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1、Produced by the Health and Safety Department, the University of EdinburghControl of Substances Hazardous to Health Regulations Risk Assessment FormFORM HS1 (Complex activities or high hazard materials)Complete this form in conjunction with the general COSHH Notes, which form a separate document. (ht
2、tp:/www.docs.csg.ed.ac.uk/Safety/ra/COSHH_Notes.pdf)This form must be completed prior to the commencement of work involving a hazardous substance, other than a biological agent*, in order that a suitable and sufficient assessment of health risks is made. (*For assessment of work involving biological
3、 agents use form BA1) The person undertaking this assessment must be competent to do so (see notes). Following the completion of this risk assessment the appended Safe System of Work Form should be completed, its content conveyed to the users of the hazardous substances and record of their acceptanc
4、e gained in the appropriate declaration section.School/Management UnitAssess. No.Title of ActivityLocation(s) of Work Brief description of work:HAZARD IDENTIFICATION: Ensure that Safety Data Sheets have been obtained from the supplier for all proprietary (commercial) substances. Where the substance
5、is produced as a result of the activity check its hazardous properties and exposure routes (see notes). I. Name the substance or group of substances to be used, or produced, in the above activity and list in the left column below. Where the substance presents an inhalation hazard and has been assign
6、ed an Workplace Exposure Limit (WEL), state this. (See notes on EH40)II. Classify each of the substances according to one, or more, of the following categories: - Very toxic; Toxic; Corrosive; Harmful; Dermal Irritant; Respiratory Irritant; Carcinogen; Teratogen; Mutagen. Also, state if an airborne
7、substance can also be absorbed through the skin (Sk), or is a respiratory sensitiser (Sen) (see notes on EH40). III. State any Hazard statements denoted in the SDS (pre 1st December 2010 state risk phrases (CHIP classification and labelling).HAZARD RATINGSI. Name of chemical(s) or substancesII. Clas
8、sificationIII. Hazard statementsContinue on separate sheet, if necessaryExposure route(s) by which harm may occur. Tick the relevant boxes ()Skin ContactSkin AbsorptionEye ContactInhalationIngestionInjection via sharpsGrounds for Concluding (at this stage) that Exposure is Not a Risk to Health. Tick
9、 relevant boxes.Can the desired result of the above activity be accomplished by use of a methodology that does not require the use of hazardous substances?YesNoIf yes, implement the alternative method and conclude the assessment now by completing the declaration at the end of the form. If the above
10、does not apply continue with the assessment.Taking cognisance of the above hazard classification, available exposure routes, quantities and/or rate of use of the substance(s) it is concluded that exposure to the above harmful substances is too small to constitute any risk to health under foreseeable
11、 circumstances of use, even if control measures break down:YesNoIf the above applies conclude the assessment now by completing the declaration at the end of the form. If the above does not apply continue with the assessment.Exposure Prevention or Control Measures. Tick relevant boxesCan any of the h
12、azardous substances listed above be substituted for another, less hazardous, substance that either eliminates, or reduces risk to health?YesNoIf yes, you must implement the use of the non-hazardous, or less hazardous, substance. In the case of the latter you must assess any remaining residual risk.E
13、ngineering Control Measures The work can be carried out safely on the open bench without use of control measures N.B. Inhalation risk must be insignificantThe work can be carried out on the open bench but Local Exhaust Ventilation (LEV) is required * Specify which type of LEV is to be used and when
14、during the activity it must be used:The work must be carried out wholly within a fume cupboard(s)The work must be carried out wholly within a glove box or other sealed systemThe work can be carried out partially on the open bench and partially in an enclosure or partial enclosure (Glove box, fume cu
15、pboard etc.) * Specify which type of enclosure is to be used and what part(s) of the work activity must be carried out within:Where engineering controls are used e.g. fume cupboards, LEV, etc. are these subject to a formal performance test, at least every 14 months, and records kept? If no, this mus
16、t be arranged (see notes).YesNoIs air monitoring required to ensure that the control of exposure to the hazardous substance(s) is adequate?N.B. air monitoring is not required if adequate control can be shown by other meansYesNoPersonal Protective Equipment (PPE) PPE must never be used as the first o
17、ption of control but must only be used where adequate control of exposure to the hazardous substance(s) cannot be achieved by substitution, or engineering controls alone, or where operating practicalities makes their choice unavoidable. (e.g. transient site working)The following type(s) of PPE will
18、be required for part or all of the activity. Tick appropriate box ()Eye protectionFace protectionHand protectionRespiratory protectionSpecialist clothingOtherSpecify the type(s) and grade(s) of PPE to be worn: (tick as appropriate)Eye protection: Safety spectacles. Impact res. Goggles. Chemical res.
