Chemical Risk Assessment Template

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Chemical Risk Assessment Template

Audit

Hazard Identification

Add chemical in use

Chemical

Type a question:

What is this used for?

Location of the process or work where the chemical is used

State/Figure

Select Gas Vapor Mist Fume Dust Liquid Soild Other state/form

Hazard

Acute toxicity Very toxic (fatal) Corrosive Harmful Explosive Serious eye irritation Respiratory Sensitiser Serious long term health hazard Oxidising Flammable Highly flammable Extremely Flamable Dangerous to the environment Gasses under pressure

Indicate which route(s) of exposure the substance takes:

Eyes Skin Inhalation Ingestion other state

Name the risks to health from exposure to the substance:

People at Risk

Civilians Staff Other people

Containment and Disposal

Containment measure and disposal method

Prevention of Hazards

Prevention of hazards:

Attach photos of identified hazards and annotations:

Add Photo

Risk Rating

Is the exposure sufficiently controlled?

Yes No N/A

Risk rating after following control measures:

HIGH MEDIUM LOW

Recommendations

Any recommendations?

Completion

Name and Signature of the Inspector:

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Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.