• Inspection Building and Room Number
  • Drawing of Room

  • A1: Chemical needs labeling

  • Picture

  • Information

  • A2: Needs Proper Information

  • PIcture

  • Information

  • B: Chemical Storage

  • B1: Secondary Containment

  • PIcture

  • Information

  • B2: Incompatable/ Segregate/ Move

  • PIcture

  • Information

  • B3: Needs New Container/ Label

  • PIcture

  • Information

  • C: Hazardous/ Biohazard Waste

  • C.1: Needs Label/Lid

  • PIcture

  • Information

  • C.2: Improper Label

  • PIcture

  • Information

  • C.3: Bring to Stockroom

  • PIcture

  • Information

  • D: Gas Cylinder Needs Cap

  • PIcture

  • Information

  • E: Sharps Need Container

  • PIcture

  • Information

  • F: Spill Kit Recommended

  • PIcture

  • Information

  • G: PPE Recommended

  • PIcture

  • Information

  • H: Hood/Sink- Not for Storage

  • PIcture

  • Information

  • I: Eyewash- Keep Clear

  • PIcture

  • Information

  • J: Equipment Issue

  • PIcture

  • Information

  • K: Refrigerator- Clear Ice

  • PIcture

  • Information

  • L: Food Not Allowed

  • PIcture

  • Information

  • M: Electrical

  • PIcture

  • Information

  • M.1: Electrical Safety Issue

  • PIcture

  • Information

  • M.2: Extension Cord

  • PIcture

  • Information

  • N: Obstructions

  • PIcture

  • Information

  • O: Housekeeping

  • PIcture

  • Information

  • P: Contact Stockroom

  • PIcture

  • Information

  • Q: Contact Risk Management and Safety Services

  • PIcture

  • Information

Additional Information

  • Input any additional information here.

  • Signatures:

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