Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Administrative Areas - Conference Room (Room 2018), Rooms 2019-2035, 2037-2040 and upper half of Room 2036

Electrical - Conference Room (Room 2018), Rooms 2019-2035, 2037-2040 and upper half of Room 2036

  • Power strips and surge suppressors are not daisy chained.

  • Power cords, plugs, and outlets are grounded and in good condition.

  • Power strips or other connections are not blocking the walkways or on the floor in contact with liquids.

  • Extension cords are being employed for temporary use only.

  • Electrical cords are kept away from heat sources.

  • A 36" clearance is maintained in front of electrical panels and heavy equipment electrical disconnects.

  • Space heaters are equipped with tip-over protection, have a thermostat and are UL-listed.

Housekeeping - Conference Room (Room 2018), Rooms 2019-2035, 2037-2040 and upper half of Room 2036

  • Area is free of slip, trip, and ergonomic hazards.

  • Spigots, hoses, and fixtures are not leaking. No solid or liquid spills are evident.

  • Areas are neat, organized, and free of clutter or other potential safety hazards.

  • Direct routes to emergency exits are clear and unobstructed (36" clearance).

  • Materials do not overhang shelves.

  • Heavy or bulky objects are stored lower than head height.k

  • 18" vertical clearance is maintained below ceiling.

  • Bathrooms are clean and well stocked.

  • Storage on the floor is kept to a minimum.

Safety signage - Conference Room (Room 2018), Rooms 2019-2035, 2037-2040 and upper half of Room 2036

  • Appropriate hazard warning are visible for a particular area (chemical, physical, etc.)

  • Emergency response signage visible and current (exit, eyewash, shower, fire extinguisher).

Laboratories - Labs 2011, 2017, 2019 and 2020

Signage - Labs 2011, 2017, 2019 and 2020

  • Appropriate hazard warning are visible for a particular area (chemical, physical, ect.)

  • Emergency response signage visible and current (exit, eyewash, shower, fire extinguisher).

Safety Equipment - Labs 2011, 2017, 2019 and 2020

  • Personnel in laboratory are wearing appropriate PPE (i.e., eye protection, gloves, lab coat, ect.).

  • First aid kits are well stocked for area hazards, without any expired items.

  • O2/CO2 level alarms are in occupied areas containing cryogenic liquids and are functioning.

  • Apron, face shield, and cryogenic gloves are available near all Dewer containers.

  • Spill kits are readily available, stocked, and are the type appropriate for that areas activities.

  • Dispensers for visitor safety glasses are well stocked.

  • Emergency response equipment is not blocked (eyewash, shower, fire extinguisher).

  • Emergency response equipment is certified monthly (eyewash, shower, fire extinguisher).

Laboratory Equipment - Labs 2011, 2017, 2019 and 2020

  • Gas cylinders are chained, well-secured (two chains for multiple tanks) and capped when not in use.

  • Mechanical equipment is guarded for hot spots, pinch points, sharp edges, rotating part, ect.

Housekeeping - Labs 2011, 2017, 2019 and 2020

  • Area is free of trip, slip, and ergonomic hazards.

  • Spigots, hoses, and fixtures are not leaking. No solid or liquid spills are present.

  • Areas are neat, organized, and free of clutter or other potential safety hazards.

  • Direct routes to emergency exits are clear and unobstructed (36" clearance).

  • Materials do not overhang shelves.

  • Heavy or bulky objects are stored lower than head height.

  • 18" vertical clearance is maintained below the ceiling.

  • Storage on the floor is kept to a minimum.

  • Floors are free of clutter, and kneehole are not used for storage if occupied.

Electrical - Labs 2011, 2017, 2019 and 2020

  • Power strips and surge suppressors are not daisy chained.

  • Power cords, plugs, and outlets are grounded and in good condition.

  • Power strips or other connections are not blocking the walkways or on the floor in contact with liquids.

  • Extension cords are being employed for temporary use only.

  • Electrical cords are kept away from heat sources.

  • A 36" clearance is maintained in front of electrical panels and heavy equipment electrical disconnects.

Chemical Labeling - Labs 2011, 2017, 2019 and 2020

  • Secondary (personal) chemical containers are clearly labeled with chemical name and designated hazard.

  • Chemical name on secondary containers are not abbreviated.

Chemical Storage - Labs 2011, 2017, 2019 and 2020

  • Chemicals are stored by compatibility (i.e. organic acids separate from inorganic acids by secondary containment and from both bases and flammable a by differing cabinets).

  • Refrigerators and freezers storing flammable materials are explosion proof.

  • Flammable materials in plastic containers greater than 500 ml are kept in approved flammable materials storage cabinets at all times except when directly in use.

  • All flammable materials storage cabinets are approved (3 point latch and self closing).

  • Flammable solvents in plastic containers are less than or equal to 500 ml if kept on bench tops.

  • Greater than 1 Liter glass bottles containing flammable solvents are plastic coated or kept in a flammable materials storage cabinet.

  • Chemicals are stored in containers appropriate for the type of chemical.

  • Chemicals are not stacked.

  • Hazardous materials are not stored in sinks.

Chemical Fume Hoods and Biosafety Cabinets - Labs 2011, 2017, 2019 and 2020

  • Certificate of calibration is within the past 12 months.

  • Chemical fume hood flow indicator alarms are operational.

  • Work area in fume hood is clean and uncluttered.

  • No power strips or spark/flame sources exist inside the fume hood.

  • No chemical storage or open containers in fume hood when not in use.

Hazardous and Biohazardous Wastes - Labs 2011, 2017, 2019 and 2020

  • Sharps and broken glass containers are replaced when 3/4 full.

  • Pre-printed SGI chemical hazardous waste labels are legibly filled out and firmly attached to container. Generator information, accumulation start date, contents, and physical state are complete.

  • Accumulation start date of laboratory waste containers are less than one year are listed or "weekly."

  • Chemical waste containers are closed when not in use.

  • Waste containers are in good condition.

  • Biohazardous waste containers (all bags and sharps containers) are less than 3/4 full and NOT overflowing.

  • Large biohazard bags and biohazard sharps containers have a generator label on them if they are accumulating waste.

  • Large biohazardous containers are properly snapped shut.

  • Non-hazardous waste containers are labeled as "non-hazardous."

  • Nothing hazardous is being sewered.

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.