DePuy Synthes, West Chester: Lab Safety and Environmental Inspection Form

• Conducted on

  Date

• Prepared by

• Location
  Address

• Laboratory:

• Date:

  Date

• Inspector(s):

A. Chemical Hazards Conditions - 

• 1. All peroxidizable chemicals have dates recorded on label reflecting when received and when opened. These chemicals have not exceeded their site-specific storage and/or in-use expiration dates

  Yes

  No

  N/A

• 2. The appropriate containment devices are used for manipulation of chemicals, transfer of volatile liquids, aerosol-producing activities and handling of solids (i.e., pharmaceutical compounds, proteins, enzymes and potential dust generating materials)

  Yes

  No

  N/A

• 3. Appropriate sign posted at entrance(s) to all laboratories detailing the specific hazards in the laboratory

  Yes

  No

  N/A

• 4. All chemical containers are appropriately labeled

  Yes

  No

  N/A

• 5. All chemical containers are within their expiration dates

  Yes

  No

  N/A

• 6. Incompatible chemicals are segregated

  Yes

  No

  N/A

• 7. Chemical fume hood sash at appropriate height

  Yes

  No

  N/A

• 8. Chemical fume hood(s), vented balance enclosure(s) and isolator(s) certified within past 12 months

  Yes

  No

  N/A

• 9. All compressed gas cylinders, stored in the laboratory and hall closets, are supported/secured, tubing is in good condition and the complete installation is stored away from excessive heat

  Yes

  No

  N/A

• 10. Valve protection caps are on gas cylinders when not in use

  Yes

  No

  N/A

B Biological Hazards Conditions

• 1. Appropriate biohazard pictogram and emergency contact information on sign at the entrance of all labs. Biosafety Level 2, 3 and 4 labs must identify the BSL level and the list of biohazardous agents used

  Yes

  No

  N/A

• 2. Biosafety hazard sign posted at all storage areas/refrigerators/freezers

  Yes

  No

  N/A

• 3. Biosafety cabinet(s) and autoclaves (if applicable) are certified within the past 12 months

  Yes

  No

  N/A

• 4. Biohazardous specimens are stored, transported and shipped in secondary containers to prevent leakage. Secondary containers are labeled with the international biohazard label

  Yes

  No

  N/A

• 5. The appropriate containment device is used for aerosol producing activities (e.g. making biological agents homogeneous)

  Yes

  No

  N/A

• 6. Aerosol-producing equipment/ activities (centrifuges, vortexers, shakers, blenders, tissue homogenizers, sonicators, infected animal necropsy, intranasal inoculation of animals, pressurized vessels, etc.) involving infectious materials are properly contained

  Yes

  No

  N/A

• 7. The appropriate safe needle and sharps devices are used when available

  Yes

  No

  N/A

• 8. All biological waste containers, including all aspiration containers and carboys, are labeled with the words "biological waste"

  Yes

  No

  N/A

C. Emergency Response Conditions

• 1. Lab exits and aisles free from obstruction (>36 inch clearance in US or 80 cm in Europe)

  Yes

  No

  N/A

• 2. Name and telephone number of area supervisor posted at entry of laboratory. Appropriate postings for evacuation routes and site emergency numbers available and visible throughout the facility

  Yes

  No

  N/A

• 3. Safety eyewash(s) and safety shower(s) immediately available, free from obstruction, properly labeled and tested

  Yes

  No

  N/A

• 4. Spill clean-up materials readily available

  Yes

  No

  N/A

• 5. Secondary containment in use for all bench-top equipment using greater than or equal to 1-liter quantities of hazardous liquids

  Yes

  No

  N/A

• 6. Secondary containment in use where liquid chemicals are stored

  Yes

  No

  N/A

• 7. Laboratory entry doors not propped open

  Yes

  No

  N/A

• 8. Fire extinguisher(s) available, free from obstruction, properly labeled and certification/inspection tags are up-to-date

  Yes

  No

  N/A

D. Environmental Conditions

• 1. Waste disposal containers, safety cans, medical, biohazardous waste and sharps containers labeled with appropriate hazardous waste labels/tags

  Yes

  No

  N/A

• 2. Fume hood drains and floor drains protected from accidental spills

  Yes

  No

  N/A

• 3. Recycling bins available and all recyclables segregated for disposal

  Yes

  No

  N/A

• 4. All waste containers closed when not in use. This includes, but is not limited to, closed waste disposal processes for HPLCs

  Yes

  No

  N/A

• 5. Volatile compounds not disposed of by evaporation. Empty containers properly defaced and/or marked as 'empty'

  Yes

  No

  N/A

• 6. Secondary containment in use for liquid hazardous waste

  Yes

  No

  N/A

• 7. No uncovered or over-filled medical/biohazardous waste

  Yes

  No

  N/A

E. Ergonomic Conditions

• 1. Ensure that all objects greater than 35lbs. are stored on bottom shelves. Heavy objects are to be stored closer to the floor to eliminate awkward postures from heavy lifting. (Use material handling devices where appropriate.)

