Title Page
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Document No.
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Conducted on
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Prepared by
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Location
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Personnel
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Add signature
Light Lab
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Damaged glassware?
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Improper labeling?
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Ductless Fume hood?
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Misplaced chemicals?
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Misplaced blades?
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Pipettes/tips?
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Broken glassware?
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Waste disposal issues?
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Cleanliness issues?
Wet Lab
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Damaged glassware?
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Improper labeling?
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Misplaced chemicals?
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Misplaced blades?
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Pipettes/tips?
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Fume hood?
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Waste disposal issues?
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Cleanliness issues?
Organics Lab
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Damaged glassware?
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Improper labeling?
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Misplaced chemicals?
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Misplaced blades?
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Pipettes/tips?
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Fume hood?
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Waste disposal issues?
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Cleanliness issues?
Refrigeration Room
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Ice residue present?
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Debris under fridge?
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Over-packed fridge/freezer?
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Alarms present?
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Open fridges/freezers?
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Tripping hazards?
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Route obstructions?
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General cleanliness?
Environmental Room
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Damaged glassware?
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Improper labeling?
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Fume hood?
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Chemical storage?
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Pipettes/tips?
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Alarms present?
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Cleanliness issues?