19、 Goggles. Face protection:Impact res. faceshield. Chemical res. faceshield Faceshield with chin guard Hand protection: Disp. Glove Disp. Gauntlet Reusable glove Reusable gauntlet Check chemical resistance chart (see notes) for suitable glove material type e.g. nitrile, pvc, pva, neoprene, cryogenic,
20、 natural rubber and enter here Respiratory protection: (see notes)Disp. Respirator (particulate/water based mists only). Protection level (P1, P2, P3)Reusable half-face respirator Full-face respirator Powered hoodCheck manufacturers Filter Selection Chart for filter and level of protection required
21、e.g. A-organic vapour, B-inorganic vapour, E-Acid gas, K-ammonia, P-particulate, AP-organic vapour + particulate, and enter filter type or combination here. Breathing apparatus (BA): This is specialist equipment that must only be used by those that have been specifically trained and certificated as
22、competent to use by an authorised trainer. If this equipment is to be used enter below the name(s) of the certificated persons.Important: Wearers of Respiratory Protective Equipment (positive or negative pressure) that relies on a tight fit to the face in order to protect the wearer must be individu
23、ally face-fit tested to specific items of equipment using a quantitative test method and a certificate of pass obtained before the wearer can work with hazardous substances Further detail can be accessed at: http:/www.ed.ac.uk/schools-departments/health-safety/guidance/ppe Special clothing:Cotton Co
24、verall Disposable coverall Chemical coverall Laboratory coat Howie coat Disp. Apron otherIf other, state:Specify when during the activity the item(s) of PPE must be worn:N.B. Non-disposable items of PPE must be inspected regularly and records retained for inspectionHealth Monitoring Is biological mo
25、nitoring required to ensure that the control of exposure to the hazardous substance(s) is adequate? *YesNoIs health surveillance required for the protection of the health of employees? * This is required if the employee is working with respiratory or skin sensitisers, see:http:/www.hse.gov.uk/asthma
26、/substances.htm or substances assigned hazard statements H317 or H334 (risk phrases R42or R42/43 under CHIP). If yes, health surveillance must be arranged via the Occupational Health Unit (50-8190)Instructions for the Work Activity. Tick relevant boxesThe work activity consists of well documented ro
27、utine procedures carried out frequently in a controlled environment and requiring only simple and easily understood instructionsThe work activity contains procedures requiring a specific scheme of work (safe system) * Scheme of work; either summarise below or give reference to an attached document:T
28、raining. Tick relevant boxThe activity is of such a simple nature and of such low risk that no special training is requiredThe activity requires specific training to ensure that it is carried out safely * Specify training to be given:Individual training records must be retained for inspectionSupervi
29、sion. Tick relevant boxes ()The supervisor will approve straightforward routine workThe supervisor will specifically approve the scheme of workThe supervisor will provide personal supervision during the activityImplications for Persons Not Involved in the Work Activity. Tick relevant boxesIdentify a
30、ny persons in the following groups, not directly involved with the work activity that may be at risk from the hazards of the activity.Academic staffTechnical staffPostgraduate studentsUndergraduate studentsMaintenance staffAdministrativeCleaning staffEmergency personnelContractorsVisitorsOthersPerso
31、ns identified above may require to be informed, in part or in full, of the information contained in this risk assessment.Emergency Procedures. Tick relevant boxesWritten emergency instructions are provided at the work site(s) YesNoEmergency contact names and telephone numbers are provided at the wor
32、k site(s)Materials for neutralising spills of chemicals are availableProper and sufficient spill kits are availableA person with the appropriate training and knowledge has been appointed to deal with spillages of particularly hazardous substances * Specify whom and how they are to be contactedThe op
