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COSHH FORM 107 Arham Javed
COSHH FORM 107 Arham Javed
4 MATERIALS INVOLVED
AMOUNT
NAME and CAS NUMBER HAZARD RISK PHRASES / HAZARD STATEMENTS REPORTABLE?
and FORM
HTH Dry Chlorine Tablets 65% - 70& Irritant, Contact with combustible materials may No
7782-50-5 chlorine Respiratory Cause fire
concentrat Disorder, Harmful if swallowed,
ion Exposure Very toxic to aquatic animals,
(Liquid) causes Contact with acids liberates toxic gases,
severity Causes burns
Workers may be harmed from exposure to
chlorine.
If substance is reportable, have you reported it to the Health and Safety Unit? YES/NO
9 INSTRUCTION/TRAINING
Specify course(s) and/or special arrangements.
IME-253 Industrial Safety and Environment and Safety Engineer for safety instruction.
10 MONITORING
Performance of control measures,
Store in a location that is locked and childproof.
Personal exposure Health Surveillance, specify measures agreed with Health and Safety Unit
Swallowing /Inhaling it can cause harm.
12 REVIEW
Enter the date or circumstances for review of assessment (maximum review interval 1 year)
The review of this assessment is 5th September 2022 to 16th January 2023.
13 EMERGENCY ACTION
TO CONTROL HAZARDS To stabilize situation e.g. spread absorbent on liquid spill; etc.
Wear safety chemical goggles and face shield should be necessary. In case of spill or leak, immediately put on
escape-type respirator and exit the Area.
TO PROTECT PERSONNEL Evacuation, protection for personnel involved in clean-up, Special First Aid
Prepare escape plan and wash entire body and surface area from clean water.
TO RENDER SITE OF EMERGENCY SAFE Clean-up/decontamination
Wash all the pool with clean water after disinfection. Physically remove all the contaminants and remove all the
contaminants by both physical and chemical means.