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
alphaZ documents - beautifully designed, tried and tested form templates. No junk, jargon or unecessary fields. Simple and usuable form templates
developed over 25 years through practical use in the real world. No AI generated nonsense here!
Download this form template with your company name and logo already added!
Document Preparation available with all document toolkits.
To get access to this file please click on Add to Cart to purchase for immediate download. If you have an alphaZ Subscription just click on Download Files to view all the files available to download.
COSHH Assessment — Optical Instrument Cleaner (Triethanolamine / TEA Aqueous Solution)
This pre-completed COSHH assessment covers optical instrument cleaner based on triethanolamine (TEA) — a mildly alkaline aqueous solution used for cleaning precision optical surfaces including lenses, prisms and coated glass in laboratory, medical and scientific instrument settings.
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, chemical name (TEA-based aqueous surfactant blend), SDS reference and physical state
- Health effects and first aid — inhalation, ingestion, skin contact and eye contact, with specific first aid for each route
- Alkaline contact hazard — mildly alkaline formulation (pH 8–10); prolonged skin contact and eye exposure can cause irritation beyond mild effects
- Workplace exposure limits — TEA TWA and guidance on ventilation for regular use
- CLP hazard classification — Irritant and Corrosive pictograms
- PPE requirements — including eye protection and chemical-resistant gloves
- Emergency procedures — spillage and fire response
Who Is This COSHH Assessment For?
This assessment is suitable for any workplace where optical instrument cleaner is used, including:
- Optical laboratories and lens manufacturing
- Scientific instrument service and repair
- Photography studios and camera equipment workshops
- Healthcare facilities cleaning optical diagnostic equipment
- University and research laboratories
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.