Information
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HSU Building Name and Room Number
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Conducted on
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Lab Inspector
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Lab Inspector
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Lab Inspector
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Drawing of Room
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A1: Chemical needs labeling
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Picture
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Information
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A2: Needs Proper Information
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Picture
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Information
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B: Chemical Storage
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B1: Secondary Containment
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Picture
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Information
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B2: Incompatable/ Segregate/ Move
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Picture
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Information
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B3: Needs New Container/ Label
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Picture
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Information
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C: Hazardous/ Biohazard Waste
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C.1: Needs Label/Lid
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Picture
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Information
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C.2: Improper Label
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Picture
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Information
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C.3: Bring to Stockroom
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Picture
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Information
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D: Gas Cylinder Needs Cap
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Picture
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Information
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E: Sharps Need Container
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Picture
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Information
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F: Spill Kit Recommended
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Picture
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Information
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G: PPE Recommended
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Picture
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Information
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H: Hood/Sink- Not for Storage
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Picture
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Information
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I: Eyewash- Keep Clear
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Picture
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Information
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J: Equipment Issue
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Picture
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Information
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K: Refrigerator- Clear Ice
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Picture
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Information
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L: Food Not Allowed
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Picture
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Information
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M: Electrical
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Picture
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Information
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M.1: Electrical Safety Issue
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Picture
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Information
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M.2: Extension Cord
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Picture
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Information
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N: Obstructions
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Picture
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Information
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O: Housekeeping
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Picture
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Information
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P: Contact Stockroom
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Picture
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Information
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Q: Contact Risk Management and Safety Services
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Picture
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Information
Additional Information
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Input any additional information here.
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Signatures:
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Add signature
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Add signature
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