COSHH ASSESSMENT

Tick Yes/No as appropriate All documents relevant to this assessment must be cross-linked

Assessment and all relevant forms (e.g. LEV, RPE maintenance records) must be accessible in proximity of task/process

A. Administration
Establishment: Aviation Centre					Unit: RAF LYNEHAM
Assessment Title: Receipt of AVGAS from storage system (Fuel Bowser)
Ref: LAC COSHH 001
B. Process Dispensing of Aviation Gasoline (AVGAS)
Exact location of process Wash bay
Description of process (include reference to operating procedures / work instructions etc):
Open a/c fuel tanks
Check fuel level
Attach earth lead
Run out hose from Bowser
Fuel a/c
Reverse of above to finish
List equipment used (exclude LEV/RPE/PPE):
Nil
How often is process done (number of times per day/week/month)? Upto twice per day
How long does it take (minutes/hours/weeks etc.)? œ hour
How many people are likely to be exposed?
Operatives [ 2 ]					Vulnerable persons:
Neighbourhood workers [ 0 ]					young persons [ 0 ]
Managers [ 0 ]					pregnant workers [ 0 ]
Visitors [ 0 ]					nursing mothers [ 0 ]
Others (state):
C. Substances
Note: include all substances used or produced in the process. Biological agents should also be included where relevant
Name: AVGAS						Quantity: 100 litres
NSN 34A9100444						CHIP Classification EXTREMELY FLAMMABLE
Manufacturer/Supplier: Esso Petroleum
Has H&S data sheet (supplier's / JSP 515 HSIS) been obtained? Yes [ ü ] No [ ] If No, obtain one
Where can data sheets be found locally Aviation Centre Office
Classifications in EH 40: (specialist advice may be required if substances have MELs, are carcinogens or have "Sen" notation)
MEL?		OES?		Carcinogen?			Sk?	Sen?
Yes[ ] No[ü ]		Yes[ü] No[ ]		Yes[ü] No[ ]			Yes[ü] No[ ]	Yes[ ] No[ü]
Which routes of entry apply:			List corresponding symptoms of over exposure
Inhalation	Yes[ü] No[ ]		Headaches, Nausea and Drowsiness
Skin contact	Yes[ü] No[ ]		Irritation
Eye contact	Yes[ü] No[ ]		Slight Irritation
Ingestion	Yes[ü] No[ ]		Low System Toxicity
Other (specify)	Yes[ü] No[ ]		Damage to Nervous System, Brain & Reproductive System
Have substances continuation sheets been raised? Yes[ ] No[ü] How many? [ ]

D. Controls
Note: Give full details of items used (eg NSNo, manufacturers' details, British Standard No etc.
Type of control	Required controls		Actual controls	Deficiency	Statutory or other test ref. no.
Ventilation	Full Ventilation		Activity takes place in open air	None
Respiratory Protection	None
Personal Protection	Protect Exposed Skin & Eyes		Barrier cream, Coveralls, PVC gloves and safety glasses	None
Other Control Measures (eg safe systems of work, warning signs, segregation, training)	Health & Safety Precautions Detailed instructions provided CAA publication Refuelling aircraft and management of fuel installations		JSP 317 “Refuelling an aircraft” Initial issue available in fuel bowser CAP748	None
Has suitable and sufficient information, instruction and training (IIT) been provided? Yes [ü] No [ ]
Outline of IIT provision:
Training and instruction by Club trainers
Is routine monitoring required?		Yes [ ] MOD Form 933E ref:
		No [ü]
		Don't Know [ ] Request specialist advice
Is health surveillance required?		Yes [ ] MOD Form 933F ref:
		No [ü]
		Don't Know [ ] Request specialist advice