33、erator knows how to summon, if applicable, the following personnel. tick relevant boxFirst aiderIn house BA teamExternal emergency servicesThe location of the following, if applicable, is known to the operator. tick relevant boxesEye irrigation pointBody showerFirst aid boxDisposal of Waste Residues
34、. Tick relevant boxesDisposal of waste hazardous substances will be done by one of the following methods.Flushing to drain after rendering harmless to persons or the environmentTo general waste collection after rendering harmless to persons or the environmentVia a recognised hazardous waste disposal
35、 contractorSpecify any other disposal method If in doubt contact the University Waste and Environmental Manager Ext. 514287.Are you satisfied that the control measures outlined above are adequate to control the risks to health from the hazardous substances used in the work activity described to the
36、lowest level reasonably practicable?YesNoOnly if the answer to the above question is Yes should you proceed to sign off this assessment and formulate a Safe System of Work. If the precautions specified (above) in this form do not adequately control the risks of handling the hazardous substances invo
37、lved in the work activity, re-assess, or specify below the additional precautions required:-You are reminded that COSHH only addresses the risk to health from exposure to hazardous substances it does not address the hazards of fire and explosion. These danger aspects must be risk assessed in accorda
38、nce with the requirements of the Dangerous Substances and Explosive atmospheres Regulations (DSEAR) 2002. This can be done with the aid of the notes and form available at: http:/www.ed.ac.uk/schools-departments/health-safety/guidance/hazardous-substances . If desired the DSEAR assessment can be unde
39、rtaken in tandem with this COSHH assessment by cutting and pasting relevant sections of that form, in Word format, to this one.Accreditation and Verification of COSHH AssessmentWhen this assessment is complete it should be signed and dated by the assessor and then checked and signed by the person re
40、sponsible for operations in that section of the School/Unit where the work is being carried out. You must ensure that the person undertaking the task is competent to do so and has received sufficient information, instruction and training. Assessed by:Checked by:Signature:Signature:Date:Date:This ass
41、essment should be reviewed at regular intervals and immediately if there is reason to suspect that it is no longer valid (for example after any accidents or incidents) or if there is a significant change in the work to which it relates.NOTE: The Safe System of Work Form (Appended to this form) shoul
42、d be used to inform users of the main hazards and the precautions, or procedures that must be taken/followed during a particular work activity to reduce risk. Reference should be made to this master assessment (HS1) and where it can be viewed. Persons involved in, or affected by, the work with hazar
43、dous substances should sign the SSW Form, in the relevant declaration box. Review of AssessmentWhen the assessment is reviewed, as before, add below the signature of the assessor and the person responsible for work in that area of the Department. If the activity has materially changed in any way the
44、n a new assessment should be undertaken and a new assessment form completed. Any original signatories covered by the modified assessment should sign again. Assessed by:Checked by:Signature:Signature:Date:Date:Occupational Hygiene Unit, Health and Safety Department 2010Control of Substances Hazardous
45、 to Health Regulations Safe System of Work Form (Activities not involving biohazards)FORM HS1 Appendix (Complex activities or high hazard materials)This form should be used to convey to the user the Safe System of Work, derived from the risk assessment (Form HS1). The user must be aware of the follo
46、wing information regarding the hazardous properties of the substances to be used and must follow the instructions outlined in order to ensure that the activity is carried out safely and with minimum risk to their health, or that of others who may be affected by their acts or omissionsSchool/Management UnitAssess. No.Title of ActivityLocation(s) of Work Title (synopsis) of work activity:Mas