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 — Traffic Film Remover (Alkaline Surfactant / Glycol Ether Blend)

This pre-completed COSHH assessment covers traffic film remover (TFR) — a strongly alkaline vehicle pre-wash product based on sodium or potassium hydroxide, non-ionic surfactants and glycol ether solvents. Used across transport, logistics and fleet washing operations to remove road grime, oil and fuel deposits from vehicle surfaces.

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 (Traffic Film Remover / TFR), chemical name (alkaline surfactant and glycol ether blend; pH 12–13), SDS reference and physical state
• Health effects and first aid — inhalation of spray mist causing airway irritation; ingestion causing alkaline burns; prolonged skin contact causing irritation and possible burns; serious eye damage from direct contact; specific first aid for each route
• Corrosive eye hazard — strongly alkaline formulation causes serious eye damage; even brief contact requires at least 10 minutes' irrigation; chemical splash goggles are essential during application
• Workplace exposure limits — no specific WEL for TFR formulations; NaOH/KOH STEL 2 mg/m³; glycol ethers have individual WELs — consult product SDS
• CLP hazard classification — Irritant and Corrosive pictograms
• PPE requirements — including chemical splash goggles, face shield for pressure-spray use, PVC or neoprene gloves, waterproof apron
• Emergency procedures — spillage containment; do not discharge to drains; neutralise before disposal

Who Is This COSHH Assessment For?

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

• Transport and logistics fleet wash operations
• HGV, bus and coach washing facilities
• Vehicle cleaning and detailing businesses
• Local authority and public sector vehicle maintenance depots

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.