COSHH Assessment Form
Product name & Manufacturer	PVA Adhesive
Stored	Props COSHH Cupboard
Storage Instructions	Restricted access Keep between 5-30ºc Store in a cool dry space and away from sources of ignition.
Fire Fighting Measures	This product is not flammable CO2, water, power extinguisher
Process/Appearance	White liquid used to bond materials
Where is Product used	Props Department
When is product used	During working hours 07:00-22:00 Mon-Sun
Identify the persons at risk:	X Employees	Contractors	X Students
Classification (state the category of danger)
Extremely Flammable Toxic X Irritant Very Toxic Highly Flammable Sensitising Flammable Biological Corrosive Environmental Oxidising Harmful
Hazard Type
X Gas Vapour Mist Fume Dust Liquid Solid Other (State)
X X Route of Exposure
X Inhalation Skin Eyes Ingestion Other (State)
Control Measures: (for example extraction, ventilation, training, supervision). Include special measures for vulnerable groups, such as disabled people and pregnant workers. Take account of those substances that are produced from activities undertaken by another employer’s employees.
See Safety Data sheet for more information
Personal Protective Equipment (state type and standard)
Dust mask	Visor
X Respirator	Goggles
X Gloves	Overalls
Footwear	Other	None required
First Aid Measures
X Ingestion	Rinse out mouth, do not induce vomiting seek medical attention.
X Skin	Remove contaminated clothing, wash with cold water. Dried polymer film should be removed with skin cleansers.
X Eyes	Wash out with cold water for several minutes
X Inhalation	In the event of excessive inhalation, provide copious fresh air and seek medical assistance.
Is exposure adequately controlled?	X Yes No

Assessed by: Elliott Barnes Position: Facilities Manager Date: 29.7.11