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