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 — Solidifier (Bitumen / Polyurethane Resin Sealant)

This pre-completed COSHH assessment covers bitumen and polyurethane resin-based sealant products — used for crack filling, joint sealing and waterproofing in construction, roofing and civil engineering.

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 (bitumen / polyurethane resin sealant), SDS reference and physical state
• Health effects and first aid — inhalation, ingestion, skin contact and eye contact, with specific first aid for each route
• Hot bitumen and sensitisation hazard — heated bitumen releases fumes with carcinogenic potential; isocyanate-containing polyurethane components are respiratory sensitisers requiring RPE
• Workplace exposure limits — bitumen fume TWA and isocyanate TWA with units, from workplace exposure limits guidance
• CLP hazard classification — Irritant and Long-term health hazard pictograms
• PPE requirements — including chemical-resistant gloves, eye protection, respirator and protective clothing
• Emergency procedures — hot material burns, spillage response and fire precautions

Who Is This COSHH Assessment For?

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

• Roofing and waterproofing contractors
• Civil engineering and highways maintenance teams
• Construction and groundworks contractors
• Building maintenance and facilities management

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.