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Health & safety

COSHH Assessment template

Record the substance, hazards, controls and first-aid information for a task. Use current supplier information and a competent assessment; filling in this sheet alone does not establish that the work is safe.

Blank printable PDF: Classic style with the JobForms badge. No sign-up needed.

What's on this sheet

JobForms

COSHH Assessment

Blank sheet
Job ref: __________

Job details

Job No.

Short answer

Client

Short answer

Site details

Site / address

Short answer

Site contact

Short answer

Contact phone

Phone

Substance

Product / substance

Short answer

Supplier

Short answer

How it is used

Short answer

Hazards

Yes / No / N/A · notes on No

Toxic□ Yes　□ No　□ N/A
Harmful / irritant□ Yes　□ No　□ N/A
Corrosive□ Yes　□ No　□ N/A
Flammable□ Yes　□ No　□ N/A
Dangerous to environment□ Yes　□ No　□ N/A
Sensitiser□ Yes　□ No　□ N/A

Safety data sheet

Yes / No / N/A · notes on No

SDS available on site□ Yes　□ No　□ N/A

Controls

PPE required

Yes / No / N/A · notes on No

Gloves□ Yes　□ No　□ N/A
Eye protection□ Yes　□ No　□ N/A
Mask / RPE□ Yes　□ No　□ N/A
Overalls□ Yes　□ No　□ N/A

Other controls (ventilation, storage, disposal)

Notes

First aid / spill action

Notes

Risk after controls

Choose one

□ Low□ Medium□ High

Photos

Product label / SDS photo

Photos · capture stamps

Product label / SDS photo

Sign off

Assessed by

Short answer

Assessor signature

Signature

Assessor signature

Operative name

Short answer

Operative signature

Signature

Operative signature

Classic printable sheet · Powered by JobForms

Who uses it

Health & Safety teams and UK businesses keeping a clear visit or check record. Simple COSHH sheet for one substance: hazards, controls, PPE and first aid.

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Common questions

Is this health & safety sheet a certificate?

Tailor the record to the actual task and use your site’s authorised safety procedures. A template does not replace a competent assessment.

Can I print it or fill it on my phone?

Download the blank Classic PDF without signing up, or fill a copy in guest mode on your phone. Photos and signatures are available when filling digitally.

What is included on the Free plan?

Free includes Classic PDFs with the JobForms badge, up to 3 custom templates, 20 jobs per calendar month and 1 shared form. Other PDF styles and custom PDF branding are paid features.

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