COSHH (Control of Substances Hazardous to Health)Halloween offerBuy one licence, get the second free: £12.99 each · ends 31 OctAdd to basket- 8lessons
- 1 hourto complete
- 1CPD hours
- October 2026last updated
When you need this course
- You have brought in new cleaning productsStaff learn to read hazard pictograms, labels and safety data sheets, and to follow your COSHH assessment.
- Your annual refresher is dueAbout 1 hour online, with a certificate for each learner and a dashboard showing who has finished.
- There has been a spill or an exposureCovers what to do with spills, splashes and exposure, and how to report it.
- Domestic and laundry staff need training tooWritten for everyone who handles substances, not just care staff, including body fluids and soiled laundry.
Try it: a real lesson and question from this course
What COSHH is
The Control of Substances Hazardous to Health Regulations 2002, known as COSHH, require employers to prevent or adequately control exposure to substances that can harm health, so that people do not become ill because of their work.
COSHH covers a wide range of things: chemicals and products containing chemicals, fumes, dusts, vapours, mists, gases, and biological agents, meaning germs. In care settings that includes cleaning products and disinfectants, bleach, descalers, dishwasher and laundry chemicals, hand sanitiser, some medicines, and the germs carried in blood, body fluids and water systems. If a product's packaging has a hazard pictogram, it is classed as hazardous. Lead, asbestos and radioactive substances are not covered by COSHH because they have their own regulations.
Employers must identify the hazardous substances used or produced at work, assess the risks, decide on and put in place controls to prevent or reduce exposure, make sure controls are used and maintained, monitor exposure and provide health surveillance where needed, plan for emergencies, and give employees information, instruction and training. Cleaning and maintenance staff are included.
Employees have duties too. You must make full and proper use of the controls provided, follow the COSHH assessment and your training, wear and look after the protective equipment given to you, store substances as directed, and report anything that is damaged, missing or not working, such as a broken dispenser, an unlabelled bottle or gloves that split. You must also tell your manager about symptoms that could be linked to work, such as a rash on your hands or a new cough.
COSHH protects the people you support as well as staff. People living with dementia, sight loss or confusion may not recognise danger, and a product left within reach can cause serious harm in seconds.
What is the main aim of the COSHH Regulations?
In the hub, a wrong answer sends the staff member a short follow-up lesson and a fresh question on the same point. They close the gap before they can finish the module, and every attempt is recorded for your CQC evidence.
Next: one of the course's interactive activities, exactly as your staff get it.
Try it yourself
CareStream InteractiveCovered by COSHH?
Sort each item. Is it covered by COSHH, or by other regulations?
Tap an item, then tap the box it belongs in
Covered by COSHH
Hazardous to health
Covered by other regulations
Has its own specific law
This exercise is here to help you practise — it is not marked and does not affect your result.
That is how the training works. Give your whole team the full COSHH (Control of Substances Hazardous to Health) module.
What the course covers: 8 lessons
- What COSHH is
- How hazardous substances cause harm
- Pictograms, labels and safety data sheets
- COSHH assessments and control
- Using and storing substances safely
- Protective equipment and skin care
- Body fluids, water and medicines
- Spills, exposure and emergencies
Assessment and certificate
- 32 question assessment with a pass mark of 80%.
- A follow-up lesson on anything a learner gets wrong, so the gaps are closed, not just scored.
- A named, dated certificate the moment they pass, carrying the CPD Certified mark and CPD hours, ready to download as a PDF.
- Kept on their training record in your dashboard, ready for your CQC evidence.
Free COSHH (Control of Substances Hazardous to Health) resources
Official guidance from Skills for Care, free to download. Useful alongside the course.
- Skills for Care: statutory and mandatory training guideWhat Skills for Care expect every course on this subject to cover, and how often.
- HSE: COSHH, Control of Substances Hazardous to HealthThe Health and Safety Executive’s guidance on the COSHH Regulations 2002.
Specialists in the technology behind it all
The same technology behind the world's best products powers CareStream, so your team's coshh (control of substances hazardous to health) training stays accurate, always up to date with the latest guidance, and is delivered in over 60 languages.
