Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. General Information

  • c. Are all means of egress clear?

  • a. Are Hazard warning stickers and restricted access signs posted and legible?

  • b. Is emergency contact information posted and legible at the lab entrance and near telephone(s) (i.e supervisor's name and number, dept. number, EHS number and 911?

2. Chemical Hygiene Plan

  • a. Is the Chemical Hygiene Plan accessible in the lab?

  • b. Has the plan been reviewed by all lab workers?

  • c. Is lab-specific safety information in the plan being updated annually?

3. PPE/Personal Hygiene Practice

  • a. Is the appropriate PPE available (i.e gloves, face shields, goggles, safety glasses, etc.)?

  • b. Are safety glasses worn when hazards to the eye are present? (I.e pressure hazards, centrifuges, chemicals, boiling liquids, bloodbourne pathogens, UV light, or other hazardous processes stated n the CHP).

  • c. Are gloves removed when leaving the laboratory (unless necessary)?

  • e. Is proper attire worn (i.e no sandals, or shorts without lab coat)?

  • f. Is hand washing soap and disposable towels available?

4. Electrical

  • b. Are Relocatable Power Taps being used properly and within limitations?

  • c. Are Ground Fault Circuit Interrupters (GFCI) installed within 6 feet of any water source?

  • a. Are extension cords being used properly and within limitations?

5. Chemical Storage

D. Compressed Gases

  • a. Are cylinders stored properly and capped if unused?

  • b. Are cylinders properly labeled and secured?

E. Peroxide Formers

  • a. Are peroxide forming chemicals being labeled with appropriate dates (received, opened, and 6 month test date)?

F. Reactives

  • a. Are air, water, light, etc. reactive chemicals stored appropriately?

A. Containers and Labeling

  • d. Are chemical storage container labels legible?

  • a. Are chemical storage containers compatible, appropriate, and in good condition?

  • b. Are breakables being stored away from shelf edges and at or below eye level?

  • c. Are chemical storage containers labeled appropriately?

B. Storage Areas

  • a. Are chemicals being segregated and stored with compatible or like chemicals? (i.e segregation of flammables and oxidizers; nitric acid and acids; acids and bases etc.)

  • b. Are storage cabinets and shelves in good condition?

  • c. Are chemical storage areas identified with signs? (i.e flammables, corrosives, poisons, etc.)

C. Flammable Chemicals

  • a. Is the total volume of flammable liquids less than 15 gallons per lab?

6. Waste Management

  • b. Is chemical waste picked up regularly?

  • c. Are waste bottles stored in such a way they cannot be kicked or knocked off a bench or shelf?

  • d. Are waste bottles properly labeled?

7. Housekeeping

  • c. Is there adequate space to perform work safely?

  • e. Are aisles free of clutter and is there at least 36 inches of clearance?

  • f. Is there at least 18 inches of clearance from the ceiling in regard to storage?

  • h. Are needles and syringes being stored appropriately (if applicable)?

  • a. Are floors, walls, work benches, etc clean?

  • b. Is the lab neat and clean in appearance?

8. Chemical Fume Hood

  • b. Is the sash placed in the proper position when not in use?

  • c. Are lab employees trained in hood use?

9. Physical Security

  • a. Are lab doors locked when not in use?

  • b. Is a list of authorized lab personnel posted near the entrance?

10. Emergency Management

  • a. Are eyewash and showers available?

  • b. Have they been tested within the last 30 days?

  • c. Is a spill kit available?

  • d. Is a first aid kit available?

11. Recordkeeping/ Training

  • g. Has the Annual Renewal of Protocol been filed?

  • h. Is the Chemical Hygiene Plan available to all laboratory personnel?

  • a. Have lab personnel been trained in general laboratory safety?

  • b. Have laboratory personnel been trained on all aspects of the Chemical Hygiene Plan?

  • c. Are lab personnel knowledgeable about how to report an accident/injury?

  • d. Has the laboratory specific Chemical Hygiene Plan been updated annually?

  • e. Are exposure incident reports maintained and kept up-to-date?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.