Laboratory Chemical Spill Risk Assessment Form

Date: Assessor Name: Lab Location:

Chemical(s) Involved: Quantity and Concentration:

Description of Planned Activity:

Risk Assessment:

Hazard	Likelihood	Severity	Risk Level	Control Measures
	Rare Unlikely Possible Likely Almost Certain	Minor Moderate Major Critical
	Rare Unlikely Possible Likely Almost Certain	Minor Moderate Major Critical

Personal Protective Equipment (PPE) Required: Spill Response Procedure:

Additional Remarks / Notes: