Effective form templates

This example COSHH risk assessment has been prepared using the
F-HS5 COSHH Assessment form template which has been designed to record and manage the risks associated with substances hazardous to health and includes:

• Substance details
• Physical description
• Health effects and first aid
• Workplace exposure limits (WELs)
• CLP hazard classification — visual hazard icons
• Risk rating
• Control measures
• PPE required — visual PPE icons
• Environmental considerations

The file is supplied in fully editable MS Word format and can be easily customised and saved to Google Docs format if required. The document uses pre-defined style formatting throughout with styles to match the risk-ratings. All text is in Calibri font for improved readability.
The following document labelling is included in the footer:

• Form number and title
• Information-classification
• Version
• Page number / total pages

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COSHH Assessment — Render (Cement-Based External Wall Render)

This pre-completed COSHH assessment covers cement-based external wall render — a Portland cement, sand and polymer modifier mix used for finishing and weatherproofing external masonry surfaces. Strongly alkaline when wet; may contain trace crystalline silica and hexavalent chromium (Cr VI).

What Does This COSHH Assessment Cover?

The assessment is fully completed and ready to use, covering all sections required for a complete hazardous substance risk assessment:

• Substance identification — trade name (Cement-Based Render / External Wall Render), chemical name (Portland cement, sand aggregate, polymer modifiers; trace RCS and Cr VI), SDS reference and physical state
• Health effects and first aid — dust causing respiratory irritation; wet render causing slow-developing alkaline skin burns and serious eye damage; Cr VI causing allergic dermatitis; specific first aid for each route
• Alkaline burn and silica hazard — wet render is strongly alkaline (pH >12); burns develop slowly and can be serious; RCS where present is a Group 1 carcinogen
• Workplace exposure limits — cement dust TWA 4 mg/m³ (respirable); RCS TWA 0.1 mg/m³, from workplace exposure limits guidance
• CLP hazard classification — Irritant and Corrosive pictograms
• PPE requirements — including safety goggles, PVC or neoprene gloves, coveralls and RPE during mixing and spray application
• Emergency procedures — dry spill: vacuum or wet methods; wet spill: contain; do not wash to drain

Who Is This COSHH Assessment For?

This assessment is suitable for any workplace where external render is applied, including:

• Rendering and plastering contractors
• Construction contractors and housebuilders
• Refurbishment and building maintenance teams
• External wall insulation (EWI) system installers

COSHH Compliance

This document provides ready-to-use evidence of COSHH compliance and supports occupational health and safety management. The assessment is based on the F-HS5 COSHH Assessment template, is fully editable in Microsoft Word, and can be customised with your company details, site-specific information and review dates.