Laboratory Assessment Checklist
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1 Labratry Assessment Checklist Date: Lab Infrmatin Department Principal investigatr (PI) PI telephne number PI address Building Lab rm numbers Lab Safety cntact persn Lab Safety cntact telephne number Lab Safety cntact address Lab phne number Inspectin Infrmatin Inspectr Inspectr address Secndary inspectr Secndary inspectr address Accmpanied by Hazards Present in Labratry Drp dwn selectins Bisafety BSL-1 BSL-2 BSL-3 BSL-4 Chemical Safety Pryrphrics Water Reactives Flammables Explsives Txic Cmpressed gas Radiatin Safety Istpes Lasers X-ray Other Animals use in lab Nanmaterials 1.0 Emergency & Safety Infrmatin Perxide Frmers Crrsives Oxidizers Inhalatin hazard Carcingens Crygenics Research & Envirnmental Safety Last Reviewed: January 30, 2017
2 Cmply C N/A Inspected Cmments 1.1 [ ] [ ] Emergency assistance infrmatin psted in lab Nt psted Missing infrmatin 1.2 [ ] [ ] Labratry Cautin Sign is psted n labratry Psted but nt updated dr and is updated Nt psted Missing infrmatin 2.0 Dcumentatin & Training Cmply C N/A Inspected Cmments 2.1 [ ] [ ] Site specific Lab Safety Manual accessible t all Nt accessible labratry persnnel Incmplete SOPS Nt updated 2.2 [ ] [ ] Initial EH&S Safety training dcumented Missing training(s): GSU Labratry Safety Chematix Training Radiatin Safety Bisafety Training Respiratr training Hazardus Waste Handling Security Awareness training 2.3 [ ] [ ] Bard f Regents Trainings Missing training(s): Right-2-Knw Training Hazardus Waste Awareness Bldbrne Pathgens 2.4 [ ] [ ] Labratry accidents dcumented Nt dcumented Nt familiar with accident/incident reprting system 3.0 Hazard Cmmunicatin Cmply C N/A Inspected Cmments 3.1 [ ] [ ] SDS accessible Cmputer nt available Incmplete SDS cllectin Lab persnnel dn t have access t Chematix Lab persnnel nt aware f SDS lcatin 3.2 [ ] [ ] Current chemical inventry is updated in Inventry nt updated Chematix 3.3 [ ] [ ] Cntainers labeled with cntents (full name, hazard warning, and date) 3.4 [ ] [ ] Refrigeratrs/freezers labeled with fd and drink specificatins Incmplete Nt apprved abbreviatins Unlabeled cntainers Label damaged and illegible Cnflicting labels Nt labelled with fd and drink specificatins Research & Envirnmental Safety Last Reviewed: January 30, 2017
3 4.0 General Safety Cmply C N/A Inspected Cmments 4.1 [ ] [ ] Shelves N 18" clearance frm sprinkler heads Strage shelves d nt have restraints Shelving and file cabinets 5' r ver nt anchred/blted Heavy bjects stred high Objects verhang the shelves Clutter Liquids stred abve eye level High verhead strage is nt secured 4.2 [ ] [ ] Fire extinguisher Nt available Tag nt updated Signage nt clearly visible 4.3 [ ] [ ] Labratry drs Nt kept clsed Exits/aisles/crridrs blcked 4.4 [ ] [ ] Emergency shwer Nt tested annually Signage nt visible Access blcked Nt tagged Nt available but required 4.5 [ ] [ ] Eyewash statin Nt tested weekly Access blcked Signage nt visible Nt tagged Nt available but required Nt functining Eyewash statin nt apprved 4.6 [ ] [ ] First-aid kits if available Nt stcked Expired prducts Nt available but required 4.7 [ ] [ ] Spill Kit Prcedure nt knwn t staff Nt available 4.8 [ ] [ ] Gas cylinders Nt secured t a structural cmpnent Inadequately secured Research & Envirnmental Safety Last Reviewed: January 30, 2017
4 Prtective cap nt placed when nt in use Used as a hanging tl Cylinders placed near surces f heat 4.9 [ ] [ ] Sink available fr hand washing N sap N paper twels N sink Hand washing nt enfrced 4.10 [ ] [ ] Sturdy cart available fr transprt f hazardus Cart nt sturdy waste as needed Cart nt available but required 4.11 [ ] [ ] N fd r drink in lab areas Fd fund Beverages fund Water bttle fund Fd used fr experimental purpses nt labelled 4.12 [ ] [ ] Glassware and Sharps Secndary cntainment nt prvided fr flr strage f glass bttles Excessive glassware n bench tp Excessive glassware in sink Imprper dispsal f sharps (pipettes, needles, razrs) Imprper dispsal f glassware Sharps cntainers mre than ¾ full 4.13 [ ] [ ] Mechanical and Electrical Safety Mveable parts nt guarded n equipment as apprpriate Electric panel nt accessible Nthing psted n electric panel Plugs, crds, utlets in pr cnditin Overladed utlets / daisychained pwer strips used Extensin crds nly present fr immediate use and d nt pse trip hazards (i.e., taped dwn, cvered) Research & Envirnmental Safety Last Reviewed: January 30, 2017