Avg. Duration
About 1 hour
Certificate
For every staff member
Available Languages (60+)
CPD Certified Course
A clear, practical grounding in coshh (control of substances hazardous to health).
Eight short lessons, each with a care scenario, an interactive activity and a quick check with an explanation. You start with a five question knowledge check so your learning gain can be measured, and finish with a 32 question assessment with a pass mark of 80%. The course is designed to be taken every year.
By the end, your staff will be able to:
- Explain what COSHH is, what counts as a hazardous substance, and the duties of employers and employees
- Describe how hazardous substances enter the body and the harm they can cause, including dermatitis and asthma
- Interpret hazard pictograms and use safety data sheets and COSHH assessments to work safely
- Apply the hierarchy of control and your workplace's controls when using, storing and disposing of substances
- Select and use gloves and other protective equipment correctly, and look after your skin
- Know how to deal with spills, splashes, swallowing and other exposures, and what to report
A closer look at the coshh (control of substances hazardous to health) module.
The module is built in short, practical sections. Each one teaches a part of the topic, then applies it to a real care scenario and checks understanding before moving on.
What COSHH is
The Control of Substances Hazardous to Health Regulations 2002, known as COSHH, require employers to prevent or adequately control exposure to substances that can harm health, so that people do not become ill because of their work. COSHH covers a wide range of things: chemicals and products containing chemicals, fumes, dusts, vapours, mists, gases, and biological agents, meaning germs. In care settings that includes cleaning products and disinfectants, bleach, descalers, dishwasher and laundry chemicals, hand sanitiser, some medicines, and the germs carried in blood, body fluids and water systems. If a product's packaging has a hazard pictogram, it is classed as hazardous. Lead, asbestos and radioactive substances are not covered by COSHH because they have their own regulations. Employers must identify the hazardous substances used or produced at work, assess the risks, decide on and put in place controls to prevent or reduce exposure, make sure controls are used and maintained, monitor exposure and provide health surveillance where needed, plan for emergencies, and give employees information, instruction and training. Cleaning and maintenance staff are included. Employees have duties too. You must make full and proper use of the controls provided, follow the COSHH assessment and your training, wear and look after the protective equipment given to you, store substances as directed, and report anything that is damaged, missing or not working, such as a broken dispenser, an unlabelled bottle or gloves that split. You must also tell your manager about symptoms that could be linked to work, such as a rash on your hands or a new cough. COSHH protects the people you support as well as staff. People living with dementia, sight loss or confusion may not recognise danger, and a product left within reach can cause serious harm in seconds.
How hazardous substances cause harm
Hazardous substances enter the body in four main ways. They can be breathed in as fumes, sprays, vapours or dust, reaching the lungs. They can contact the skin or eyes, causing damage where they land or passing through the skin into the body. They can be swallowed, for example from contaminated hands, food or drinks, or by someone mistaking a product for a drink. And they can enter through cuts, broken skin or needlestick injuries. Effects can be immediate, such as stinging eyes, coughing, burns, dizziness or poisoning, or they can build up over time. Two long term conditions are especially relevant to care work. Occupational dermatitis is inflammation of the skin, usually the hands, causing redness, itching, dryness, cracking and blistering. It is caused by frequent wet work, repeated handwashing, detergents and some glove materials. Occupational asthma is caused by breathing in substances that sensitise the airways, such as some cleaning sprays. Once a person is sensitised, even a small exposure can trigger a reaction, and it can become permanent. Natural rubber latex, found in some gloves and medical devices, can cause dermatitis, asthma and, rarely, severe allergic reactions including anaphylaxis. This is why many care settings use nitrile gloves. Some people are at greater risk: people with existing skin or breathing conditions, pregnant and breastfeeding workers, young workers, and the people you support, who may be frail, have fragile skin or be unable to move away from fumes. Using sprays near someone with a chest condition, or cleaning around a person in bed, can expose them without them being able to object. The amount and length of exposure matter. Using the correct dilution, not using more than needed, keeping rooms ventilated and limiting how long you are exposed all reduce the risk.
