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COSHH Assessment Record
COSHH Assessment Record
MATERIAL SAFETY DATA SHEETS FOR ALL SUBSTANCES USED ARE LOCATED IN THE DESPATCH OFFICE
PRODUCT NAME
ASSESSMENT NO.
MANUFACTURER
PRODUCT CODE
CAS Ref .
DESCRIPTION
MSDS HELD
YES / NO
DATE of MSDS
Irritant
Corrosive
Harmful
Toxic
Very Toxic
Dangerous to
the Environment
Flammable
Explosive
Oxidising
HOW IS IT USED ?
( Describe the process, quantities used, maximum temperatures reached, exposure periods )
Partial enclosure
of process
General workplace
ventilation
Wet methods
( to control dust )
Respiratory
Protection
Eye Protection
Gloves
Protective
Overalls
Other
Please specify
QCR117
ISSUE 1
JULY 2006
Inhalation
ENVIRONMENTAL IMPLICATIONS
Disposal
Transport
MEDIUM
HIGH
IMPROVEMENTS
Are the current controls effective ?
Does the MSDS suggest any controls that we don't have in place ?
ASSESSMENT COMPLETED BY :
Name :
Position :
Signature :
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Signature :
Date :
QCR117
ISSUE 1
JULY 2006
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QCR117
ISSUE 1
JULY 2006
Substance -
Who uses it ?
How is it used ?
Where is it kept ?