Risk assessment

Control of Substances Hazardous to Health (COSHH) Risk Assessment

A comprehensive COSHH risk assessment framework for private healthcare providers, aligned to the CQC single assessment framework and the Control of Substances Hazardous to Health Regulations 2002 (as amended)

For Private Healthcare ClinicRef BS-PH-RA-001See a sample (PDF) →
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  • 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. Roles and responsibilities
  • 8. Related documents
  • 9. Version control
  • 10. Disclaimer

Legislation & standards it maps to

  • Control of Substances Hazardous to Health Regulations 2002 (as amended) (COSHH)
  • 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 - Regulations 12, 15 and 17
  • Personal Protective Equipment at Work Regulations 1992 (as amended 2022)
  • Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013 (RIDDOR)
  • Carriage of Dangerous Goods and Use of Transportable Pressure Equipment Regulations 2009 (CDG)
  • Health and Safety (Safety Signs and Signals) Regulations 1996

Who it applies to

All clinical, nursing, pharmacy, decontamination, housekeeping, laboratory, estates and ancillary staff, contractors, agency workers, students and visitors of [Organisation Name] who may foreseeably be exposed to, store, transport, handle or dispose of substances hazardous to health across all registered premises and locations.

Glossary

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

Anaesthetic gas scavenging system (AGSS)
Equipment that captures and removes waste anaesthetic gases from an operating theatre so staff are not exposed to them.
Anaphylaxis
A severe, life-threatening allergic reaction needing immediate emergency treatment.
Aseptic preparation
Preparing medicines in tightly controlled, sterile conditions to prevent contamination.
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.
Carcinogen
A substance that can cause cancer.
Carriage of Dangerous Goods and Use of Transportable Pressure Equipment Regulations 2009 (CDG)
The law governing how dangerous goods, including gas cylinders, are safely transported.
Classification, Labelling and Packaging (CLP) Regulation
The law setting out how hazardous chemicals must be classified, labelled and packaged so users know the dangers.
Closed-system transfer device (CSTD)
A sealed device used when handling hazardous drugs that stops the medicine or its vapour escaping into the air.
Cold burn
An injury to the skin caused by contact with something extremely cold, such as liquid nitrogen.
Competent person
Someone with the training, knowledge and experience to carry out a task safely and correctly.
Control of Substances Hazardous to Health Regulations 2002 (COSHH)
The law for safely managing chemicals and other hazardous substances at work.
Cytostatic medicine
A medicine that slows or stops cells from growing and dividing, often used in cancer treatment.
Cytotoxic medicine
A medicine that is toxic to cells, used mainly in chemotherapy, which is harmful if staff are exposed to it.
Dangerous Substances and Explosive Atmospheres Regulations 2002 (DSEAR)
The law for controlling risks from substances that can catch fire or explode.
Decontamination
The combined process of cleaning, disinfecting and, where needed, sterilising equipment so it is safe to reuse.
Diathermy
A surgical technique that uses heat from an electric current to cut tissue or stop bleeding.
EH40
The Health and Safety Executive publication that lists the legal workplace exposure limits for hazardous substances.
Emollient
A moisturising cream or ointment used to protect and soothe the skin.
Endoscopy
A procedure using a thin, flexible camera tube to look inside the body, after which the instrument must be carefully cleaned.
Entonox
A ready-mixed gas of nitrous oxide and oxygen, breathed in for pain relief, for example during childbirth.
Fume cupboard
A ventilated enclosure that draws hazardous fumes away from the person working with them.
Fundamental standards
The minimum standards of safety and quality below which care must never fall.
FFP3 respirator
A close-fitting face mask that filters out very fine particles to protect the wearer's lungs.
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 and Social Care Act 2008 (Regulated Activities) Regulations 2014
The law setting out the fundamental standards that registered care providers must meet.
Health surveillance
Ongoing health checks for staff exposed to certain hazards, to spot early signs of work-related illness.
Hierarchy of control
A ranked list of ways to reduce risk, starting with removing the hazard and using protective equipment only as a last resort.
Infection prevention and control (IPC)
The measures used to stop infection spreading between patients, staff and visitors.
Inoculation incident
An event where the skin or eyes are exposed to blood or body fluids, for example a needlestick injury, risking infection.
Ionising Radiation (Medical Exposure) Regulations 2017
The law protecting patients from harm caused by radiation used in medical procedures such as X-rays.
Ionising Radiations Regulations 2017
The law protecting workers and the public from the harmful effects of radiation.
Isolator
A sealed, ventilated cabinet used to prepare medicines while protecting both the product and the worker.
Local exhaust ventilation (LEV)
An extraction system that captures harmful dust, fume or vapour at its source before it can be breathed in.
Management of Health and Safety at Work Regulations 1999
The law requiring employers to assess and manage risks to health and safety at work.
Mutagenic
Capable of causing harmful changes to the genetic material (DNA) in cells.
Near miss
An event that could have caused harm but did not, by chance or because it was caught in time.
Nitrile gloves
Disposable protective gloves made from a synthetic rubber, used instead of latex to avoid allergy.
Occupational asthma
Asthma caused or made worse by breathing in substances at work.
Occupational contact dermatitis
Skin inflammation caused by contact with irritants or allergens at work.
Personal protective equipment (PPE)
Items such as gloves, aprons and masks worn to protect against harm or infection.
Personal Protective Equipment at Work Regulations 1992
The law requiring employers to provide suitable protective equipment where risks cannot otherwise be controlled.
Post-exposure prophylaxis (PEP)
Medicine taken soon after possible exposure to an infection, such as HIV, to reduce the chance of becoming infected.
Reasonably practicable
Doing what is sensible and proportionate to reduce a risk, weighing the effort and cost against the level of danger.
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.
Reprotoxic
Capable of harming fertility or the development of an unborn child.
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.
Residual risk
The level of risk that remains once existing control measures are taken into account.
Respiratory protective equipment (RPE)
Masks or respirators worn to protect the lungs from harmful dust, 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 document from a product's manufacturer describing its hazards and how to use, store and dispose of it safely.
Sensitiser
A substance that can make a person develop an allergy, so that future exposure triggers a reaction.
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).
Sluice room
A room used for cleaning, disinfecting and disposing of waste, soiled items and body fluids.
Spirometry
A simple breathing test that measures how well the lungs work.
Standard infection control precautions
The basic infection-prevention measures, such as hand hygiene and protective equipment, used for all patients at all times.
Sterilant
A chemical strong enough to destroy all micro-organisms on equipment.
Surgical plume
The smoke produced when tissue is cut or burned during surgery, which can contain harmful particles and chemicals.
Thorough examination and testing (TExT)
A detailed inspection and test of extraction equipment by a competent person to confirm it is working properly.
Tuberculosis (TB)
A serious infectious disease that mainly affects the lungs and can spread through the air.
Wet-work
Work that involves having the hands wet, or frequently washing or wearing gloves, for long periods, which can damage the skin.
Workplace exposure limit (WEL)
The maximum legal amount of a hazardous substance that staff may be exposed to in the air over a set period.

How it works

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  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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