Hazardous Substances Summary Assessment Report

Process Ref: ___________

Department: ______________________________

Process Description: ______________________________________________________

Substance (s) Used: _______________________________________________________

===============================================================

ASSESSMENT:

The risk to the health of the operators working on this process during times of normal production is not considered significant because:

Tick as appropriate

1.

The substance(s) used is/are stated on the material data safety sheet as being non-hazardous. The MSDS is attached.

2.

The short duration and irregularity of the process present little opportunity for the operators to be exposed to substances hazardous to health.

3.

The control measures in operation are adequate to control employee exposure. The control measures are:

_____________________________

4.

The substances used are not regarded as being hazardous to health in the context of the COSHH Regulations, e.g. gases as asphyxiants.

5.

The short time the operator(s) is/are in contact with or in the vicinity of the substances listed above presents little or no opportunity for exposure.

6.

No substances hazardous to health are used in this process.

7.

If the manufacturer’s instructions are followed, the opportunity for exposure to substances hazardous to health is low.

This assessment should be reviewed and/or repeated whenever there is evidence to suspect that it is no longer valid, or where there has been a significant change in the work method or exposure concentrations to which this assessment relates.

Signed: ____________________________

Position: __________________________

Print Name: ________________________

Date: __________________

Review Date:________________

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