hazardous-substances-assessment-page-1

Company Name

Assessment No

Hazardous Substances Risk Assessment - Core Details

Employee / Team

Designation

Location

Department / Section

Date of Assessment

Time of Review

Description of Task Being Assessed

The Substance or Product Produced

Trade Name

Trade Ref No

Safety Data Sheet

Supplier Name

Emergency Tel No

Suppliers Address

Telephone Number

Email

Web Address

Hazard Classification

Select Hazard Symbol(s)

Check if Exposure Limites No Applicable

Check

Substance

Exposure Limit

Long Term

Short Term

Physical Properties

Other (specify)

Breif Details of Health Effects

Page 1 of 5

Need to store your risk assessments? Try our Risk Management Software - https://onsafelines.com/occupational-risk-assessment-software.html