Pictograms, labels and safety data sheets
Always read the label before you use a product. Under the GB CLP rules, hazardous products carry hazard pictograms: diamonds with a red border and a white background. There are nine. The flame means flammable. The flame over a circle means oxidising, which can make fires burn more fiercely. The exploding bomb means explosive. The corrosion symbol means the product can burn skin and eyes or damage metal. The skull and crossbones means acute toxicity, which can cause serious harm or death even in small amounts. The exclamation mark means a health hazard such as irritation, sensitisation or harm if swallowed. The health hazard symbol, a person with a starburst on the chest, means a serious long term health hazard such as causing asthma or cancer. The gas cylinder means gas under pressure. The environment symbol means hazardous to the environment. Labels also carry a signal word, "Danger" for the more severe hazards or "Warning" for the less severe, and hazard and precautionary statements, such as "Causes serious eye damage" and "Wear eye protection". Every hazardous product has a safety data sheet from the supplier. It describes the hazards, safe handling and storage, protective equipment, what to do in a fire or spill, and first aid. You should know where the safety data sheets are kept and be able to find them quickly in an emergency. A safety data sheet is not a risk assessment. Your employer uses it, together with how the product is actually used in your workplace, to write a COSHH assessment for each substance or task. The assessment is what tells you, specifically, how to use the product safely in your job. If a product arrives with a different label or from a new supplier, it needs to be checked and assessed before use.
COSHH assessments and control
A COSHH assessment looks at each hazardous substance and task in your workplace: what the harm could be, who could be exposed and how, how often and for how long, and what controls are needed. It is written by your employer or a competent person, but it depends on staff: you know how products are really used, so your feedback matters. Controls follow a hierarchy, from most to least effective. The best option is to avoid using a hazardous substance at all, for example using steam cleaning or microfibre cloths with water for some tasks. Next is substitution: swapping to a milder product, or a safer form, such as a gel or pre-measured tablet instead of a powder or concentrated liquid. Then come controls that reduce exposure at source, such as good ventilation, dosing and dilution systems that measure the product for you, and closed dispensing. Then ways of working: procedures, training, supervision, limiting how often and how long a task is done, and keeping people away while you work. Personal protective equipment is the last resort, because it only protects the wearer, only while it is worn, and gives no protection if it fails. The COSHH assessment for each product tells you which product to use for which task, the correct dilution, the protective equipment to wear, how to store it and dispose of it, and what to do in an emergency. Follow it every time. Do not change a product's dilution or use it for a job it was not intended for. Employers must make sure controls keep working: ventilation, dispensers and equipment are checked and maintained, and records are kept. Where a risk of ill health remains, such as dermatitis for staff doing a lot of wet work, the employer may arrange health surveillance, such as regular skin checks. Tell your manager if a control is not working, if a task has changed, or if you think a safer product could be used.
Using and storing substances safely
Use only the products you have been trained to use, for the job they are intended for, at the right dilution. Read the label and follow the COSHH assessment. Open windows or use extraction where the assessment says, and avoid spraying near people's faces, especially people with breathing problems; spray onto a cloth instead where you can. Never mix products. Bleach mixed with acidic products such as some toilet cleaners and descalers releases chlorine gas, and mixed with ammonia based products it releases toxic chloramine vapours. Both can cause serious breathing problems. Rinse equipment between products, and do not pour one product into another's container. Keep products in their original, labelled containers. Never decant a product into a drinks bottle, cup or unlabelled spray, because someone could drink it. If a product has to be diluted into a spray bottle, the bottle must be labelled with the product name and hazards, as your workplace provides. Store hazardous substances in a locked cupboard or room, away from food, drink and medicines, and away from heat. Keep flammable products away from sources of ignition. Close lids straight after use. Never leave a cleaning trolley or product unattended in areas where people you support are, even for a moment: a person with dementia may drink disinfectant, hand sanitiser or laundry capsules believing it is a drink or sweet. Dispose of products and empty containers as the COSHH assessment and safety data sheet say, and never pour substances down a drain unless that is the stated method. In people's own homes, the products belong to the person, but you still need to use them safely. Read the labels, do not mix them, make sure they are stored out of reach where the person is at risk, and report anything that worries you, such as products stored with food or in drinks bottles.
