Form

Management of health and safety in defence: safety forms (JSP 375)

Health and safety forms relating to the leaflets published in Joint Service Publication (JSP) 375.

Documents

MOD form 5010: MOD risk assessment form

MOD form 5011: COSHH assessment form

This file is in an OpenDocument format

MOD form 5011a: COSHH master register

This file is in an OpenDocument format

MOD form 5012: manual handling assessment

This file is in an OpenDocument format

MOD Form 5014: DSEAR risk assessment

This file is in an OpenDocument format

MOD Form 5015: military training for land systems

This file is in an OpenDocument format

MOD form 5017: noise assessment record

This file is in an OpenDocument format

MOD Form 5031: PPE user inspection instruction

This file is in an OpenDocument format

MOD form 5051: personal exposure record

This file is in an OpenDocument format

MOD form 5070: permit to dig

This file is in an OpenDocument format

MOD form 5071: permit to work

This file is in an OpenDocument format

MOD form 5072: register of permits to work

This file is in an OpenDocument format

First aid notice template

This file is in an OpenDocument format

Workplace inspection template

This file is in an OpenDocument format

Details

The Ministry of Defence (MOD) health and safety forms are referenced in MOD Joint Service Publication (JSP 375) Management of health and safety in defence and are used by MOD staff to undertake assessment of the risks/hazards of their activites to ensure that their health and safety and the health safety of colleagues are not put at risk.

Published 21 May 2009
Last updated 16 October 2020 + show all updates
  1. Updated all JSP 375 forms updated to open document text versions.

  2. Added revised MOD form 5011 (revised August 2017), MOD form 5011b: routine COSHH exposure monitoring record (replaces MOD form 993E), and MOD form 5016.

  3. Updated MOD Form 5010 to version 1.3.

  4. Added revised MOD form 5011a: COSHH master register.

  5. Added revised MOD Form 5014.

  6. Added updated MOD 5056 form.

  7. Added updated DSE MOD form 1003.

  8. Updated current and added new forms.

  9. Added updated version of MOD Form 5011.

  10. Published revised MOD form 5014: DSEAR risk assessment

  11. Updated summary and detail sections.

  12. Replaced MOD form 5014: DSEAR risk assessment to latest version

  13. First published.