nearby Cleaners, fitters Visitors, public Higher risk Health effects Risk of ill health Negligible Remote Possible Probable Minor Significant Serious Before controls With controls Page 1 of 2 UNCONTROLLED COPY IF PRINTED Dust and fume COSHH Task Assessment Project or site Trade Date assessed What the work makes Task Dust or fume made Where Material worked Tool used How long a shift Exposure limit WEL, 8-hour Monitoring result WEL, 15-minute Measured on Who could be harmed People doing it Others nearby Cleaners, fitters Visitors, public Higher risk Health effects Controls In place Still needed Another method On-tool extraction Water suppression Room ventilation Fewer, for less time Clean-up RPE: type and filter Disposable Half mask Powered Face-fit tested Eye protection Also needed Yes No Detail Next due Exposure monitoring Health surveillance LEV examination Training Further action Who By when Checked Assessed by Signed Date Next review UNCONTROLLED COPY IF PRINTED Five-step table COSHH Assessment Project or site Date assessed Review by Substance or task The hazard What harm, and who What you do already What more is needed Who When Checked Assessed by Signed Date Shared with workers on UNCONTROLLED COPY IF PRINTED Low-risk products Low-Risk Substances Record Project or site Date assessed Review by Product Form Used for How it is controlled Why little or no risk Assessed by Signed Date UNCONTROLLED COPY IF PRINTED COSHH register COSHH Register Project or site Trade No. Product Supplier Used for Where kept or used SDS date Assessment ref Review by 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 UNCONTROLLED COPY IF PRINTED Briefing record COSHH Briefing Record Substance or task Assessment ref Date assessed No. Name Company Signature Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Assessed by Date UNCONTROLLED COPY IF PRINTED
Which COSHH form do you need What a COSHH assessment form includes Substance and SDS The product, supplier and data sheet date. The work The task, where, how often and how long. Hazards (H codes) What the data sheet says it can do. How it gets in Breathing in, skin, eyes, swallowing, puncture. Who could be harmed Those doing it, and those nearby. Health effects What it does to people. Controls, in reg 7 order Avoid it first. PPE comes last. PPE and RPE The type, the standard and the filter. Storage and waste Where it is kept and how it goes. If it goes wrong Spills, fire and first aid. Also needed Monitoring, health surveillance, training. Further action What, who and by when. Review When, why and what changed. HSE sets no fixed form; these follow regulation 6 and the L5 code .
Two ways to do your COSHH assessment By hand on this form Take the form, print it and write it up from what you know of the job.
Back to the form Start from the data sheet Put in the supplier’s PDF and get a hazard summary and a workbook. It reads the sheet; the assessment is still yours.
Open the SDS tool COSHH assessment questions Is it free? Yes. There is no account and no email to give. The files are made in your browser.
What should a COSHH assessment cover? The substance, how people could be exposed and for how long, the health effects, the controls, further action and a review date. COSHH regulation 6
Do I have to write it down? With five or more employees, yes: you must record the significant findings and the steps you took. With fewer, HSE still advises writing down how you identified the risks. HSE
Does this form do the assessment? No. It is blank and holds only what you write. The judgement on your own work stays with you, or with someone competent to make it.
Can several products go on one form? Only low-risk ones, as the Low-risk products sheet does. Anything riskier needs a fuller record. HSE L5
What about dust and fume from the work? They count too, and they come with no safety data sheet. Use the Dust and fume sheet, which starts from the task.
How often should a COSHH assessment be reviewed? Regularly, and straight away if it may no longer be valid, the work changes significantly, or monitoring shows it is needed. COSHH regulation 6
Does it cover asbestos or lead? No. They have their own regulations, which apply in place of COSHH where they cover the work. COSHH regulation 5
Is my logo uploaded? No. It is read and resized on this device and goes only into the files you download, or save to your own Drive or OneDrive. The last design, logo included, is kept in this browser for next time.
