Assessment to Be Conducted in Association with Hazard Data Sheets

Assessment to Be Conducted in Association with Hazard Data Sheets

MagHansen

E4.22D1COSHH Assessment Record

Assessment to be conducted in Association with Hazard Data Sheets.

Task / Application of Arbo Cleaner No 13
Area / Location
/
ASSESSMENT
No
Assessed By
/
Date
/ 05.01.04
Title /
Review by
Personnel Performing Task
(Please list below) / Time Spent
(Minutes/day) / Training Given *
Yes✓ / No✗
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.

* Training MUST be given BEFORE allowing personnel to conduct task.

E4.22D1COSHH Assessment Record

The Substance

Please denote the properties of the substances used in the task with a ✓ or ✗, as appropriate, below:



Flammable /

Toxic /
Irritant /
Oxidising /
Harmful
Yes✓ / No✗ / Yes✓ / No✗ /
Yes✓
/ No✗ / Yes✓ / No✗ / Yes✓ / No✗
✓ / ✗ / ✗ / ✗ / ✓

Corrosive /
Harmful to the Environment /
Explosive
Yes✓ / No✗ / Yes✓ / No✗ / Yes✓ / No✗
✗ / ✗ / ✗
Substance (s) Used In Task
(List below) / Nature of Hazard(s) Associated with Substance
1. Arbo Cleaner No 13 /
  • Harmful by inhalation

  • Vapours are toxic and irritating

  • May cause irritation or burns on contact with skin/eyes

  • Skin contact may cause an allergic reaction

  • Highly Flammable

E4.22D1

Issue: 1

Issue Date: October 2002

Page 1 of 6

PollardsFyrespan

E4.22D1COSHH Assessment Record

Substance(s) /

Storage Required

/ Method of Transportation / Disposal Controls
Arbo Cleaner No 13 /
  • Retain in original packing – keep lid on
/
  • Carry in original packing
/
  • Dispose of product as special waste, via licensed waste carrier

  • Store in steel lockable cabinet, complete with flammable signs
/
  • Do not pour into drains

  • Store away from sources of ignition or direct sunlight
/
  • Dispose of dry, empty container in general waste.

  • Store away from drains (vapours are heavier than air)

Substance(s) /

Source(s) of Exposure

/ Duration of Exposure –
Each Source
(Minutes / Hour) / Level of Exposure
(High, Med or Low)
Arbo Cleaner No 13 /
  • Breathing Vapours
/ 60mins/hour / High
  • Skin Contact
/ 60mins/hour / High
Substance(s) /

Control Measure(s) Required to Work Safely

/

Further Actions

Required
Yes ✓
Complete Additional Sheet - Page 6 / No ✗
Assessment Complete
ABRO Cleaner /
  • Only use in well ventilated area
/ ✓
  • Avoid contact with skin, wear PVA, fluor rubber or Teflon gloves.
/ ✓
  • In poorly ventilated areas, a respirator must de worn, FFP3
/ ✓
  • Safety shield must be worn to protect eyes and face
/ ✓
  • Use away from sources of ignition – No Smoking
/ ✓
  • Practice good hygiene procedures – wash hands after handling
/ ✓
  • Wear disposable coveralls and discard after use or contamination.
/ ✓
Control Measures Required are precautions available now or at short notice – they must be in place to protect health and safety, before the task is started.
Further Actions may be monitoring and purchase of equipment, which is not immediately available - planning is required. However, if these precautions are considered to be essential to allow the task to start, they must be in place.
Substance(s) /

Further Actions Required

/

Date

Due by / Completed
ABRO CLEANER /
  • Supervisor/manager to conduct checks to ensure control measures are used.

  • Health & Safety Department to conduct site inspection to ensure developed methodology is complied with.

E4.22D1

Issue: 1

Issue Date: October 2002

Page 1 of 6

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