Title Page

  • Stringent adherence to PPE requirements and risk assessments are mandatory. Our work requires a methodical careful approach. Speed is not a primary consideration. Safety of you, the UWA community and infrastructure are.
    It is anticipated that most items will not be dangerous goods. The training and PPE you receive will minimise the risk of those items that are dangerous goods. There are protocols in place to streamline the response to extremely dangerous items that may turn up. Such items are rare; you probably will not find one during this project.

  • Conducted on

  • Prepared by

  • Location
  • Building #

  • Lab/Room #

  • Contact name & Phone number

Pre-Departure Kit Bag Check list

  • bar code stickers

  • Zebra/ tablet

  • labeller

  • zip lock bags

  • marker pens

  • Laptop

  • priority items list

  • DO NOT ENTER LIFT DANGEROUS GOODS IN TRANSIT sign with plastic chain and attachments

  • HAZARDOUS MATERIALS RESPONSE INITATED - DO NOT ENTER sign

  • Mobile Spill Kit (if necessary, take if unsure)

  • First Aid Kit (if necessary, take if unsure)

Disposal Checklist

  • Specify the disposal room

  • Confirm route to the disposal room

Pre-Departure PPE Checklist

  • lab coat

  • safety glasses

  • face shield

  • Nitrile disposable gloves

  • PVC disposable gloves

  • resuable gloves (these are not suitable in PC2 areas)

  • Biohazard glove disposal bag

Risks and Controls Identifiable in Lab

  • Lab door panel required?

  • Select all applicable hazard types (and photograph lab door from outside)

  • Is the lab PC2?

  • PC2 protocols will be adhered to in this lab

  • Confirm all appropriate interlocks are in place and/or isotopes are sealed or otherwise safe

  • Remove or minimise as possible

  • Follow safe working practices to minimise manual handling issues

  • Specify other hazard and note controls in place

  • Are other controls required for work to commence?

  • Contact the CSO to arrange these controls before you start work. Briefly describe the controls in the box below

Response Controls Checklist

  • Confirm the following are in place

  • Safety Shower in lab

  • Specify location of external safety shower that is within 10 seconds of the lab

  • Eye wash in lab

  • CCP portable eyewash in kit.

  • First aid kit in lab

  • External first aid kit located and adequate

  • CCP first kit present before work commences

  • Spill kit in lab

  • Spill outside lab and adequate

  • CCP spill kit present before work commences

  • Emergency shut-off located

  • Fire extinguisher in lab

  • Location of nearest external fire extinguisher is:

  • Emergency egress route clear and confirmed

Verbal Confirmations

  • Confirm with your partner that you will asses new hazards or conditions as they arise

  • Confirm with your partner that should you find priority list items you contact the CSO

Dangerous Goods Cabinets in this lab

    Dangerous Goods Cabinets
  • Are there any DG cabinets present?

  • Select type

  • Scan the Chemical Audit 2019 barcode

  • Is the cabinet bunding shelf in the correct position?

  • Ensure that this is reported on the lab hazards reporting excel spreadsheet

  • Is the cabinet damaged?

  • Ensure that this is reported on the lab hazards reporting excel spreadsheet

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.