Report and assessor identification

Operator name COIN Company Assessor

Establishment
address
COIN Site Team/unit
Date of report COIN Service Order Discipline
ASSESSMENT RECORD
DESCRIPTIVE ASPECTS
Please note - all rows are expandable
Descriptive Criterion
Saet! Report
Res
Co""ents
#$% The safety report should ive details to allo! communication !ith
the competent authority"
Dan&ero's S'bstances
#$( The safety report should identify the ma#imum $uantities of every
danerous substance present% or potentially present% on the
establishment"
#$) &or each danerous substance identified% the safety report should
describe its chemical name 'includin common use chemical name( and
CAS number% accordin to I)*AC nomenclature"
#$* The safety report should describe the physical and chemical
behaviour of each danerous substance identified% relevant to normal
operatin conditions and foreseeable accident conditions"
#$+ The safety report should describe the immediate and delayed harm
to man and the environment for each danerous substance identified"
Environ"ent
#$, The safety report should describe the environment of the
establishment in sufficient detail to allo! the conse$uences ma+or
accidents to be assessed"
#$- The safety report should describe the environment of the
establishment in sufficient detail to allo! the contribution of e#ternal
factors to ma+or accidents at the establishment to be assessed"
,ersion -". April /00.
Report and assessor identification
Operator name COIN Company Assessor
Establishment
address
COIN Site Team/unit
Date of report COIN Service Order Discipline
Descriptive Criterion
Saet! Report
Res
Co""ents
Establis."ent
#$/ The safety report should identify installations and other activities of
the establishment that are relevant to ma+or accident ha1ards"
#$# The safety report should describe the process'es( bein carried out
!ithin every installation !hich could ive rise to a ma+or accident"
#$%0 The safety report should describe the area on each installation
!here a ma+or accident scenario could happen"
#$%% The safety report should provide focused information about each
installation% in sufficient detail to support the demonstration that ma+or
accident ha1ards !ill be prevented or the effects mitiated"
#$%( &or sites that are part of a domino roup% desinated by the
competent authority% the safety report should confirm !hether there has
been information e#chane bet!een the operator and other operators in
the domino roup.
#$%) The safety report should include the names of any relevant
oranisation involved in dra!in up the report"
,ersion -". April /00.