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Hazard Assessment Form Template
I need a Hazard Assessment Form Template for our new chemical processing facility that specifically addresses COSHH regulations and includes detailed sections for spillage procedures and chemical storage requirements, to be implemented by March 2025.
1. Site/Location Details: Specific location where assessment is being conducted, including department/area identifiers
2. Assessor Information: Name, position, qualifications and contact details of person conducting assessment
3. Date and Review Period: Date of assessment, review period, and next review date
4. Hazard Identification: Comprehensive list of potential hazards identified in the workplace
5. Risk Evaluation: Assessment of likelihood and severity of identified risks using standardized scoring system
6. Control Measures: Detailed description of existing and required control measures to mitigate identified risks
7. Action Plan: Specific actions required, including responsible persons and completion deadlines
8. Sign-off Section: Formal approval section for relevant authorities and stakeholders
1. Specific Equipment Assessment: Detailed assessment of machinery or equipment-specific hazards and controls
2. Chemical Hazard Details: COSHH-specific information including substance details, exposure routes, and specific control measures
3. Environmental Impact: Assessment of potential environmental risks and required control measures
4. Working at Height Assessment: Specific assessment for tasks involving work at height
5. Manual Handling Assessment: Specific assessment for tasks involving manual handling operations
1. Risk Matrix: Standard risk evaluation matrix for scoring likelihood and severity of risks
2. Control Measure Checklist: Comprehensive checklist of required control measures and their implementation status
3. Emergency Procedures: Detailed emergency response procedures relevant to identified hazards
4. PPE Requirements: Detailed list of required personal protective equipment specifications
5. Relevant Legislation: Reference list of applicable health and safety legislation and regulations
6. Training Requirements: List of required training and competency requirements for affected personnel
Authors
Risk
Control Measure
Likelihood
Severity
Risk Rating
Competent Person
Reasonably Practicable
Safe System of Work
Personal Protective Equipment (PPE)
Workplace
Affected Person
Assessment Date
Review Date
Residual Risk
Risk Matrix
Near Miss
Dangerous Occurrence
Work Activity
Task
Harm
Hazardous Substance
Manual Handling
Work Equipment
Safety Data Sheet
Emergency Procedure
Accident
Incident
RIDDOR
COSHH
Risk Evaluation
Control Measures
Emergency Response
Personal Protective Equipment
Training Requirements
Monitoring and Review
Reporting Procedures
First Aid
Fire Safety
Manual Handling
Working at Height
Chemical Safety
Electrical Safety
Equipment Safety
Environmental Protection
Noise Control
Ventilation
Workplace Access
Storage and Handling
Waste Management
Record Keeping
Communication Procedures
Contractor Management
Incident Investigation
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