Effective form templates

This example COSHH risk assessment has been prepared using the
F-HS5 COSHH Assessment form template which has been designed to record and manage the risks associated with substances hazardous to health and includes:

• Substance details
• Physical description
• Health effects and first aid
• Workplace exposure limits (WELs)
• CLP hazard classification — visual hazard icons
• Risk rating
• Control measures
• PPE required — visual PPE icons
• Environmental considerations

The file is supplied in fully editable MS Word format and can be easily customised and saved to Google Docs format if required. The document uses pre-defined style formatting throughout with styles to match the risk-ratings. All text is in Calibri font for improved readability.
The following document labelling is included in the footer:

• Form number and title
• Information-classification
• Version
• Page number / total pages

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COSHH Assessment — Bitumen (Petroleum Bitumen / Roofing Felt Bitumen)

This pre-completed COSHH assessment covers petroleum bitumen — a complex mixture of high molecular weight hydrocarbons used for roof felting, joint sealing and waterproofing. Applied hot at 130–200°C; bitumen fumes generated during hot application are classified as a probable human carcinogen (IARC Group 2A).

What Does This COSHH Assessment Cover?

The assessment is fully completed and ready to use, covering all sections required for a complete hazardous substance risk assessment:

• Substance identification — trade name (Bitumen / Roofing Felt Bitumen), chemical name (petroleum bitumen; complex high molecular weight hydrocarbon mixture), SDS reference and physical state
• Health effects and first aid — inhalation of bitumen fumes causing respiratory irritation and carcinogen risk; severe thermal burns from hot material; skin irritation from cold bitumen; serious eye damage from hot splash; specific first aid for each route
• Probable carcinogen — bitumen fume — prolonged occupational inhalation of bitumen fumes increases risk of lung and bladder cancer; LEV is required for all hot bitumen work; RPE where LEV is insufficient
• Workplace exposure limits — bitumen fume TWA 0.5 mg/m³ over 8 hours, from current BOHS/HSE guidance; do not rely on older assessment values
• CLP hazard classification — Irritant and Long-term health hazard pictograms
• PPE requirements — including RPE for fume, heat-resistant gloves, eye protection, coveralls and safety boots
• Emergency procedures — hot burns: cool with water, do not remove adhered bitumen; fire: high flash point but use CO2 or foam if involved

Who Is This COSHH Assessment For?

This assessment is suitable for any workplace where bitumen is used, including:

• Flat roofing and roof felting contractors
• Waterproofing and tanking specialists
• Building maintenance and facilities management teams
• Civil engineering and infrastructure contractors

COSHH Compliance

This document provides ready-to-use evidence of COSHH compliance and supports occupational health and safety management. The assessment is based on the F-HS5 COSHH Assessment template, is fully editable in Microsoft Word, and can be customised with your company details, site-specific information and review dates.