Title Page
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Site conducted
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Conducted on
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Prepared by
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Location - Building Name and/or number
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Room or area number
Laboratory Responsible persons and door security.
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Responsible HoS or PCBU manager?
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Is there a lab hazards and precautions panel?
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Record names and contact details of supervisor and deputy supervisor.
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Are these details up to date?
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Is the lab occupied?
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Is the lab door locked?
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Take several pictures of the layout of the room.
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Are there unbarcoded H300 items in this area?
Housekeeping Questions
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Are there unbarcoded reagents in this area?
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Does this area use ChemAlert?
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Is the lab tidy, organised, and free of clutter?
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Is there evidence of Chemical hoarding?
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Are there any barriers to chemical disposal? Select all that apply?
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Please explain 'other' reasons.
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Are chemicals regularly disposed of by this are?
H300 items
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Name of H300 item
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UWA Chemical Barcode number
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Was this item located?
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Select all reasons for not locating this H300 item:
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When did this occur?
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Which lab is this item in now?
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Who was it lent to?
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Where was this item moved to?
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Specify "other"
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Is this item in the location listed in ChemAlert?
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Record new location and assign action to update CA location of barcode XXXXXXX item.
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Select all relevant responses for the condition of this H300 item:
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Disposal recommended?