Control of Substances Hazardous to Health Regulations 2002

Schedule 3, Additional provisions relating to work with Biological Agents

Notification of use and consignment of biological agents

Purpose of Notification There are three courses of action relating to the notification required by the COSHH Regulations. Tick the appropriate box to indicate the purpose of your notification and complete the sections of the form, as shown. On completion, please email the completed form to Bioagents@hse.gov.uk
First use of biological agent(s) Hazard Groups 2, 3 or 4	You must complete sections 1 - 4
Subsequent use of biological agent(s) in Part V	You must complete sections 1 - 4
Intended consignment or receipt from abroad of Hazard Group 4 biological agents	You must complete sections 1, 3 and 5

Section 1 – Details of Premises 1a. Name and address of employer responsible for using, or consigning the biological agent(s) in question.
Name	Telephone number
Address	Fax number
Email address
1b. Address of premises where biological agent(s) will be used or consigned from (if different from 1a.)
Address	Telephone number
Fax number
Email address

Section 2 – Health and Safety 2a. Name the employee with specific responsibility for the health and safety of fellow employees.
Name	Position
Address	Fax number
Email address
2b. Qualifications and relevant experience of that person

Section 3 – Hazard Groups of Biological Agent(s) – (see Approved List of Biological Agents at www.hse.gov.uk) Tick the appropriate box to indicate the Hazard Group(s) to which the biological agent(s) is assigned.
Group 2	Group 3	Group 4
Please give name of agent(s) being used

Section 4 – Risk assessment / Preventative and Protective Measures

Section 5 – Consignment / Importation of Biological Agents in Part V of Schedule 9 of COSHH 1994 Please give the following details 5a. Address to which agent will be consigned
5b. Name of transport operator responsible for transportation
5c. Name of individual accompanying consignment
5d. Volume of consignment
5e. Packaging and containment precautions that will be taken. (See ‘The Carriage of Dangerous Goods by Road and Rail (Classification, Packaging and Labelling) Regulations 1994’ and accompanying Approved Methods for the Classification and Packaging for Carriage by Road and Rail.)
5f. Method of transportation (please tick appropriate box)
Road	Rail	Air
5g. Proposed date of transportation
5h. Route (eg roads, towns)