2015 Laboratory Safety Inspection

• Department

• Room(s)

• Conducted on

  Date

• Prepared by

Administrative

• For any lighting/plumbing/maintenance issues noted on the report, please submit a CARS request via the CARS website https://www2.fpm.wisc.edu/ppnew/cars/index.htm or by calling (608) 263-3333.

• Lab Emergency Information (LEI) door card posted

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Hot surfaces and equipment labeled

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Appropriate hazard signs posted

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• PPE required posted

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

Housekeeping

• For any lighting/plumbing/maintenance issues noted on the report, please submit a CARS request via the CARS website https://www2.fpm.wisc.edu/ppnew/cars/index.htm or by calling (608) 263-3333.

• Aisles and exits kept clear and accessible

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Heavy items stored on lower shelves

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• No storage within 18" of sprinkler heads

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Sinks kept clean and uncluttered

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Pest traps are available and free of pests

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

General Safety

• For any lighting/plumbing/maintenance issues noted on the report, please submit a CARS request via the CARS website https://www2.fpm.wisc.edu/ppnew/cars/index.htm or by calling (608) 263-3333.

• Safety shower accessible

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Eyewashes accessible

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Weekly eyewash activations completed by department

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• First Aid Kit available and stocked

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• No evidence of food or beverages present

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• PPE is available

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• PPE is being used

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• No evidence of tripping or slipping hazards

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Clothing appropriate for laboratory

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Fire extinguishers mounted and accessible

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Fire extinguishers monthly inspections are up-to-date

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Spill kit available

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

Chemical Safety

• For any lighting/plumbing/maintenance issues noted on the report, please submit a CARS request via the CARS website https://www2.fpm.wisc.edu/ppnew/cars/index.htm or by calling (608) 263-3333.

• All chemical containers properly labeled

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Chemical containers in good condition

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Chemicals stored to avoid incompatibilities

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Chemical containers are kept closed

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Corrosives stored in plastic trays or acid cabinets

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Hazardous chemicals stored at or below eye level

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Peroxide formers, shock sensitive, reactives are dated and disposed of upon expiration

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Flammable liquid storage is within the limits for each floor according to the LEI card and benchtop storage is within the following limits:<br>B1: IA < 6.6 gal & comb < 20 gal<br>2: IA < 15 gal & comb < 45 gal<br>3: IA < 6.6 gal & comb < 20 gal<br>4: IA < 1.5 gal & comb < 5 gal

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Secondary spill containment being used (plastic containers)

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Flammables are stored in flammable cabinet

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Chemical storage within fume hood is limited/restricted

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• No open flames or source of ignition near flammable storage areas

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

BioSafety

• For any lighting/plumbing/maintenance issues noted on the report, please submit a CARS request via the CARS website https://www2.fpm.wisc.edu/ppnew/cars/index.htm or by calling (608) 263-3333.

• Generated Regulated Medical Waste is contained in the appropriate waste containment

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Contaminated sharps are disposed of into sharps containers

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Sharps containers are not more than 3/4 full

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Autoclave efficacy log is up-to-date

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Other sharps disposed of in a sturdy puncture-resistant container

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• BSC certifications are up to date

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

Compressed Gases

• For any lighting/plumbing/maintenance issues noted on the report, please submit a CARS request via the CARS website https://www2.fpm.wisc.edu/ppnew/cars/index.htm or by calling (608) 263-3333.

• Gas cylinders adequately secured

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Valve caps in place when regulator is off

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Cylinder labeled for contents and hazards

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Oxygen cylinders separated from flammable gas

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Hoses and tubing in good condition

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

EPA Compliance

• For any lighting/plumbing/maintenance issues noted on the report, please submit a CARS request via the CARS website https://www2.fpm.wisc.edu/ppnew/cars/index.htm or by calling (608) 263-3333.

• Accumulation containers are clearly marked as "Hazardous Waste"

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Waste is stored in a designated area which is posted

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Waste is stored in secondary spill containment

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Containers are compatible with waste and are in good condition

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Waste inventory is up-to-date

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Waste is not venting off in fume hoods as means of disposal

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Waste containers are not more than 3/4 full

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

Laboratory and Safety Equipment

• For any lighting/plumbing/maintenance issues noted on the report, please submit a CARS request via the CARS website https://www2.fpm.wisc.edu/ppnew/cars/index.htm or by calling (608) 263-3333.

• Fume hoods are clear of obstructions both in front and behind

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Safe operating sash height is marked

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Fume hood has been tested annually

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Flammable cabinet is in good condition

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• O2 monitors have been calibrated quarterly

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• O2 monitor sensors have been replaced annually

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• All equipment is in good working condition

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Portable ladders and step stools are in good working condition

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Refrigerators/freezers are clean and free of frost

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Refrigerators/freezers, lab microwaves, coolers are labeled "No Food/Drink"

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Refrigerators/freezers that are not meant to contain flammable liquids are marked with "No Flammables"

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Moving parts, pinch points, belts, etc. are guarded

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• If hot work is being conducted, hot work permit is posted

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• There is no evidence of combustibles in or near hot work area

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

Electrical Safety

• For any lighting/plumbing/maintenance issues noted on the report, please submit a CARS request via the CARS website https://www2.fpm.wisc.edu/ppnew/cars/index.htm or by calling (608) 263-3333.

• Electrical panels are accessible and closed

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Extension cords are only used temporarily

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Power strips are used correctly (no piggy-backing)

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Electrical cords are in good condition (i.e. not nicked or frayed, grounding pin intact)

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• GFCI outlets are working correctly

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Cover plates on electric outlets and switches in place

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

Radioactive Safety

• For any lighting/plumbing/maintenance issues noted on the report, please submit a CARS request via the CARS website https://www2.fpm.wisc.edu/ppnew/cars/index.htm or by calling (608) 263-3333.

• Radioactive materials labels on door, refrigerators, equipment, etc.

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Radioactive materials are stored securely

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Radioactive waste properly stored and labeled

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Radioactive materials are in labeled containers

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Work areas and radioactive sink demarcated

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Work areas covered with absorbent paper

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Inventory logs current

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Incidental sink disposal log present

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Laser labs are posted at entrance

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Lasers are labeled with class & hazard warnings

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Eye protection appropriate for the laser is present and worn during operation

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• For any lighting/plumbing/maintenance issues noted on the report, please submit a CARS request via the CARS website https://www2.fpm.wisc.edu/ppnew/cars/index.htm or by calling (608) 263-3333.

• Additional Item

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Additional Item

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Additional Item

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Additional item

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Additional item

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Additional item

  Safe

  At Risk

  Note

  N/A

• Since Month/Year

• Additional Item

  Safe

  At Risk

  Note

  N/A