COSHH Assessment Form

Assessor Name*

Assessment Date*

Department / Area*

Substance Name*

How is the substance used?*

Risk Assessment*

	Low	Medium	High
Inhalation Risk
Skin Contact Risk
Ingestion Risk
Eye Contact Risk

Control Measures in Place*

Emergency Procedures*

Next Review Date*

What is this form?

A COSHH (Control of Substances Hazardous to Health) assessment form for evaluating risks from hazardous substances in the workplace. Required under UK health and safety regulations.

Who is it for?

Health and safety officers, employers, and compliance teams in industries handling hazardous substances.