Risk assessment

Control of Substances Hazardous to Health (COSHH) Risk Assessment

A comprehensive COSHH risk assessment for a GP surgery, covering clinical, cleaning, decontamination and laboratory hazardous substances, exposure controls and health surveillance

For GP SurgeryRef BS-GP-RA-001See a sample (PDF) →
£44.99
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  • Instant download after checkout
  • Editable Microsoft Word (.docx)
  • Mapped to the CQC standards
  • Optional 3-monthly updates

What's inside

This risk assessment is fully drafted and structured, ready to brand and complete for your service. It covers:

  • 1. Scope and purpose
  • 2. Legal and regulatory framework
  • 3. Risk assessment methodology
  • 4. Hazards, controls and risk rating
  • 5. Action plan
  • 6. Monitoring and review
  • 7. Disclaimer

Legislation & standards it maps to

  • Control of Substances Hazardous to Health Regulations 2002 (as amended)
  • Health and Safety at Work etc. Act 1974
  • Management of Health and Safety at Work Regulations 1999
  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (Regulation 12, 15 and 17)
  • Health and Care Act 2022 and the Care Quality Commission (CQC) single assessment framework
  • Personal Protective Equipment at Work Regulations 1992 (as amended 2022)
  • Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013 (RIDDOR)
  • Health and Safety (Sharps Instruments in Healthcare) Regulations 2013

Who it applies to

All staff, contractors, locums, students, agency workers and visitors at [Organisation Name] who work with, are exposed to, or may be affected by substances hazardous to health, including clinical, nursing, treatment-room, dispensary, phlebotomy, minor-surgery, cleaning and estates activities.

Glossary

Plain-English explanations of the technical terms and legislation used in this document.

