Coshh Assessment Form

Coshh Assessment Form Template for Denmark

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Document background

The COSHH Assessment Form is a mandatory document required under Danish workplace safety regulations and EU directives for any workplace where hazardous substances are used or stored. This form must be completed before any new hazardous substance is introduced to the workplace or when significant changes occur in its use. The assessment helps organizations comply with the Danish Working Environment Act and related regulations while ensuring proper risk management of chemical hazards. The document captures crucial information about substance properties, exposure risks, control measures, and emergency procedures, serving as both a risk assessment tool and a reference document for safe handling practices. Regular reviews and updates of the COSHH Assessment Form are required to maintain its validity and effectiveness in protecting worker safety.

Suggested Sections

1. Assessment Information: Basic details including assessment date, reference number, assessor name, and department

2. Substance Information: Identification of substance(s), manufacturer details, and product reference numbers

3. Hazard Classification: Hazard class, warning symbols, and risk phrases as per CLP Regulation

4. Use of Substance: Description of how the substance is used, frequency of use, and quantities involved

5. Exposure Routes: Identification of possible exposure routes (inhalation, skin contact, ingestion, etc.)

6. Control Measures: Existing control measures including engineering controls, PPE, and safe working procedures

7. Health Surveillance: Requirements for monitoring workers' health based on exposure risks

8. Emergency Procedures: Actions to be taken in case of spills, accidents, or exposure

9. Storage and Handling: Requirements for safe storage and handling procedures

10. Waste Disposal: Procedures for safe disposal of substance and contaminated materials

Optional Sections

1. Local Exhaust Ventilation (LEV) Assessment: Required when substances need specific ventilation controls

2. Biological Monitoring: Include when substance requires specific biological exposure monitoring

3. Environmental Impact Assessment: Required for substances with significant environmental hazards

4. Specific Task Procedures: Detailed procedures for complex or high-risk tasks

5. Maintenance Requirements: Include when control measures require regular maintenance

6. Pregnancy Risk Assessment: Required when substance poses specific risks to pregnant or nursing workers

Suggested Schedules

1. Safety Data Sheet: Current safety data sheet for the substance

2. PPE Requirements Chart: Detailed chart showing required personal protective equipment

3. Emergency Contact Information: List of emergency contacts and first aid providers

4. Exposure Monitoring Records: Template for recording exposure monitoring results

5. Training Record Template: Documentation of staff training on substance handling

6. Risk Matrix: Matrix for assessing and scoring risks

7. Control Measure Checklist: Checklist for regular inspection of control measures

8. Maintenance Schedule: Schedule for maintaining control equipment and PPE

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