Protective equipment and skin care
When a COSHH assessment specifies personal protective equipment, you must wear it, and your employer must provide it free of charge. PPE only works if it is the right type, fits, is in good condition and is used correctly. Gloves are the most common PPE for hazardous substances in care, but not all gloves are equal. The COSHH assessment or safety data sheet tells you which type to use. Nitrile gloves are widely used because they resist many chemicals and avoid latex allergy. Polythene gloves are not suitable for chemical or personal care tasks. Heavy duty household style gloves may be needed for some cleaning and are either single use or cleaned and stored as your workplace directs. Check gloves for holes before use, change them if damaged or between tasks, and remove them without touching the outside with bare skin. Gloves are not a replacement for hand hygiene. Wear a disposable apron to protect your clothing, and eye protection, such as goggles or a visor, when there is a risk of splashes, for example when decanting, using sprays at head height or cleaning up spills. Some tasks need a mask or respirator; only use respiratory protection you have been trained and, where required, fit tested for. Look after your skin. Wear gloves only when needed and for no longer than needed, because sweating inside gloves also damages skin. Use warm, not hot, water, dry your hands thoroughly, and use the moisturiser provided, especially at the end of a shift. Check your hands regularly for redness, dryness, itching or cracking, and report any changes early. Your employer may carry out regular skin checks as health surveillance. Tell your manager if you have a known allergy, such as to latex.
Body fluids, water and medicines
COSHH covers biological agents, meaning germs, as well as chemicals. In care, the main biological hazards are germs in blood and body fluids, such as urine, faeces, vomit and sputum, and bacteria in water systems. Treat all blood and body fluids as potentially infectious. Follow standard infection prevention and control precautions: hand hygiene, gloves and apron for contact with body fluids, eye protection where splashing is likely, safe disposal of waste and sharps, and the correct spill procedure. Remember that chlorine releasing disinfectants must not be poured directly onto urine, because they can release chlorine gas. Your infection prevention and control training covers these in detail. Legionella bacteria can grow in water systems and cause Legionnaires' disease, a serious lung infection caught by breathing in fine water droplets, for example from showers. Older people and people with weakened immunity are most at risk. Your workplace will have a water management plan. Your part may include running rarely used taps and showers regularly, reporting water that is not hot enough or not cold enough, and cleaning and descaling shower heads as scheduled. Some medicines are hazardous to the people handling them. Cytotoxic drugs, used for cancer and some other conditions such as rheumatoid arthritis and multiple sclerosis, can harm staff through skin contact, breathing in particles, swallowing and needlesticks, including from the person's body fluids and waste for a period after a dose. If someone you support takes cytotoxic medicines, follow the specific guidance in their care plan, which usually includes wearing gloves and an apron when handling the medicine or the person's body fluids and waste, and disposing of waste in the designated cytotoxic waste stream. Never crush tablets or open capsules unless a pharmacist has advised it is safe and how to do it. Pregnant or breastfeeding workers should tell their manager, so that the risks from some substances, including some medicines, can be assessed.
Spills, exposure and emergencies
Your workplace should have a plan for foreseeable emergencies with hazardous substances, including spill kits, protective equipment and trained people. Know where the spill kit, eyewash and safety data sheets are kept. For a spill, keep people away, especially the people you support, and ventilate the area if it is safe to do so. Put on the protective equipment the safety data sheet or COSHH assessment specifies. Contain the spill with absorbent material from the spill kit, working from the outside in, then clean the area as directed and dispose of the waste as the safety data sheet says. For a large spill, a spill you are not sure how to handle, or one giving off fumes, leave the area, close the door and get help. If a substance splashes into someone's eyes, rinse them immediately with plenty of clean running water or eyewash for as long as the safety data sheet advises, often at least 10 to 15 minutes, holding the eyelids open, and get medical help. For skin contact, remove contaminated clothing and rinse the skin with plenty of water. If someone has breathed in fumes, move them to fresh air if it is safe. If someone has swallowed a product, do not make them sick; call 999 if they are unwell or NHS 111 for advice, and have the container or safety data sheet with you. Follow the first aid on the safety data sheet in every case. Report every spill, exposure and near miss through your workplace's procedure, and record what happened, what was involved and what you did. Report symptoms that might be linked to work, such as rashes or breathing problems. If a doctor diagnoses occupational dermatitis or occupational asthma linked to work, your employer must report it to the Health and Safety Executive under RIDDOR. Reporting helps your workplace review its COSHH assessments and stop it happening again.