5 Pwer strips nt secured ff the flr and away frm liquids Pwer crds fund under drs, carpets, r thrugh ceilings 4.14 Other labratry assciated hazards Paint Batteries Mercury 5.0 Persnal Prtective Equipment (PPE) Cmply C N/A Inspected Cmments 5.1 [ ] [ ] Labratry cats wrn as required by campus Lab cats nt wrn PPE plicy Lab cats nt clsed Lab cat nt available Lab cat is excessively stained 5.2 [ ] [ ] Glves wrn as required by campus PPE plicy Glves nt wrn Glves reused Glves wrn utside lab 5.3 [ ] [ ] Eye prtectin wrn as required by campus PPE Safely glasses nt wrn plicy Gggles nt wrn fr prcedures invlving chemical splashes 5.4 [ ] [ ] Clsed-te shes and lng pants wrn by labratry persnnel as required by campus PPE plicy Prescriptin glasses with n side shields wrn Open ftwear Shrts/Capri s/skirts wrn 5.5 [ ] [ ] Adequate supply f specialty PPE available Class 3b & 4 lasers require safety glasses UV/IR glasses nt used Face shields nt used Lab aprns nt wrn Crygenic glves nt used 5.6 [ ] [ ] PPE cntaminated with hazardus materials dispsed f as Hazardus Waste Cntaminated PPE thrwn in regular waste Cntaminated PPE nt washed r dispsed f 6.0 Chemical Safety Cmply C N/A Inspected Cmments 6.1 [ ] [ ] Flammable Liquids Mre than 10 gallns f flammables lcated utside flammable strage cabinet Research & Envirnmental Safety Last Reviewed: January 30, 2017
6 Mre than 60 gallns flammable liquids per flammable strage cabinet Mre than 3 flammable strage cabinets per lab/fire area. Paper, fiberbard, and/r wd is stred with flammable chemicals 6.2 [ ] [ ] Flammable strage refrigeratr/freezer apprved and labeled Freezer/refrigeratr nt apprved fr flammable strage Freezer/refrigeratr nt labeled Flammables nt stred in a flammable strage cabinet 6.3 [ ] [ ] Chemical cmpatibility Incmpatible materials nt prperly segregated Strng acids and strng bases nt stred in secndary cntainers Water reactive chemicals nt segregated, cntained, r labeled Pyrphric chemicals nt segregated, cntained r labeled 6.4 [ ] [ ] Chemical strage Chemical strage cabinets are nt labeled Chemicals nt stred safely in cabinets, shelves, and/r trays Acids/Bases stred utside crrsive cabinet Chemicals stred in unidentified cabinets Crrsive chemicals are stred mre than 48 inches abve the flr 6.5 [ ] [ ] Chemical cntainers in gd cnditin Cntainer is in pr cnditin 6.6 [ ] [ ] Ethers and ther perxide frmers dated Nt dated 7.0 Chemical Waste Dispsal and Transprt Cmply C N/A Inspected Expired Research & Envirnmental Safety Last Reviewed: January 30, 2017
7 7.1 [ ] [ ] Waste Cntainers available and labeled fr dispsal f hazardus waste Waste cntainers are nt available Waste cntainers are nt labeled Tags are nt attached Tags are nt prperly filled 7.2 [ ] [ ] Chemical waste cntainers cnditin Waste cntainers in pr cnditin Waste cntainers nt kept clsed when nt in use Cntainer pen with funnel withut cver Secndary cntainment nt used 7.3 [ ] [ ] Designated hazardus waste strage areas Stred in fume hd Waste cntainers stred in traffic areas (slip/falls risk) 7.4 [ ] [ ] Chemical waste dispsed when full r within 3 business days, whichever is sner Waste dispsal plicy nt fllwed 7.5 [ ] [ ] Hazardus chemicals/materials nt fund in regular trash Chemical/ hazardus waste fund in regular trash 8.0 Fume Hds Cmply C N/A Inspected Cmments 8.1 [ ] [ ] Certified within ne year Nt certified Certified but nt functinal Nt available but required 8.2 [ ] [ ] Fume hd sash Prper sash height nt indicated Sash nt at r belw marked apprval level Sash stppers nt functinal 8.3 [ ] [ ] Hd illuminatin functinal Nt functinal 8.4 [ ] [ ] Audible/visual alarm functinal Nt functinal 8.5 [ ] [ ] Minimal clutter in hd Functinal fume hd used fr strage Clutter Used as strage fr equipment Excessive glassware in fume hd 9.0 Bisafety & Bihazardus Waste Cmply C N/A Inspected Cmments 9.1 [ ] [ ] All systems used fr bihazardus strage (freezers, refrigeratrs, liquid nitrgen strage.) N signage/bihazardus stickers Research & Envirnmental Safety Last Reviewed: January 30, 2017
