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 — Copper Grease (Copper Anti-Seize Compound / Mineral Oil Base)

This pre-completed COSHH assessment covers copper grease anti-seize compound — a copper powder (20–40% w/w) dispersed in a mineral oil and grease base, used in automotive, engineering and heavy plant maintenance to prevent seized fasteners and high-temperature corrosion.

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 (Copper Grease / Tetrosyl), chemical name (copper powder in petroleum-based carrier), SDS reference and physical state
• Health effects and first aid — inhalation, ingestion, skin contact and eye contact, with specific first aid for each route
• Copper toxicity and aquatic hazard — ingestion of copper compounds is toxic; copper is acutely toxic to aquatic organisms; prevent any release to drains or watercourses
• Workplace exposure limits — copper dust TWA 1 mg/m³ and copper fume TWA 0.2 mg/m³, from workplace exposure limits guidance
• CLP hazard classification — Irritant and Environmental pictograms
• PPE requirements — including nitrile or PVC gloves and safety spectacles
• Emergency procedures — spillage containment to prevent watercourse contamination; fire precautions

Who Is This COSHH Assessment For?

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

• Automotive repair and vehicle maintenance workshops
• Heavy plant and machinery maintenance operations
• Engineering and fabrication facilities
• Construction and civil engineering 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.