  Yes

  No

  N/A

• 2. Verify adjustable chairs/stools are available in office and laboratory areas

  Yes

  No

  N/A

• 3. Verify ergonomic tools (keyboard trays, anti-fatigue mats, etc.) are utilized for computer and laboratory workstations. (Applicable to workstations used > 2 hrs/day)

  Yes

  No

  N/A

F. Fire Protection Conditions

• 1. All 4 liter solvent bottles plastic coated

  Yes

  No

  N/A

• 2. Flammable materials stored away from heat and ignition sources and in appropriate flammable storage cabinets

  Yes

  No

  N/A

• 3. Are flammable or combustible liquids / mixtures only stored in explosion proof refrigerators or refrigerators specifically rated and labeled for flammable liquid storage? Refrigerators rated for flammable liquid storage are clearly labeled by the manufacturer

  Yes

  No

  N/A

• 4. Less than 8 liters per employee (North America) or 50 liters per lab (Europe) of flammable liquids outside of storage cabinets/waste cans

  Yes

  No

  N/A

• 5. No materials stored within 18 inches (North America) or 50 cm (Europe) of ceiling

  Yes

  No

  N/A

G. General Conditions and Housekeeping

• 1. Sharps and needles are stored in a way to reduce the potential of laceration or needle stick

  Yes

  No

  N/A

• 2. There is no evidence of chemical spills on benchtops, on or near balances, fume hood sills or floors

  Yes

  No

  N/A

• 3. Laboratory benches are generally organized with limited clutter & chemicals

  Yes

  No

  N/A

• 4. Chemical fume hood exhaust baffles not blocked and hood uncluttered

  Yes

  No

  N/A

• 5. No eating, drinking, storing food, applying cosmetics or handling contact lenses in labs

  Yes

  No

  N/A

• 6. Slips, trips or fall risks are not present in the laboratory (i.e., standing water on the floor, electrical cords, materials in aisles)

  Yes

  No

  N/A

• 7. Lab chairs are made of materials easy to clean (clothed chairs are not allowed)

  Yes

  No

  N/A

H. Laboratory Equipment Safeguarding Conditions

• 1. Verify machine guards do not allow the operators' hands, arm or other body parts to make contact with dangerous moving parts by reaching over, under, around or through the guard. Guards are closed when equipment is in use and safety systems are used

  Yes

  No

  N/A

• 2. Verify that equipment utilizing lasers or ultraviolet (UV) light have appropriate warning labels affixed to unit (exception TLC plate readers not required to be labeled)

  Yes

  No

  N/A

• 3 Equipment under pressure (hydrogenation, etc.) - verify pressure rating or netting/safety coating available

  Yes

  No

  N/A

• 4. Electrical cords in good condition and power strips are secured

  Yes

  No

  N/A

• 5. Laboratory equipment safely installed/positioned/secured. If necessary, local exhaust ventilation is installed to remove potentially hazardous vapors from the equipment

  Yes

  No

  N/A

• 6. Electrical cords/power strips are not linked (daisy chained)

  Yes

  No

  N/A

• 7. Does the equipment have a status indicator showing door status and cycle status?

  Yes

  No

  N/A

• 8. Are the utilities (i.e., steam, electric, pneumatic) clearly labeled?

  Yes

  No

  N/A

I. Personal Protective Equipment Conditions

• 1. A listing of the minimum required personal protective equipment is posted outside of the laboratory

  Yes

  No

  N/A

• 2. All employees working with chemicals, biological agents, pharmaceutical compounds, etc. at bench and/or hood are wearing gloves, when applicable

  Yes

  No

  N/A

• 3. Gloves and lab coat not worn in restricted areas (i.e., office areas, meeting rooms and any non-laboratory areas (excluding hallways))

  Yes

  No

  N/A

• 4. The appropriate level of personal protective equipment is worn based on the work being performed in the laboratory

  Yes

  No

  N/A

• General Comments:

• Follow Up Actions Required: