GVEP Science Room Inspections V.2

• School District, Building, & Room Number

• Building & Room Number

• Conducted on

  Date

• Conducted by

Safety Showers

• Should there be a safety shower available? Safety showers should be available in each science classroom where corrosive chemical solutions are being used or prepared.

  Yes

  No

• Is there a safety shower?

  Yes

  No

• Is the safety shower clearly visible with signage?

  Yes

  No

• Is the shower easily accessible and not blocked by classroom furniture, decoration or materials?

  Yes

  No

• Is the actuator easily located, no higher than 69 inches above the floor?

  Yes

  No

• Is the shower inspected weekly?

  Yes

  No

• Was the safety shower tested as part of this investigation?

  Yes

  No

• Please add a shower.

Safety Shower

• Did the shower turn on when activated?

  Yes

  No

• Is the water tepid?

  Yes

  No

• Where there no leaks or other mechanical issues?

  Yes

  No

Eyewash Stations

• Should there be an eyewash station available? Eyewash stations should be available in each science classroom where corrosive chemical solutions are being used or prepared, the equipment must be able to treat both eyes simultaneously with instant, gentle, constant flow of water.

  Yes

  No

• Is there an eyewash station?

  Yes

  No

• Is the actuator activated by a single hand and single step operation?

  Yes

  No

• Is the eyewash inspected weekly?

  Yes

  No

• Is the eyewash clearly visible with signage?

  Yes

  No

• Is the eyewash easily accessible and not blocked by classroom furniture, decoration or materials?

  Yes

  No

• Was the eyewash tested as part of this investigation?

  Yes

  No

• Please add an eyewash.

Eyewash

• Did the eyewash turn on when activated?

  Yes

  No

• Is the water tepid?

  Yes

  No

• Is there sufficient pressure to deliver a parallel stream of water to both eyes simultaneously?

  Yes

  No

• Is the water clear and free of sediments?

  Yes

  No

• Are the eyewash protection caps in place and in good condition?

  Yes

  No

• Were the eyewash caps automatically removed when the eyewash was activated?

  Yes

  No

• Were there no leaks or other mechanical issues?

  Yes

  No

• Were the spouts clean?

  Yes

  No

• Was the bowl clean and free of debris?

  Yes

  No

Chemical Fume Hoods

• Are there chemical fume hoods?

  Yes

  No

• Is the hood inspected annually?

  Yes

  No

• Is the air flow rate posted on the hood?

  Yes

  No

• Is the working height of the sash posted (usually 18 inches)?

  Yes

  No

• Equipment and materials do not obstruct air flow?

  Yes

  No

• Is the hood interior clean, uncluttered, and not used as storage?

  Yes

  No

• The hood is not used for chemical or waste storage?

  Yes

  No

• Was the fume hood tested as part of this investigation?

  Yes

  No

• Please add a fume hood.

Fume Hood

• Is the average velocity greater than 90 fpm?

  Yes

  No

• Is the average velocity less than 150 fpm?

  Yes

  No

• Note hood velocity here:

• Does the sash operate freely?

  Yes

  No

• Is smoke pulled into the hood?

  Yes

  No

• Do the lights work?

  Yes

  No

Chemicals

• Are there chemicals being stored in the room?

  Yes

  No

• Is the chemical inventory available?

  Yes

  No

  N/A

• Is the chemical inventory up-to-date?

  Yes

  No

  N/A

• Are chemicals kept in a locked storage room or in locked cabinets if chemicals are located in a classroom?

  Yes

  No

  N/A

• Are chemical storage rooms and/or cabinets are labeled?

  Yes

  No

  N/A

• Are flammable/combustible liquids stored in fire rated storage cabinets?

  Yes

  No

  N/A

• Are acids and bases stored in corrosion resistant cabinets?

  Yes

  No

  N/A

• Are chemicals stored by compatibility?

  Yes

  No

  N/A

• Are chemical containers properly labeled?

  Yes

  No

  N/A

• Are food products used in laboratories labeled “Not for Human Consumption”?

  Yes

  No

  N/A

• Are food containers not being used for chemical storage?

  Yes

  No

  N/A

• Are chemicals are stored below eye level?

  Yes

  No

  N/A

• Do chemical shelves have a lip edge to prevent roll-off?

  Yes

  No

  N/A

• Are chemicals not stored on the ground?

  Yes

  No

  N/A

• Is food being stored in a chemical refrigerator? Are chemicals being stored in a food refrigerator?

  Yes

  No

  N/A

• Is the refrigerator(s) labeled "Chemicals Only" of "Food Only"?

  Yes

  No

  N/A

• Are there no flammables being stored in refrigerators?

  Yes

  No

  N/A

• Are chemical wastes stored in proper containers and location?

  Yes

  No

  N/A

• Are all chemical wastes stored in properly labeled containers?

  Yes

  No

  N/A

• Are all chemical wastes stored by compatibility?

  Yes

  No

  N/A

• Is all waste stored in sealed containers?

  Yes

  No

  N/A

• Is chemical waste disposal done regularly?

  Yes

  No

  N/A

Glassware

• Is there glassware stored or used in the space?

  Yes

  No

• Is glassware properly stored?

  Yes

  No

  N/A

• Is broken and damaged glassware properly disposed of?

  Yes

  No

  N/A

• Is a covered broken glass container provided?

  Yes

  No

  N/A

Emergency

• Room exits are unobstructed and accessible. <br>

  Compliant

  Non-compliant

  N/A

• Fire safety evacuation plans are prepared, maintained and conspicuously posted near the exit door in the classroom.

  Compliant

  Non-compliant

  N/A

• Emergency rescue windows are free of obstructing bars, screens, grilles, decoration or classroom equipment.

  Compliant

  Non-compliant

  N/A

• All emergency rescue windows are identified by signs as specified on the window and /or on any window shades, blinds, or curtains.

  Compliant

  Non-compliant

  N/A

• The window on the classroom door to the hallway should not be obstructed by paper or decoration

  Compliant

  Non-compliant

  N/A

• Safety blankets are available and wall mounted in a conspicuous location.

  Compliant

  Non-compliant

  N/A

• Fire extinguishers are be wall mounted in a conspicuous location, preferably near the door.

  Compliant

  Non-compliant

  N/A

• Fire extinguishers are be visually inspected monthly and marked on the inspection tag.

  Compliant

  Non-compliant

  N/A

• Fire extinguishers are visually inspected annually and marked on the inspection tag.

  Compliant

  Non-compliant

  N/A

• Spill kits are available and conspicuously placed.

  Compliant

  Non-compliant

  N/A

• There is a first aid kit available.

  Compliant

  Non-compliant

  N/A

Housekeeping

• Counters and floors are clean and free of clutter.

  Compliant

  Non-compliant

  N/A

• There is no food being consumed in laboratories.

  Compliant

  Non-compliant

  N/A

• Storage is orderly.

  Compliant

  Non-compliant

  N/A

• Storage is not within 24 inches of the ceiling.

  Compliant

  Non-compliant

  N/A

• Thirty-six (36) inch walkways are maintained.

  Compliant

  Non-compliant

  N/A

Supplied Gas/Compressed Gas

• There is an emergency gas shut-off valve or button.

  Compliant

  Non-compliant

  N/A

• The gas shut-off is labeled.

  Compliant

  Non-compliant

  N/A

• All cylinders (including extras) securely stored with valve protectors.

  Compliant

  Non-compliant

  N/A

• Corrosive gases stored no more than 6 months

  Compliant

  Non-compliant

  N/A

• Cylinders are marked FULL, IN USE or EMPTY

  Compliant

  Non-compliant

  N/A

• Cylinders are stored according to compatibility.

  Compliant

  Non-compliant

  N/A

Electrical Safety

• Electrical cords are in good condition.

  Compliant

  Non-compliant

  N/A

• There GFCI outlets within 6 feet of water sources.

  Compliant

  Non-compliant

  N/A

• There are no exposed, energized electrical parts.

  Compliant

  Non-compliant

  N/A

• Where electrical current is other than 110v, outlet marked with current provided

  Compliant

  Non-compliant

  N/A

• All equipment have three pronged plugs (or labeled “double insulated”) and are UL listed.

  Compliant

  Non-compliant

  N/A

• Electrical panels have 36" clear space.

  Compliant

  Non-compliant

  N/A

• Emergency shut off is operational, buttons are marked, overhead signage

  Compliant

  Non-compliant

  N/A

• Extension cords are not used as permanent wiring.

  Compliant

  Non-compliant

  N/A

• Power strips are plugged directly into the wall and are not used with any appliances.

  Compliant

  Non-compliant

  N/A

• Multi plug adaptors and ground pin adaptors are not in use.

  Compliant

  Non-compliant

  N/A

Personal Protective Equipment

• Appropriate eye protection is worn - goggles for splash hazards.

  Compliant

  Non-compliant

  N/A

• There is a method available to disinfect and clean eye protection.

  Compliant

  Non-compliant

  N/A

• Nitrile gloves are available for use with chemicals.

  Compliant

  Non-compliant

  N/A

• Appropriate clothing and footwear is worn when experiments are being performed.

  Compliant

  Non-compliant

  N/A

• Appropriate PPE is provided.

  Compliant

  Non-compliant

  N/A

Hazard Communication

• A Safety Data Sheet (SDS) - formerly a Material Safety Data Sheet (MSDS) - is available for every chemical. An MSDSonline Poster is posted in a conspicuous location.

  Compliant

  Non-compliant

  N/A

• The Chemical Hygiene Plan is accessible.

  Compliant

  Non-compliant

  N/A

• Emergency numbers are posted in a conspicuous location.

  Compliant

  Non-compliant

  N/A

Notes

• Notes -