Templates / COSHH Assessment Form
COSHH Assessment Form
A hazardous substance assessment form aligned to safety data sheets, capturing exposure routes and control measures.
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A COSHH assessment template for substances hazardous to health.
About this template
The COSHH Assessment Form is designed to be quick to complete and easy to adapt to your own workplace. Start from the template rather than a blank page, tailor the hazards, controls and responsibilities to your site, and keep a completed copy on file as evidence that the right checks were made.
How it links to the standards
The equipment and controls this template asks you to record are governed by published standards that define what each item must withstand and how it is tested. These are the ones that apply most directly:
- EN 374 — chemical resistant gloves
- EN 14605 — liquid-tight chemical protective clothing
- EN 13034 — chemical protective clothing, limited protection
- EN 136 — full face masks
The full EN standards library covers every standard referenced across SafetyOrbit.
Related guidance
Filling the template in is easier when you know the reasoning behind each control. These notes cover the practical detail:
- Chemical Handling — the full technique-note library for this kind of work
- Safety Data Sheets and Hazard Communication
- Selecting Chemical-Resistant Gloves to EN 374
- Chemical Storage: Segregation and Incompatibilities
The assessment should reflect the manufacturer’s safety data sheet for the substance.
Frequently asked questions
What does the COSHH Assessment Form cover?
A hazardous substance assessment aligned to safety data sheets, capturing exposure routes and control measures for a specific substance.
Why does this form need to be aligned to the safety data sheet?
The safety data sheet contains the manufacturer's hazard classification and handling guidance for that specific substance, which the assessment should reflect rather than reproduce from memory.
What exposure routes should a COSHH assessment consider?
Inhalation, skin contact, ingestion and eye contact are the routes most COSHH assessments need to consider, since the appropriate control depends on how exposure could actually occur.
Does this form specify particular PPE?
Where PPE is the chosen control, it should reference the specific EN standard for the hazard involved, such as EN 374 for chemical-resistant gloves or EN 143 for particle filters.