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Chemical Risk Assessment Template

You can use this Chemical Risk Assessment Form to identify chemical hazards in the workplace and recommend controls to decrease exposure and minimize harm to workers.

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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

Hazard

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

Name the risks to health from exposure to the substance:

People at Risk

Containment and Disposal

Containment measure and disposal method

Prevention of Hazards

Prevention of hazards:

Attach photos of identified hazards and annotations:

Risk Rating

Is the exposure sufficiently controlled?

Risk rating after following control measures:

Recommendations

Any recommendations?

Completion

Name and Signature of the Inspector:

This template is also available in:

German

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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.