Control Of Substances Hazardous To Health Regulations Risk Assessment Form

    Category

  • Irritant
    Corrosive
    Toxic
  • Harmful
    Extremely Harmful
    Highly Flammable
  • Flammable
    Explosive
    Oxidising

    Person At Risk

  • Client
    Employee
  • Contractor
    Visitor
  • Member of Public

    Worst Case Effect

  • Fatality
    Minimal effect
  • Irreversible effect
    No effect
  • Reversible effect

    Likelihood

  • Likely/frequent (occurs repeatedly/even expected)
    Remote (unlikely though conceivable)
  • Probable (not surprised, will occur several times)
    Improbable (probability close to zero)
  • Possible (could occur sometimes)

    Risk

    New / Expectant Mothers

  • Does this activity constitute an unacceptable risk to new or expectant mothers?   Yes No

    If yes state action required

    Control Measures

  • Further Controls

  • Deadline

  • Skin

  • Eyes

  • Inhalation

  • Ingestion

    Disposal (This information is available on the supplier's date sheet)

  • Chemical / Substance

  • Clothing

  • Created at www.safe2use.com