The things your team must remember.
- COSHH covers chemicals, products containing chemicals, fumes, dusts, vapours, gases and germs
- Substances harm through breathing in, skin and eye contact, swallowing and cuts or needlesticks
- Read the label and follow the COSHH assessment; a safety data sheet is not a risk assessment
- Prevent exposure first; PPE is the last resort and only protects the wearer while worn
- Never mix products, never decant into drinks containers, and keep everything locked away
- Report skin problems early; occupational dermatitis and asthma are preventable
- For spills and exposures, follow the safety data sheet, get help and report it
Not a slideshow once a year. Training that sticks.
CareStream delivers coshh (control of substances hazardous to health) training in the hub your team already uses, grounded in best practice and your own policies, so it fits your care setting and not a generic template.
Short teaching sections and a real care scenario, then an assessment that checks understanding.
Staff complete it in over 60 languages, while your records stay in English.
A wrong answer triggers a short follow-up lesson and a fresh question, so the gap is closed.
Automatic reminders at 90, 30 and 7 days, with a live compliance dashboard.
From your dashboard to your team, in the CareStream hub.
Training is delivered in the hub each staff member logs into. You allocate the modules, they complete them in their own language, and you get the completion records and certificates for your CQC evidence, with any gaps closed by automatic follow up training.
Assign COSHH (Control of Substances Hazardous to Health) to each staff member in seconds. No course builder and no setup for each person.
Staff work through the module on any device, in over 60 languages, teaching then checking understanding. A wrong answer sends a short follow up lesson.
See live completion status and a certificate for every person, ready as evidence for CQC.
Any step, in their language, in one tap.
Care teams are diverse and training should not leave anyone behind. On any lesson or question, a staff member taps the language button and the whole step flips into the language they think in. They understand it properly, and your records stay in English.
- One tap flips any lesson or question into their language, instantly.
- Over 60 languages, with no setup and no separate versions to manage.
- Completions and certificates stay in English for your CQC evidence.
Try the language buttons in the preview above.
Built for real learning, not box ticking
Every CareStream course goes further than a lesson and a quiz. These features come as standard on every course, giving your staff a richer way to learn and giving you the evidence to prove it.
Every course is built on recognised UK guidance and cites its sources, from NICE and Skills for Care to the NHS and the legislation itself.
A plain English glossary of the technical terms in each course. A simple way to support every learner, including staff with English as a second language.
A quick knowledge check before the lesson is compared with the final assessment, so every certificate comes with evidence of how much the course actually taught.
After passing, staff record what they will do differently in their day to day work. Their reflection is saved to their training record and shown with their certificate.
A printable one page takeaway of the outcomes, key points and key terms. Perfect for staff files, supervision conversations and the staff room wall.
A printable checklist for managers to confirm skills in practice, with a sign off section. It completes the picture beyond the knowledge assessment.
Wrong answers become lessons, not failures
Most e learning marks an answer wrong and moves on. CareStream does not. Every wrong answer triggers an automatic follow up loop that teaches the point again and rechecks it, so no knowledge gap is left behind.
A wrong answer immediately opens a short lesson explaining the point, so the gap is closed there and then.
A fresh question on the same point checks the lesson has landed. The loop repeats until it has.
Staff move on to the next module and their certificate once they genuinely know the answer, not just after one lucky guess.
Why choose CareStream?
Training built for the care sector, delivered the way busy teams actually learn.
- 90+ care-specific training courses
- Bitesize, engaging lessons your staff actually finish
- Mapped to the Care Certificate & CQC standards
- Available in 60+ languages
- Instant certificate on completion
- Flexible learning, anytime, on any device
- Content kept up to date with UK care regulations
- Time to complete: 1 hour
Frequently asked questions.
Is COSHH (Control of Substances Hazardous to Health) training mandatory in care settings?
How often should staff complete COSHH (Control of Substances Hazardous to Health) training?
