Cleaning Products COSHH Risk Assessment Checklist Form
Complete this checklist to assess cleaning products, identify hazards, record controls, and capture review actions for the chosen site or area.
Assessment Details
Site / Location
*
Department / Area
*
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Assessor Name
*
Assessment Purpose / Activity
*
Cleaning Product Risk Checklist
Cleaning products reviewed
*
Hazard indication / label category
*
Please Select
Low hazard
Irritant
Corrosive
Flammable
Toxic
Environmental hazard
Other
Safe handling / storage checks
Original container
Label intact
Secure storage
Kept away from heat
Kept away from food/drink
Measured dispensing
Other
Ventilation / PPE checks
Adequate ventilation
Gloves worn
Eye protection used
Protective clothing used
Respiratory protection used
Other
Action and Review
Action required?
*
Yes
No
Corrective action notes
Review date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reviewer / approver name
*
First Name
Middle Name
Last Name
Submit Form
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