ISU Laboratory Safety Inspection

• Report Number (Bldg. Abbr.-Room #-Year)

• Type of Inspection

  Annual

  Follow-Up

  Complaint

• Name of Principal Investigator/Building/Room Number

• Date of Lab Inspection

  Date

• Lab Inspection Report Prepared by

• Laboratory Personnel

GENERAL SAFETY

CHEMICAL HYGIENE PLAN

• Is the Chemical Hygiene Plan accessible in the lab?

  Yes

  No

  N/A

• Has the Plan been reviewed and signed by all lab workers?

  Yes

  No

  N/A

• Is lab-specific safety information in the Plan (Appendix A) being updated annually?

  Yes

  No

  N/A

• Is the lab chemical inventory up-to-date with all Safety Data Sheets available for reference?

  Yes

  No

  N/A

REQUIRED SIGNS

• Are eye protection and other special signs posted on doors (if applicable)?

  Yes

  No

  N/A

• Are there signs on contaminated equipment (if applicable)?

  Yes

  No

  N/A

PROHIBITED ITEMS IN LAB

• Are food and drinks being excluded from the lab?

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• Are appropriate safety glasses or googles being worn?

  Yes

  No

  N/A

• Are appropriate gloves being provided?

  Yes

  No

  N/A

PHYSICAL SECURITY

• Are lab doors locked when not in use?

  Yes

  No

  N/A

• Is a list of authorized lab personnel posted near the entrance?

  Yes

  No

  N/A

ELECTRICAL

• Are extension cords being used properly and within limitations?

  Yes

  No

  N/A

• Are Relocatable Power Taps being used properly and within limitations?

  Yes

  No

  N/A

• Are Ground Fault Circuit Interruptors (GFCI) installed within 6 feet of any water source?

  Yes

  No

  N/A

• Are all cords of electrical equipment in good condition?

  Yes

  No

  N/A

EMERGENCY PREPAREDNESS

MEANS OF EGRESS AND EXITS

• Are aisles free of clutter and is there at least 36 inches of clearance?

  Yes

  No

  N/A

• Are exits marked?

  Yes

  No

  N/A

EMERGENCY RESPONSE PLANS

• Is the building evacuation plan posted in a conspicuous location?

  Yes

  No

  N/A

• Are emergency phone numbers near a phone or outside of the door?

  Yes

  No

  N/A

• Have lab personnel been trained on each applicable Emergency Response Plan?

  Yes

  No

  N/A

SPILL RESPONSE

• Is there a spill kit available in the lab with a posted or known location?

  Yes

  No

  N/A

CHEMICAL STORAGE

CONTAINERS AND LABELING

• Are chemical storage containers compatible, appropriate, and in good condition?

  Yes

  No

  N/A

• Are breakables being stored away from shelf edges and at or below eye level?

  Yes

  No

  N/A

• Are chemical storage containers labeled appropriately?

  Yes

  No

  N/A

• Are chemical storage container labels legible?

  Yes

  No

  N/A

STORAGE AREAS

• Are chemicals being segregated and stored with compatible or like chemicals? (i.e. segregation of flammables and oxidizers; nitric acid and acids; acids and bases, etc.)

  Yes

  No

  N/A

• Are storage cabinets and shelves in good condition?

  Yes

  No

  N/A

• Are chemical storage areas identified with signs? (i.e. flammables, corrosives, poisons, etc.)

  Yes

  No

  N/A

FLAMMABLE CHEMICALS

• Are total flammable liquids under the maximum amount allowed per lab?

  Yes

  No

  N/A

COMPRESSED GASES

• Are cylinders stored properly and capped if unused?

  Yes

  No

  N/A

• Are cylinders properly labeled and secured?

  Yes

  No

  N/A

• Are empty cylinders being managed or returned?

  Yes

  No

  N/A

PEROXIDE FORMERS

• Are peroxide forming chemicals being labeled with appropriate dates (received, opened, and 6-month test date)?

  Yes

  No

  N/A

REACTIVES

• Are air, water, light, etc. reactive chemicals stored appropriately?

  Yes

  No

  N/A

HAZARDOUS WASTE

• Is there an identified central location for hazardous waste?

  Yes

  No

  N/A

• Is waste being appropriately segregated?

  Yes

  No

  N/A

• Are proper containers being used (compatible, closable, good condition)?

  Yes

  No

  N/A

• Are hazardous waste container labels legible with required information (name and waste constituents)?

  Yes

  No

  N/A

FACILITY STATUS AND LABORATORY EQUIPMENT

HOUSEKEEPING

• Are floors, walls, work benches, etc. clean?

  Yes

  No

  N/A

• Is the lab neat and clean in appearance?

  Yes

  No

  N/A

• Is there adequate space to perform work safely?

  Yes

  No

  N/A

• Is safety equipment (fire extinguishers, eye wash/shower, etc.) unblocked and accessable?

  Yes

  No

  N/A

• Is there at least 18 inches of clearance from the ceiling in regard to storage?

  Yes

  No

  N/A

CHEMICAL FUME HOOD

• Is fume hood chemical storage appropriate in regard to its designated use?

  Yes

  No

  N/A

• Is the sash placed in the proper condition when not in use?

  Yes

  No

  N/A

• Are lab employees trained in hood use?

  Yes

  No

  N/A

SHARPS CONTAINERS

• Is a proper sharps container in use (if applicable)?

  Yes

  No

  N/A

• Are needles and syringes being stored appropriately (if applicable)?

  Yes

  No

  N/A

EQUIPMENT

• Is all in-use laboratory equipment in good repair?

  Yes

  No

  N/A

• Are all gas and water lines free of leaks and functioning properly?

  Yes

  No

  N/A

• Is all equipment being adequately guarded to prevent injuries?

  Yes

  No

  N/A

DEPARTMENTAL ITEMS

RESPONSIBILITIES OF OTHER PERSONNEL*

• Are eyewash/shower inspections current?

  Yes

  No

  N/A

• Are fire extinguisher inspections current?

  Yes

  No

  N/A

• Are chemical fume hood and biosafety cabinet certifications current?

  Yes

  No

  N/A

• Are chemical fume hoods functioning appropriately?

  Yes

  No

  N/A

• * To be checked by inspection teams. Laboratory personnel should report to the Safety Officer if they notice that these items are not being completed.

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