Can CareStream deliver COSHH (Control of Substances Hazardous to Health) training in other languages?
Does the training include an assessment?
More CPD Certified training your team may need
Every course below is certified by The CPD Certification Service, delivered in the hub, in any language. Add any of these to your basket.
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Annual CertificateGDPR / Data Protection
Annual data protection and data security refresher for everyone working in adult social care, meeting the Data Security and Protection Toolkit expectation of yearly staff training. Built on UK GDPR, the Data Protection Act 2018 as amended in 2025, ICO guidance and the Caldicott Principles, it covers the data protection principles, confidentiality and lawful sharing, people's rights, recording and storing information, cyber threats and scams, paper records and devices, and recognising and reporting data breaches. Eight lessons with scenarios and activities, then a final assessment.
Bulk discounts from 10+ licences
Annual CertificateInfection Prevention and Control
Annual infection prevention and control refresher for care workers in residential, nursing, home care, supported living and day services. Built on the Skills for Care statutory and mandatory training guide, NHS England's national infection prevention and control manual and the adult social care IPC resource, it covers the chain of infection, standard precautions and your role, hand hygiene, PPE, recognising and reporting infection, outbreaks, cleaning, laundry and spills, waste, sharps and exposure incidents. Eight lessons with scenarios and activities, then a final assessment.
Bulk discounts from 10+ licences
Annual CertificateMedication Administration and Competency
Annual medication administration refresher for care workers who support people with medicines in care homes, home care and supported living. Built on the Skills for Care statutory and mandatory training guide, NICE guidance SC1 and NG67 and CQC medicines guidance, it covers the law and your role, common medicines, consent, capacity and covert administration, preparing to administer, administration techniques, recording and monitoring, controlled drugs and storage, and errors and your limits. Eight lessons with scenarios and activities, a final assessment, then an observed practical assessment by your employer.
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Annual CertificateMental Health Awareness
Mental health awareness for everyone working in adult social care, mapped to Tier 1 of the Mental Health Core Capabilities Framework (2026). It covers what mental health and wellbeing mean, common mental health needs, stigma, rights and trauma informed practice, communicating with people in distress, physical health and loneliness, older people and people with a learning disability or who are neurodivergent, recognising and responding to self harm and suicide, and working with families, other services and the law. Eight lessons with scenarios and activities, then a final assessment.
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Annual CertificateMoving and Handling of People
Annual moving and handling of people refresher for care workers who assist and move people in care homes, nursing homes, home care and supported living. Built on the Skills for Care statutory and mandatory training guide and Health and Safety Executive guidance, it covers the law, how backs are injured, risk assessment, safe handling principles, moving and positioning with dignity, hoists and slings, other equipment and falls, and the limits of your role. Eight lessons with scenarios and activities, a final assessment, then an observed practical assessment by your employer.
Bulk discounts from 10+ licences
Give your team coshh (control of substances hazardous to health) training that actually sticks.
Buy your licences, allocate them in seconds, and let the evidence build itself.
Compared
Three ways to train a care team.
These modules are written and kept current by us, so your managers do not have to write or maintain them. We have compared what each approach does rather than naming providers, because products change and this should still be true next year.
| CareStream | A generic e-learning library | A trainer you book | |
|---|---|---|---|
| Try a real lesson and a real question before you buy | |||
| Learning outcomes and time to complete stated up front | |||
| Written lesson sections, each with its own illustration | |||
| Interactive exercises after the lesson that teaches them, in every module | |||
| Assessment in every module, with the key points to revisit | |||
| Taken in any of sixty plus languages | |||
| A wrong answer triggers a follow-up lesson, not just a re-sit | |||
| Practical sign-off by a manager where the subject needs it | |||
| Completion files itself into your training matrix and evidence pack | |||
| Bought one module at a time, with no annual contract |
Generic libraries are often cheaper per learner. They teach a national standard rather than being built, updated and evidenced around the way a CQC-registered service is actually inspected.
Care policies
Every module is written from a policy
If the policy behind it is out of date, the training inherits that. Sixty six policies written for your service, checked against current law and read by a person before they carry your name, from £39.
