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 — Correction Fluid (Naphtha / Aliphatic Hydrocarbon)

This pre-completed COSHH assessment covers correction fluid based on naphtha — a fast-evaporating aliphatic hydrocarbon solvent used in offices and schools for correcting handwritten and typed errors.

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, chemical name (naphtha / aliphatic hydrocarbon), SDS reference and physical state
• Health effects and first aid — inhalation, ingestion, skin contact and eye contact, with specific first aid for each route
• Inhalation and misuse hazard — vapour from evaporating solvent causes CNS effects at high concentrations; deliberate inhalation is dangerous
• Workplace exposure limits — white spirit / naphtha TWA and guidance on ventilation
• CLP hazard classification — Flammable and Irritant pictograms
• PPE requirements — including eye protection and gloves for repeated use
• Emergency procedures — spillage and fire response for flammable solvent

Who Is This COSHH Assessment For?

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

• Offices and administrative environments
• Schools and educational establishments
• Print rooms and reprographics
• Any workplace where handwritten or typed documents are corrected

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.