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COSHH ASSESSMENT FORM
Project Name and Location:
Subcontractor:
Trade: Electrical Installation
Work to be Undertaken: Applying galvanised paint to seal cut metal ends.
Activity or Process: Painting
Hazardous Substances Used or Created: Galvanised Paint
Manufacturer:
MARK APPROPRIATE BOX
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NO
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NO
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NO
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NO
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NO
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NO
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NO
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NO
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YES
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YES
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YES
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YES
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YES
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YES
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YES
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YES
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|
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YES
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NO
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1.
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Are all relevant manufacturers safety data sheets attached?
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Yes
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No
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2.
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Will employees be given information concerning hazards?
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Yes
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No
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3.
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Will employees be given specific training?
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Yes
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No
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4.
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Will personal protective equipment be provided for employees?
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Yes
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No
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a.
Head Protection
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Yes
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No
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b.
Hearing Protection
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Yes
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No
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c.
Masks /RPE
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Yes
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No
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d.
Skin Protection
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Yes
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No
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e.
Goggles/spectacles
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Yes
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No
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f.
Gloves
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Yes
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No
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g.
High Viz Clothing
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Yes
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No
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h.
Foot Protection
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Yes
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No
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i.
Other equipment
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Yes
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No
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5.
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Will exposure monitoring and/or control measures be required and are details given below?
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Yes
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No
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6.
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Will health surveillance be necessary and are details given below?
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Yes
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No
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7.
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Does this substance need to be disposed of by an Authorised Waste Disposal Contractor?
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Yes
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No
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8.
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Have First Aid requirements been included?
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Yes
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No
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9.
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Have storage requirements for the substance been provided or arranged with site?
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Yes
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No
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