8 are apprpriately labeled with bihazard stickers/signs 9.2 [ ] [ ] Bihazardus inventry available Inventry nt available 9.3 [ ] [ ] Bihazardus waste is placed in prperly labeled cntainers, liquid waste placed in leak-prf unbreakable cntainers 9.4 [ ] [ ] Bihazardus sharps cntainers available and prperly labelled 9.5 [ ] [ ] Disinfectants against agents in use are available Inventry incmplete Prper autclavable bags nt used Bihazardus bxes verfilled Bihazardus waste fund in regular garbage Bihazardus bxes nt taped with H pattern Cntainer nt prperly identified r labeled Bihazardus sharps fund in the regular garbage Bihazardus sharps nt cllected in a punctureprf cntainer Bihazardus sharps cntainers dispsed f via the regular garbage Bihazardus sharps cntainers ver-filled Disinfectants nt available Ethanl used but wrng cncentratin (ver 85%) 9.6 [ ] [ ] Autclave Autclave perating prcedure nt available Mnitring f autclaves with bilgical indicatrs nt perfrmed regularly 10.0 Bisafety Cabinets Cmply C N/A Inspected Cmments Recrds f bilgical indicatr testing nt kept Recrds f autclave cycle lgs (time, pressure and temp.) nt available 10.1 [ ] [ ] Certified within ne year BSC nt certified Expired certificatin 10.2 [ ] [ ] Wrk surface and shield clean Unclean wrk surface Unclean shield 10.3 [ ] [ ] Open flames are nt used in BSCs Bunsen burner fund inside BSC Research & Envirnmental Safety Last Reviewed: January 30, 2017
9 10.4 [ ] [ ] Prper prcedures fllwed when wrking in BSCs 10.5 [ ] [ ] N permanent strage f materials in BSC 11.0 Radiatin Safety General and Security Requirements Cmply C N/A Inspected Cmments Use f pen flame in BSC PPE nt wrn while wrking in BSC Frnt grill blcked Clutter inside BSC In-line HEPA filter nt used Bihazards waste kept utside BSC while in use Strage f materials in BSC 11.1 [ ] [ ] Pstings Cautin signs nt psted GA DNR: NOTICE TO EMPLOYEES sign nt psted EMERGENCY PROCEDURES: IN THE EVENT OF A RADIATION INCIDENT sign nt psted All areas where istpes are used and stred are nt delineated with radiactive materials tape r decals with radiatin symbl [ ] [ ] Radiactive Material Lg Bk/Binder present Frm A (RPC Apprval) Frm B (Current istpe /user authrizatin) Cpy f GSU Radiatin Safety Manual Standard Operating Prcedures fr each Istpe being used in the labratry in Binder. Training recrds Recrds f radiatin expsure t individuals (if any) Recrds f radiatin expsure t individuals (if any) 11.3 [ ] [ ] Radiatin Safety Training Nt available Overdue fr annual refresher Research & Envirnmental Safety Last Reviewed: January 30, 2017
10 11.4 [ ] [ ] Previus deficiencies adequately reslved Unreslved 11.5 [ ] [ ] Rms and/r areas are secured at all times. Unlcked dr/unattended RAM materials r waste Unsecured materials strage area/unsecured dr 12.0 Radiatin Safety Cntaminatin and Mnitring Cmply C N/A Inspected Cmments 12.1 [ ] [ ] Survey Instruments Nt prperly calibrated Nt functining and in gd cnditin Dead battery Nt available 12.2 [ ] [ ] Persnnel mnitring utilized Assigned but nt available Damaged Available but nt in use during RAM wrk 12.3 [ ] [ ] Cntaminatin Abve backgrund 13.0 Radiatin Safety Waste and Strage Cmply C N/A Inspected Cmments (<0.05 mrem.hr) Imprperly shielded/cleaned RAM wrk area 13.1 [ ] [ ] Radiistpe physical inventry N (vials identified) 13.2 [ ] [ ] Strage Strage nt prperly shielded (if applicable) Excessive accumulatin f ld RAM Nt stred in a secured lcatin 13.3 [ ] [ ] Radiactive waste Nt prperly segregated (dry, liquid, slid, liquid scin.) Overflwing RAM waste Nt stred separately frm general waste Nt prperly shielded Nt prperly labeled 14.0 X-ray and Laser Devices Cmply C N/A Inspected Cmments Research & Envirnmental Safety Last Reviewed: January 30, 2017
11 14.1 [ ] [ ] Written standard perating, maintenance, and Nt available perating prcedures kept with laser r X-ray device? 14.2 [ ] [ ] Have all cmmercially prduced Class 3b and 4 Unregistered device lasers and all lasers made r mdified, r X-ray devices n campus been registered with the University s Safety Office? 14.3 [ ] [ ] Prper eyewear wrn fr specific device? Imprper eye 14.4 [ ] [ ] Access cntrls in place t prevent injury r accidental expsure? prtectin Cntrls nt in place Inadequate cntrls in place Cntrls nt available 14.5 [ ] [ ] Expsed wiring r circuits Expsed 14.6 [ ] [ ] Laser warning sign psted Nt psted Other Cmments: Research & Envirnmental Safety Last Reviewed: January 30, 2017
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