Anaphylaxis
A severe, life-threatening allergic reaction needing immediate emergency treatment.
Biological agent
A micro-organism such as a bacterium or virus, or material containing one, that can cause infection or other harm to health.
Blood-borne virus (BBV)
An infection such as hepatitis B, hepatitis C or HIV that can be passed on through blood.
Care Quality Commission (CQC)
The independent regulator of health and social care services in England.
Cold chain
Keeping vaccines and certain medicines within a safe temperature range from delivery to use.
Consignment note
The legal record that tracks hazardous waste from the site where it is produced to its final disposal.
Control of Substances Hazardous to Health Regulations 2002 (COSHH)
The law for safely managing chemicals and other hazardous substances at work.
Cryotherapy
A treatment that uses extreme cold, such as liquid nitrogen, to freeze and remove skin lesions.
Cytotoxic / cytostatic medicine
A medicine, often used in cancer care, that kills or stops the growth of cells and is harmful if handled without protection.
Decontamination
The combined process of cleaning, disinfecting and, where needed, sterilising equipment so it is safe to reuse.
Dermatitis
Inflammation of the skin, often causing redness, dryness and itching, which can be triggered by frequent contact with water or chemicals at work.
Dewar flask
An insulated container designed to store very cold liquids such as liquid nitrogen safely.
Engineering controls
Physical measures, such as ventilation or enclosed equipment, that reduce exposure to a hazard at its source.
Entonox
A ready-mixed gas of nitrous oxide and oxygen used to provide short-term pain relief.
Fixative
A chemical, such as formalin, used to preserve a tissue or specimen sample so it can be examined later.
Formalin / formaldehyde
A strong-smelling chemical used to preserve specimens; it irritates the eyes and airways and can trigger asthma.
Glutaraldehyde
A chemical disinfectant used to clean instruments that can irritate the skin and airways and cause asthma.
Hazard Group
A classification of biological agents by how dangerous they are, with higher groups posing greater risk of serious infection.
Health and Safety at Work etc. Act 1974
The main law setting out employers' general duties to protect the health and safety of staff and others.
Health and Safety Executive (HSE)
The national body responsible for regulating and enforcing workplace health and safety in Great Britain.
Health Technical Memorandum (HTM)
Official guidance setting standards for the design, safety and management of healthcare premises and equipment.
Healthcare assistant (HCA)
A member of staff who supports nurses and clinicians with patient care and clinical tasks.
Hepatitis B / hepatitis C
Viral infections of the liver that can be passed on through blood; hepatitis B can be prevented by vaccination.
Hierarchy of control
A ranked approach to reducing risk that starts with removing a hazard and treats protective equipment as the last resort.
HIV
A virus passed on through blood and certain body fluids that weakens the body's ability to fight infection.
Infection prevention and control (IPC)
The measures used to stop infection spreading between patients, staff and visitors.
Inoculation injury
An injury, such as a needlestick or cut, that breaks the skin and may expose a person to blood-borne infection.
Legionella
A bacterium found in water systems that can cause a serious form of pneumonia if breathed in as a fine spray.
Local exhaust ventilation (LEV)
Equipment that draws harmful dusts, fumes or vapours away from a work area at their source.
Management of Health and Safety at Work Regulations 1999
The law requiring employers to assess workplace risks and put suitable arrangements in place to manage them.
NaDCC (sodium dichloroisocyanurate)
A chlorine-releasing chemical, usually in tablet or granule form, used to disinfect surfaces and clean up spillages.
National Institute for Health and Care Excellence (NICE)
The national body that produces evidence-based guidance on treatments and good practice in health and care.
Near miss
An event that could have caused harm but did not, by chance or because it was caught in time.
Personal protective equipment (PPE)
Items such as gloves, aprons and masks worn to protect against harm or infection.
Phlebotomy
The taking of blood samples from a patient for testing.
Post-exposure prophylaxis (PEP)
Urgent preventive treatment given after possible exposure to an infection such as HIV to reduce the chance of it taking hold.
Reasonably practicable
Doing what is sensible to reduce a risk, weighing the level of risk against the time, trouble and cost of controlling it.
Registered Manager
The person registered with the regulator as responsible for the day-to-day running of a service.
Regulated activity
A type of care or treatment the law requires a provider to register with the regulator to deliver.
Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013 (RIDDOR)
The law requiring certain workplace injuries, diseases and dangerous events to be reported to the Health and Safety Executive.
Respiratory protective equipment (RPE)
Masks or respirators worn to protect the wearer from breathing in harmful dusts, fumes, gases or vapours.
Risk assessment
A structured check identifying what could cause harm and what is being done to prevent it.
Safety data sheet (SDS)
A manufacturer's document describing a chemical's hazards and how to use, store and dispose of it safely.
Sensitiser
A substance that can cause an allergic reaction so that, after exposure, even small amounts trigger symptoms such as asthma or dermatitis.
Seroconversion
The point at which an infection takes hold and antibodies to it become detectable in a person's blood after exposure.
Sharps
Needles, blades and other items that can cut or puncture the skin.
Single assessment framework
The structure the regulator uses to judge a service, built around quality statements and five key questions (safe, effective, caring, responsive, well-led).
Sodium hypochlorite
A chlorine-based liquid disinfectant, similar to household bleach, used to clean and disinfect surfaces.
Standard infection-control precautions
The basic infection-prevention measures, such as hand hygiene and protective equipment, used with every patient.
Tuberculosis (TB)
A serious bacterial infection that mainly affects the lungs and can spread through the air.
UK Health Security Agency (UKHSA)
The national body responsible for protecting the public from infectious diseases and other health threats.
Washer-disinfector
A machine that automatically cleans and disinfects reusable instruments, reducing the need for manual handling of chemicals.
Workplace exposure limit
The maximum amount of a hazardous substance in the air that a worker may be exposed to over a set period.

How it works

  1. Buy securely with Stripe - instant, no VAT, no account needed.
  2. Download your editable Word file from the link we email you straight away.
  3. Complete the placeholders for your service, then have it approved before use.
  4. Add the optional updates subscription and we keep it current as guidance changes.

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