Templates
HSE COSHH assessment template

HSE COSHH assessment template

Safeguard your workplace with our comprehensive COSHH assessment template. Identify hazards, implement controls, and maintain high standards.

Use this template with Lumiform

  • Customize this template or build your own
  • Fill out templates via mobile app
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF
HSE COSHH assessment template

Safeguard your workplace with our comprehensive COSHH assessment template. Identify hazards, implement controls, and maintain high standards.

Use this template with Lumiform

  • Customize this template or build your own
  • Fill out templates via mobile app
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

This HSE COSHH assessment template is invaluable for managing the risks associated with hazardous substances in the workplace. Beyond basic compliance, it provides fields for emergency procedures, engineering controls, and disposal requirements, creating a comprehensive hazard management system. It works well too when you’re introducing new chemicals or processes, as it prompts consideration of all potential exposure routes and necessary control measures.

The International Labour Organization reports that a worker dies every 30 seconds because of chemical exposure. Proper COSHH assessments aren’t just regulatory requirements—they’re life-saving tools that protect your most valuable assets: your people.

Related categories

Preview of the template
Audit
Hazard Identification
Click + to add hazards identified Note: *If the substance has a R45 or R49 risk phrase or a H350 or H350i hazard statement, it must also be registered on your personal carcinogen return (at Occupational Health) where exposure is not adequately controlled.
Name of Chemical
What will the chemical be used for?
Who may be exposed?
Hazardous Properties (Provide details of how the substance could cause harm, e.g. harmful by inhalation, skin contact, flammable, carcinogen, allergen, etc)
Quantity (Indicate how much of the substance will be used)
Workplace Exposure Limits (WELs)
Emergency procedures
What are the emergency procedures needed?
Methods of Prevention or Control of Exposure
Engineering controls required
other engineering control needed
Access control
other access control needed
Special procedures
other special procedure needed
Approved PPE
Other approved PPE used
Disposal Procedures Note: (Give details of waste disposal procedure to be used)
Are chemicals with risk phrases R50-R59 or hazard statements H400 – H413 (environmental hazards) involved?
Training Requirements Note: (List any specialised training requirements before work can begin)
Handling and Storage Requirements (Note any special requirements e.g. ventilation, chemical incompatibility, flash point, etc)
Assessment of Risk Using Controls Detailed Above
Are the hazards/risks suitably controlled, using the control measures detailed above?
state the further actions required, e.g. Requirement for a standard operating procedure (SOP), etc
Authorization by Employer/Supervisor
I confirm that I have considered and understand the chemical to be used and the associated hazards. I am satisfied that all of the hazards have been identified and that the control measures to be followed will reduce the risks to as low a level as reasonably practicable.
Full Name and Signature of Inspector
This template was downloaded 234 times

Frequently asked questions

What should I include as hazardous properties?

When completing this section, focus on specific ways the substance could harm workers—inhalation risks, skin irritation, carcinogenic properties, or flammability concerns. Reference the chemical’s safety data sheet for accurate information, and use clear language that helps workers understand the actual dangers rather than just listing technical classifications.

How do I determine appropriate workplace exposure limits for my COSHH assessment?

Find the substance’s Workplace Exposure Limits (WELs) in EH40, the HSE’s official publication of approved exposure limits. Check the manufacturer’s safety data sheet, which should list relevant limits. For substances without published WELs, consult an occupational hygienist who can help establish appropriate control measures based on similar chemicals with known risks.

How can I ensure my emergency procedures in the COSHH assessment are adequate?

Create emergency procedures specific to each exposure route (inhalation, skin contact, etc.) based on the chemical’s safety data sheet recommendations. Test these procedures through regular drills, ensure necessary equipment is accessible, and train all staff who might be exposed. Include contact information for medical assistance and specify when specialized treatment might be required.

What evidence should I collect to show my COSHH controls are working effectively?

Document regular workplace inspections, maintenance records for engineering controls, and exposure monitoring results where applicable. Keep records of worker health surveillance if required for the substance. This evidence demonstrates due diligence to HSE inspectors and helps identify when controls need adjustment before problems occur.

This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.