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Hazardous Chemical Risk Assessment Form Template for Belgium

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Key Requirements PROMPT example:

Hazardous Chemical Risk Assessment Form

"I need a Hazardous Chemical Risk Assessment Form for our new metal plating facility in Brussels, which will handle chromium, nickel, and copper solutions, with operations starting in March 2025; the form must include specific provisions for automated handling systems and wastewater management."

Document background
The Hazardous Chemical Risk Assessment Form is a critical document required under Belgian workplace safety legislation and EU chemical regulations. It must be completed whenever hazardous chemicals are introduced into the workplace, when significant changes occur in processes involving chemical agents, or during regular safety reviews. The form addresses requirements set forth in the Belgian Code on Well-being at Work, the Royal Decree of 11 March 2002 on chemical agents, and related EU directives. It documents the systematic evaluation of chemical hazards, exposure scenarios, control measures, and emergency procedures, serving as both a legal compliance tool and a practical guide for maintaining workplace safety. Regular updates are required to reflect changes in processes, substances, or regulatory requirements.
Suggested Sections

1. 1. Assessment Information: Basic details including date, assessor name, location, and department

2. 2. Chemical Identification: Details of the chemical(s) being assessed, including product names, CAS numbers, and quantities used

3. 3. Hazard Classification: Chemical classification according to CLP Regulation, including hazard statements and pictograms

4. 4. Exposure Assessment: Analysis of potential exposure routes, frequency and duration of exposure, who might be exposed

5. 5. Current Control Measures: Existing safety measures, PPE, engineering controls, and workplace procedures

6. 6. Risk Evaluation: Assessment of risks considering likelihood and severity, using standardized risk matrix

7. 7. Additional Control Measures: Recommended new or improved control measures to reduce risks to acceptable levels

8. 8. Emergency Procedures: Specific emergency response procedures, first aid measures, and spillage protocols

9. 9. Monitoring Requirements: Details of required workplace monitoring, exposure measurements, and health surveillance

10. 10. Review and Update: Timeline for review, circumstances requiring reassessment, and change management procedures

Optional Sections

1. Specific Process Description: Detailed description of work processes involving the chemical - include when chemical is part of a complex industrial process

2. Environmental Risk Assessment: Assessment of environmental impacts and controls - required when chemical poses environmental hazards

3. Reproductive Health Risks: Special assessment for chemicals with reproductive toxicity - required for relevant substances

4. Carcinogen Assessment: Additional requirements for carcinogenic substances - mandatory for Category 1A/1B carcinogens

5. Storage Assessment: Specific storage requirements assessment - include for chemicals with special storage needs

6. Transport Considerations: Assessment of transport risks - required when chemicals are moved between sites

7. Waste Management: Specific waste handling procedures - include for chemicals with special disposal requirements

Suggested Schedules

1. Appendix A: Safety Data Sheets: Current safety data sheets for all chemicals assessed

2. Appendix B: Exposure Monitoring Results: Historical and current exposure monitoring data

3. Appendix C: Risk Assessment Matrix: Standard risk matrix used for evaluation

4. Appendix D: PPE Specifications: Detailed specifications for required personal protective equipment

5. Appendix E: Chemical Inventory: Complete inventory of chemicals covered by this assessment

6. Appendix F: Emergency Contact Information: List of emergency contacts and response procedures

7. Appendix G: Control Measure Maintenance: Maintenance schedules for engineering controls and safety equipment

8. Appendix H: Training Records: Records of staff training related to chemical handling and emergency procedures

Authors

Alex Denne

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

Relevant legal definitions








































Clauses




















Relevant Industries

Chemical Manufacturing

Pharmaceutical Industry

Petrochemical Industry

Manufacturing

Research and Development

Agriculture

Construction

Electronics Manufacturing

Metal Processing

Textile Industry

Automotive Industry

Waste Management

Laboratory Services

Mining and Extraction

Food Processing

Relevant Teams

Health, Safety and Environment

Operations

Quality Control

Research and Development

Production

Maintenance

Occupational Health

Regulatory Compliance

Emergency Response

Laboratory Operations

Process Engineering

Facilities Management

Relevant Roles

Health and Safety Manager

Chemical Safety Officer

Industrial Hygienist

Environmental Compliance Manager

Laboratory Manager

Production Supervisor

Process Engineer

Quality Control Manager

Occupational Health Nurse

Risk Assessment Specialist

Operations Director

Facilities Manager

EHS Coordinator

Chemical Process Technician

Maintenance Supervisor

Industries









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, 聽Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination, 聽Severance Pay, Governing Law, Entire Agreemen

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