COSHH Assessment Form
Control of Substances Hazardous to Health (COSHH) Assessment Entity
Project Zone: All DAEP work sites Contract Ref.: DWC/INF/051-00
Project Description: AMI FedEx Facility Stands and Airfield Works
Company Name: Al NAboodah Contracting CO. LLC
Contact Person: Binu Peter Contact Number: 0569951821
Substance Assessment Reference
Assessment Ref No: CRA/08 Assessment Date: 22-May-2025 Assessment Frequency: Half Yearly
Activity Description: Painting works
COSHH Reg. No.: ACC/COSHH-REG/11
Substance Name: National Synthetic Enamel Gloss 1
CAS No.: 63148-69-6
Material Safety Data
ACC/MSDS/20 Health Risk Rating: Low Risk
Sheet (MSDS) Ref:
Hazardous Constituents – mark applicable box(es)
✔
Acute Gas Under Health Hazardous to
Oxidizing Flammable Carcinogen Corrosive Explosive
Toxicity Pressure Hazard Environment
Occupational Exposure Maximum Exposure Occupational Exposure
Insert OES Insert MEL Insert OEL
Standard (OES): Limit (MEL): Limit (OEL):
Exposure Potential – select applicable description and mark applicable box(es)
Solid Characteristics Affecting Exposure: Select solid characteristics Primary Containment: Closed system
Liquid Characteristics Affecting Exposure: Non-volatile liquid Frequency of Use: Occasional
Overall Exposure Potential: Low Quantity Used: > 100 g
Routes of contact: ✔ Skin ✔ Eyes ✔ Inhalation ✔ Ingestion Other (specify)
Fire and Explosive Control – confirm and mark applicable box(es)
Will this substance give rise to a fire and/or explosion? No If “Yes”, select extinguishing agent(s) required below…
Extinguishing Agent(s): Foam CO2 Dry Powder Water Other (specify)
Handling and Storage Use Precautions
Note – Where and if this form is automated for use on PM-Web and/or Engineering Hub, then only use the Page 1 of 3 HSSEF-127-REV-005-NOV-2024-COSHHAF-DAEP
prescribed automated format as provided on PM-Web and/or Engineering Hub system
COSHH Assessment Form
Method(s) of use: Apply from the bucket using a roller/brush
Use nitrile hand gloves. Specify use / requirements Specify use / requirements
✔ ✔
Hand Foot Eye
Protection Protection Protection
Provide adequate ventilation.
Where reasonably practicable
this should be achieved by
Specify use / requirements Specify use / requirements
use of local exhaust
Respiratory
Protection ✔ ventilation and good general Face
Protection
Dust
Protection
extraction
Normal work clothes Specify use / requirements Specify use / requirements
✔
Special Additional
Others
Clothing Protection
Vapours are heavier than air and may spread along floors. Vapours may form explosive mixtures
with air. Prevent the creation of flammable or explosive concentration higher than the occupational
exposure limits. Operators should wear antistatic footwear and floors should be of the conducting
Handling and Storage Requirements
type to avoid static charges. Keep container tightly closed. Isolate from sources of heat, sparks and
(e.g. ventilation, chemical incompatibility,
open flame. Avoid skin and eye contact. Avoid inhalation of vapour and spray mist. Smoking, eating
flash point, etc.): and drinking should be prohibited in application area. Store in accordance with local rules and
legislation.Store in a dry, well ventilated place away from sources of ignition. Keep away from
oxidising agents, from strongly alkaline and strongly acid materials. No smoking.
Disposal Do not allow into drains or watercourses.
(specify how the chemical waste is to be
Waste and emptied containers should be disposed of according to the local rules and
disposed of, e.g. by specialist contractor,
legislation.
waste skip, down the sink, etc.):
Information, Instruction and Training
Source of Information: ✔ MSDS Other (specify)
✔ Internal External Duration: 1 Hour
Training Required: Class room training will be provided to the employees ( store keeper,
Procedure (brief):
supervisor, workers involved with the chemical) with visual aid.
Controls
First Aid Measures Environmental Controls
In all cases of doubt, or when symptoms persist, seek medical
attention. Never give anything by mouth to an unconscious
person. Inhalation: Remove to fresh air, keep patient warm and
at rest, if breathing is irregular or stopped, administer artificial
respiration. Eye contact: Irrigate copiously with clean, fresh
Avoid breathing vapours. Do not allow to enter drains or
water for at least 10 minutes, holding the eyelids apart and seek
water-courses.
medical advice. Skin contact: Remove contaminated clothing.
Wash skin thoroughly with soap and water or use recognised
skin cleanser. Do N O T use solvents or thinners. Ingestion: If
accidentally swallowed obtain immediate medical attention.
Keep at rest. Do NOT induce vomiting.
Health Surveillance (e.g. Carcinogens, Mutagens, etc.) Others
Health Surveillance will be carried out as required. Specify requirements
Assessment Date Assessor’ s Name Assessor’s Signature Next Review Date
Note – Where and if this form is automated for use on PM-Web and/or Engineering Hub, then only use the Page 2 of 3 HSSEF-127-REV-005-NOV-2024-COSHHAF-DAEP
prescribed automated format as provided on PM-Web and/or Engineering Hub system
COSHH Assessment Form
22-May-2025 Binu Peter 21-Nov-2025
The task/process should be re-assessed either on a regular basis, annually or if there are significant changes to the task or process or if there is a
significant change in personnel who carry it out it e.g. young/inexperienced workers, pregnancy, workers with pre-existing conditions such as asthma,
dermatitis, etc.
Note – Where and if this form is automated for use on PM-Web and/or Engineering Hub, then only use the Page 3 of 3 HSSEF-127-REV-005-NOV-2024-COSHHAF-DAEP
prescribed automated format as provided on PM-Web and/or Engineering Hub system