Health Hazard Evaluation Form Template for England and Wales

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Key Requirements PROMPT example:

Health Hazard Evaluation Form

"I need a Health Hazard Evaluation Form for our new chemical processing facility opening in March 2025, focusing specifically on respiratory hazards and chemical exposure monitoring for a team of 50 production workers."

Document background
The Health Hazard Evaluation Form is a critical document required under English and Welsh health and safety legislation. It is used when organizations need to assess and document potential health risks in their workplace, as mandated by the Health and Safety at Work Act 1974 and related regulations. The form provides a structured approach to identifying, evaluating, and controlling workplace health hazards, ensuring compliance with legal requirements while protecting worker health. It should be completed whenever new processes are introduced, existing processes are modified, or regular reviews are due. The document captures essential information about hazard identification, risk assessment, control measures, and monitoring requirements.
Suggested Sections

1. Basic Information: Date, location, assessor details, and scope of evaluation

2. Hazard Identification: Description of potential health hazards in the workplace including chemical, physical, biological and ergonomic hazards

3. Risk Assessment: Evaluation of likelihood and severity of identified hazards, including exposure levels and potential health effects

4. Control Measures: Existing and recommended controls to mitigate risks, including engineering controls, administrative controls, and PPE requirements

5. Monitoring Requirements: Specifications for ongoing monitoring and review, including frequency of assessments and responsible parties

Optional Sections

1. Environmental Monitoring Data: Additional section for specific environmental measurements such as air quality, noise levels, or radiation monitoring

2. Medical Surveillance: Details of health monitoring programs including frequency, type of examinations, and record-keeping requirements

3. Emergency Procedures: Specific emergency response protocols for high-risk hazards including evacuation procedures and first aid measures

Suggested Schedules

1. Monitoring Results: Detailed data from environmental or health monitoring including measurement methods and results

2. Technical Data Sheets: Information about hazardous substances or equipment including safety data sheets and manufacturer specifications

3. Risk Assessment Matrix: Detailed risk scoring methodology and criteria for risk evaluation

4. Control Measure Specifications: Detailed information about control measures and their implementation requirements

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions
Relevant Industries
Relevant Teams
Relevant Roles
Industries

Health and Safety at Work etc. Act 1974 (HSWA): The fundamental piece of workplace health and safety legislation that sets out general duties of employers to ensure health, safety, and welfare

Control of Substances Hazardous to Health Regulations 2002 (COSHH): Specific requirements for assessing and controlling hazardous substances, including requirements for monitoring exposure and health surveillance

Management of Health and Safety at Work Regulations 1999: Covers requirements for risk assessment, principles of prevention, and health and safety arrangements

Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013 (RIDDOR): Sets out requirements for reporting certain health-related incidents in the workplace

Personal Protective Equipment at Work Regulations 1992: Specifies requirements regarding PPE assessment and provision in workplace settings

Health and Safety (Display Screen Equipment) Regulations 1992: Details specific requirements for workstation assessment and safety measures related to display screen equipment

HSE Guidelines and Approved Codes of Practice: Regulatory guidelines and approved codes of practice issued by the Health and Safety Executive

UK General Data Protection Regulation (UK GDPR): Regulations governing the processing and protection of personal data, particularly relevant for handling health-related information

Data Protection Act 2018: UK legislation implementing data protection requirements, particularly important as health information is classified as sensitive personal data

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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