COSHH First Aid Explained

  • 5 min reading time

Many workplaces use substances that can be harmful if they are inhaled, swallowed, absorbed through the skin or come into contact with the eyes. The Control of Substances Hazardous to Health (COSHH) Regulations help employers manage these risks by assessing hazardous substances and implementing suitable control measures.

First aid forms an important part of COSHH planning. While preventing exposure should always be the priority, businesses should also be prepared to respond quickly if an incident occurs.

This guide explains how COSHH relates to workplace first aid, common chemical hazards, emergency procedures and employer responsibilities.

This information is general guidance and should not be considered legal advice.

What is COSHH?

COSHH stands for Control of Substances Hazardous to Health.

The regulations require employers to assess risks from hazardous substances and introduce suitable measures to prevent or adequately control exposure.

Hazardous substances may include:

  • Cleaning chemicals
  • Disinfectants
  • Industrial solvents
  • Paints and coatings
  • Laboratory chemicals
  • Dusts
  • Fumes
  • Biological agents

COSHH applies across many industries including manufacturing, healthcare, construction, laboratories, schools, hospitality, cleaning services and warehouses.

Why COSHH matters for first aid

Even where suitable control measures are in place, accidental exposure can still occur.

Appropriate first aid arrangements help ensure employees receive prompt assistance while waiting for professional medical treatment where necessary.

Effective planning can help reduce the severity of injuries following accidental exposure.

Common routes of chemical exposure

Exposure Route Example
Skin contact Chemical splash onto hands or arms
Eye contact Cleaning product splashes into the eyes
Inhalation Breathing in vapours, fumes or dust
Ingestion Accidental swallowing of hazardous substances
Injection Chemicals entering through puncture wounds

Industries where COSHH commonly applies

COSHH is relevant to many workplaces, including:

  • Manufacturing
  • Construction
  • Healthcare
  • Dental practices
  • Schools and colleges
  • Cleaning companies
  • Warehouses
  • Laboratories
  • Food production
  • Hospitality

Risk assessments under COSHH

Employers should assess hazardous substances used within the workplace and identify suitable control measures.

A COSHH assessment may consider:

  • The hazardous substance
  • Who may be exposed
  • How exposure could occur
  • Potential health effects
  • Existing control measures
  • Emergency procedures
  • First aid arrangements

See Workplace First Aid Risk Assessment.

First aid arrangements for hazardous substances

Where hazardous substances are used, employers should consider whether additional first aid equipment or procedures are appropriate.

Depending on the workplace, this may include:

  • Clearly stocked first aid kits
  • Emergency eyewash facilities
  • Safety showers
  • Emergency contact procedures
  • Access to Safety Data Sheets (SDS)
  • Trained first aiders

The exact arrangements will depend on the substances being used and the results of the COSHH assessment.

What should happen after chemical exposure?

The appropriate response depends entirely on the substance involved.

Businesses should follow their emergency procedures and consult the relevant Safety Data Sheet (SDS) for specific first aid advice.

General steps may include:

  1. Move the affected person away from further exposure if it is safe to do so.
  2. Follow the first aid advice provided in the Safety Data Sheet.
  3. Seek assistance from a trained first aider.
  4. Call 999 if the situation is life-threatening.
  5. Record and investigate the incident.

Different substances require different responses, so employers should never assume the same first aid treatment applies to every chemical.

Eye exposure to hazardous substances

Some chemicals can cause serious eye injuries.

Where appropriate, workplaces may provide emergency eyewash facilities as part of their COSHH arrangements.

Employees should know where eyewash equipment is located and how to obtain assistance quickly.

Related guide:

First Aid for Eye Injuries.

Skin exposure

Some hazardous substances may irritate or damage the skin.

Appropriate PPE, safe handling procedures and suitable washing facilities can help reduce risks.

First aid arrangements should reflect the hazards identified within the COSHH assessment.

Inhalation hazards

Dusts, fumes, vapours and gases may present inhalation risks depending on the substances being used.

Ventilation, extraction systems and suitable respiratory protective equipment may form part of workplace control measures.

Safety Data Sheets (SDS)

Safety Data Sheets contain important information about hazardous substances.

They may include:

  • Hazard identification
  • Safe handling information
  • Storage requirements
  • Emergency procedures
  • Recommended first aid measures
  • Fire-fighting information

Employees responsible for handling hazardous substances should know where Safety Data Sheets can be accessed.

PPE and COSHH

Personal protective equipment (PPE) may help reduce exposure where risks cannot be adequately controlled by other means.

Examples include:

  • Protective gloves
  • Safety goggles
  • Face shields
  • Protective clothing
  • Respiratory protective equipment

PPE should be considered alongside other control measures rather than used as the only protection.

Accident reporting and investigation

Incidents involving hazardous substances should be recorded and investigated where appropriate.

Investigations may identify opportunities to improve procedures, training or workplace controls.

Related guides:

Common COSHH mistakes

  • Failing to complete suitable COSHH assessments
  • Not reviewing assessments when substances change
  • Poor storage of chemicals
  • Missing or outdated Safety Data Sheets
  • Inadequate employee training
  • Not providing appropriate PPE
  • Poor emergency planning

Key takeaway

COSHH is an important part of workplace health and safety wherever hazardous substances are present.

Suitable risk assessments, emergency planning, first aid arrangements and employee awareness can help reduce risks and improve the response if accidental exposure occurs.

COSHH First Aid — FAQ

What does COSHH stand for?
COSHH stands for Control of Substances Hazardous to Health.
Does COSHH require first aid arrangements?
Where hazardous substances present a risk, employers should consider appropriate first aid arrangements as part of their overall COSHH assessment.
What is a Safety Data Sheet (SDS)?
A Safety Data Sheet provides information about hazardous substances, including hazards, safe handling, emergency procedures and recommended first aid measures.
What should happen after chemical exposure?
The correct response depends on the substance involved. Workplaces should follow their emergency procedures and the advice provided in the relevant Safety Data Sheet.
Is PPE enough on its own?
No. PPE should be used alongside other control measures identified through the COSHH assessment.

 


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