Whsmp · OPW16/0021

                                                                 Hazardous Substance Risk Assessment
                                                                                                     HB-HSEQ-F-040-A
                                                                                                           Version: 4




Date of Assessment:                                       Due Date of Reassessment
                                                          (5yrs):
Assessors Names:
Substances:                                               Use:




Product Class
Location:


1          USING THE SDS AND LABEL DETERMINE:
    Hazards and Health                         Potential Routes of                      SDS Recommended
          Effects                                  Exposure                              Control Measures
Corrosive                                  Inhalation                                Engineering

Irritant                                   Ingestion                                 Isolation

Sensitising                                Skin/Eye                                  PPE

Carcinogenic                                                                         Other

Mutagenic

Teratogenic

Toxic

Asphyxiant

Flammable

Other
2          INSPECT THE WORKPLACE AND EVALUATE THE EXPOSURE
                                                                                                   Yes         No
Is the substance used in the work environment?

Is the substance emitted or released into the work area? (e.g. sprayed or applied)

Are employees exposed to the substance via any of the potential routes of exposure
listed:
• Inhalation

• Ingestion

• Skin Absorption



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