COSHH Assessment Form

COSHH Assessment Form

Date
Person(s) involved in COSHH assessment

Date for CoSHH Assessment To Be Reviewed

Name of the substance Aspiring medication errors

DANGER*

WARNING*

Quantity/size used

600mg

300 mg

Eliminating the need to use hazardous substances, consider is it possible to avoid the need to use hazardous substances?

Yes

No

Before beginning work on the COSHH assessment process ensure you have a copy of the latest Manufacturer’s Safety Data Sheet (SDS) for the substance. SDS’s are available from suppliers and manufacturers of products

Describe the activity or work process. Note: Include how long the task will take, how often it will be repeated and how much of the substance is used.

Reduce the standard aspirin tablet from 300mg to the recommended 75mg

How long?

How often?

How much?

1 month

daily

75 mg

Location of work

Medication manufacturing plants

Persons at risk:

Employees

Visitors

Others

inc Public

Vulnerable

persons

Special Precautions required

YES

✔

Describe Precautions Required

Reducing aspirin tablet size to 75mg

Classification (place an x in the box next to the appropriate sign)

For a fuller understanding of the symbols, abbreviations, hazard and precautionary phrases please click on these links http://www.hse.gov.uk/coshh/detail/coshh-clp-reach.htm and https://www.chemsafetypro.com/Topics/GHS/GHS_hazard_statement_h_code.html






List any prohibited activities

Carcinogenic substances must be notified to the Company Safety Office

Personal Protective Equipment identify type and specification
Dust mask		visor
Respirator		Goggles
Gloves		Overalls
Footwear		Other
Substitution Is it possible to use a less harmful substance to do the work?	Yes ✔	No
Indicate below which form the substance takes
Gas Vapour Mist Fume Dust Liquid Solid Other State
Indicate below which route(s) of exposure the substance takes
Inhalation Skin Eyes Ingestion Other State
Workplace Exposure Limits (WELs)
Long-term exposure level (8hrTWA):	Short-term exposure level (15 mins):
List the risks to health below from exposure to the substance. Cick here for hazard statements https://www.chemsafetypro.com/Topics/GHS/GHS_hazard_statement_h_code.html

List the precautionary statements below Check Here https://www.chemsafetypro.com/Topics/GHS/GHS_Precautionary_Statement.html

Control measures: List below control measures eg extraction, ventilation, supervision.
Regulate their aspirin intake
Health surveilence: Is health surveillance or monitoring required? (remember health surveillance may be required for vulnerable persons eg pregnant/young workers those with asthma, dermatitis etc)	Yes (see Health and safety arrangements, health surveillance)	No

	First-aid measures On skin contact : On contact with eyes: On ingestion: On Inhalation:
Induce the patient to vomit the aspirin tablet
	Fire Precautions – Identify any special firfighting measures and the appropriate fire extinguishers here. Note during combustion substances may give rise to harmful vapours/gases etc please detail below
Dry Powder CO2 Water Foam Fire Blanket
Storage

	Disposal of substances & contaminated containers
Hazardous Waste General waste Biological waste Return to Supplier Other

Is exposure adequately controlled?	Yes No