E. Emergency Procedures
Immediate actions (eg evacuate area, ventilate area, call fire brigade):
Evacuate Area, raise alarm, call fire brigade ext 222 and attempt to fight the fire using fire extinguisher attached to chain link fence adjacent to fuel bowser
Emergency drench shower? Yes [ü] No [ ] Located in Wash Bay Bldg						Emergency eye wash? Yes [ü] No [ ] Located in Wash Bay Bldg and POL locker next to bowser
Personal Protective equipment required for evacuation? (list):
N/A
To be worn by: N/A
Spillage confinement and clean up actions (include PPE):
Clear up any spillages using spill kits in POL locker, call ext 222 in case of large spills (in excess of 200 litres) making sure correct PPE is worn
By whom?
Is any special training required for emergencies? Yes [ ] No [ü]
Is record of training held? Yes [ ] No [ü]
Has it been carried out? Yes [ ] No [ü]
Is medical advice required following exposure? Yes [ ] No [ü]
Is a specialist to be informed? Yes [ ] No [ü] If yes, who?
Raise accident report form MOD Form 2000 to report spillage, exposure, injury Yes [ü] Mandatory
Enter all injuries, exposure into accident book Yes [ü] Mandatory
F. Evaluation of risk
(a) Do you have all the information needed to complete assessment?			Yes [ü]		Go to (b)
			No [ ]		Tick CONCLUSION [5] & seek help
(b) Would process present significant risks to health if no controls were in place?			Yes [ ]		Go to (d)
			No [ü]		Go to (c)
			Don't Know	[ ]	Tick CONCLUSION [4] & seek specialist advice
(c) Could the risks to health become significant?			Yes [ ]		Tick CONCLUSION [3] & review method
			No [ü]		Tick CONCLUSION [1] & review at regular intervals
(d) Are the control measures adequate?			Yes [ ]		Tick CONCLUSION [3] & provide backup /alarm
			No [ ]		Tick CONCLUSION [2] & stop process/ reduce exposure
			Don't Know	[ ]	Tick CONCLUSION [4] & seek specialist advice
G. Conclusion
1 [ ü]	Risks insignificant now and not reasonably foreseeable that they could increase in future.
2 [ ]	The risks are high now and not adequately controlled.
3 [ ]	The risks are controlled now but could foreseeably become higher in the future.
4 [ ]	Uncertain about the risks, nature of the hazard known but uncertain about the degree and extent of exposure. Seek specialist advice.
5 [ ]	Cannot decide about the risks. Not enough information. Seek specialist advice
Assessor's Signature		Name (Block Capitals) MCPHEE				Rank/Grade/Appt Flt Lt	Date 6Nov 06
Address: Aviation Centre RAF Lyneham						Tel: 7567

H. Line Manager's Actions
Can the process or any hazardous substance be eliminated? Yes [ ] No [ü]
If Yes, state which:
Can any substance be substituted by a less hazardous one? Yes [ ] No [ü]
If Yes, state which:
List all actions required following assessment					Priority		By whom		Target date		Completion date
Have the workforce and safety reps been informed of all the assessment findings? Yes [ü] No [ ]
I will carry out the actions required by this assessment
Line Manager's Signature			Name (Block Capitals) L Matthews			Rank/Grade/Appt Sqn Ldr				Date Nov 06
Address: Aviation Centre RAF Lyneham						Tel: 7567
I. Review		Changes that do not alter the previous assessment conclusion at Section G, should be noted, signed, dated and attached to this form, in addition to signing off the review below. Any change altering the previous conclusion requires a new assessment record.
Date due	Reviewed by			Signature		Date reviewed		New assessment required?
								Yes [ ] No [ ]
								Yes [ ] No [ ]
								Yes [ ] No [ ]
								Yes [ ] No [ ]
								Yes [ ] No [ ]
J. Audit Trail
If you send a copy of this assessment to your health and safety adviser
Date sent:
Date received:
Date entered on database (where appropriate)

Other COSHH Forms

911F (6/89) COSHH Assessments Master Register

933A Local Exhaust Ventilation (LEV) - Plant Maintenance and Examination Record

933B Respiratory Protective Equipment (RPE) - Issues from a Central Point

933C RPE - Maintenance by Users

933D RPE - Small Stockholders

933E Routine Exposure Monitoring

933F Personal Exposure & Health Surveillance Record

936 COSHH Laboratory Assessment