Assessment details
- Business name:
- Site / property address:
- Assessment date:
- Assessed by:
- Review date:
Hazards and control measures
List every hazard the job presents, who it affects, how likely it is and what you have done to reduce it. Review this before each job — a form filled in once a year protects nobody.
| Hazard | Who is at risk | Severity (H/M/L) | Likelihood (H/M/L) | Control measures |
|---|---|---|---|---|
COSHH — substances used on site
For every cleaning chemical or substance on site, record the hazard statement from its safety data sheet, the PPE needed to use it safely, and where it is kept.
| Product / substance | Hazard statement | PPE required | Safe method of use | Stored where |
|---|---|---|---|---|
PPE provided and worn
- Gloves:
- Eye protection:
- Apron / overalls:
- Respiratory protection:
- Non-slip footwear:
- Other:
Emergency arrangements
- First aider on site:
- First aid kit location:
- Accident book location:
- Nearest A&E or minor injuries unit:
- Emergency contact number:
Sign-off
- Assessed by:
- Approved by:
- Date:
- Next review due:
This template follows the structure a UK risk assessment and COSHH record normally takes, but every site is different — assess the actual job, and take specialist advice for hazardous substances.