GP 44.0 Coshh Risk Assessment Form

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COSHH ASSESSMENT FORM REF No:

Product/Substance as described on label and Manufacturer:


Where used/for what purpose (e.g. ventilation conditions and occupational exposure scenario:

CHRONIC OTHER HEALTH GAS UNDER


ACUTE TOXICITY CORROSIVE FLAMMABLE EXPLOSIVE ECOTOXICITY IRRITANT
TOXICITY EFFECTS PRESSURE

LIQUID √ GEL GAS ADHESIVE OTHER


Possible means of exposure:
INHALATION √ INGESTION √ ABSORPTION √ SKIN CONTACT √ EYE CONTACT √
Are there any Workplace Exposure Limits (WELs) listed for any of the active ingredients listed on the safety data sheet? YES √ NO

Is monitoring required to determine levels? YES NO √

Symptoms/effects of improper use:


 SKIN CONTACT:
 INHALATION:
 EYE CONTACT:
 INGESTION:
Persons who may be exposed:
Safe storage:

APPROPRIATE P.P.E
TO BE WORN:
GLOVES OVERALLS GOGGLES MASK FOOTWEAR WELDING MASK EAR DEFENDERS WASH HANDS SAFETY HELMET
N/A N/A N/A N/A N/A N/A
Describe safe method of use:

RISK RATING HIGH MEDIUM √ LOW


Signed: Assessment Date: Further action required: Action review date:

Name: Next review date:

GP44.0 30/08/19

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