8/17/2019 CONTROL OF SUBSTANCES HAZARDOUS TO HEALTH ASSESSMENT FORM.doc

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CONTROL OF SUBSTANCES HAZARDOUS TO HEALTH ASSESSMENT FORM

RISK ASSESSMENT LOW MEDIUM HIGH

SUBSTANCE NAME LOG NO.

CAS NO.

SUBSTANCE USED IN / AS CHIP Info.

HAZARDOUS CONSTITUENTS MEL OEL

 

FREQUENCY OF EXPOSURE DURATION OF EXPOSURE

FIRST AID MEASURES

FIRE FIGHTING MEASURES

WATER FOAM CO2 DRY POWDER

EXPOSURE CONTROLS

PAPER MASK FILTER MASK GLOES LEATHERGLOES

RUBBERGLOES

GOGGLES RESPIRATOR  APRON

SPILLAGE CONTROL

DISPOSAL MEASURES

DATE CARRIED OUT BY REIEW DATE REIEW CARRIED OUT BY