Chemical Risk Assessment Report

Report Title

Date

Assessor(s)

1. Chemical Information

Chemical Name

CAS Number

Quantity Used

Hazard Classification

Intended Use / Process Description

2. Hazard Identification

Main Hazards

Relevant Safety Data Sheet sections

3. Exposure Assessment

Persons at Risk

Exposure Routes

Duration / Frequency

4. Risk Evaluation Table

Task / Step	Hazard	Potential Consequences	Likelihood	Severity	Risk Level	Controls in Place

5. Control Measures

Engineering Controls

Administrative Controls

Personal Protective Equipment (PPE)

6. Emergency Procedures

First Aid Measures

Spill / Leak Procedures

Fire Fighting Measures

7. Review & Approval

Name

Signature

Date