Information

  • Location

  • Room

  • Room

  • Room

  • Room(s)

  • Conducted on

  • Prepared by

  • Personnel

Housekeeping

Slips, trips and falls

  • Are floors clear of debris and trip hazards?

  • Are aisles, hallways, and exits free of obstruction?

  • Are floor surfaces dry and free of slip hazards?

Benchtops and shelves

  • Is there enough open benchtop space to safely perform research?

  • Are all items secured and not hanging over edges?

  • Are trough sinks protected to prevent accidental spills?

  • Are materials stored securely and limited in height to prevent collapse?

  • Are overhead shelves stable and bookcases anchored to wall?

Sinks and drains

  • Are the sinks stained?

  • Are chemicals stored in sinks without secondary containment?

  • Are chemicals stored on the floor, or near floor drains without secondary containment?

  • Is chemical waste properly disposed of and not poured down the drain?

Food and drink

  • Are all freezers and refrigerators in the space labeled "no food and drink allowed"?

  • Are freezers and refrigerators free of food and drink for human consumption?

Electrical Safety

Electrical Safety

  • Are combustibles stored away from electrical or heat sources?

  • Are all outlets and switches in good repair?

  • Are all junction boxes covered?

  • Is 36" clearance maintained in front of electrical panels?

  • Are electrical panels secured?

  • Are there power cords, extension cords, or power strips in the space?

  • Are power cords/strips used as designated? (No daisy chains, extension cords not used as permanent option)

  • Are all cords in good repair (not damaged or frayed)?

  • Are grounding pins intact on power and extension cords?

  • Are all extension cords industrial weight (not household weight)?

  • Are all live and/or moving parts properly guarded?

  • Is the space free of cheater plugs?

  • Are electrical outlets near water protected by GFCI?

Fire safety

Fire Protection

  • Are exit doors fire doors?

  • Is the door self-closing?

  • Is the door maintained in closed position (i.e. not propped open)?

  • Is 18" of vertical clearance maintained below all sprinkler heads?

  • Is there a fire extinguisher nearby?

  • Are fire extinguishers current on monthly and annual inspection?

  • Do fire extinguishers show as charged?

  • Are fire extinguishers easily accessible and not blocked?

  • Are fire extinguishers mounted to the wall and not free standing?

Emergency egress

  • Are you able to open all exit doors without interference?

  • Are doors that could be confused as exit doors clearly marked?

  • Are exits clearly visible?

  • Are Emergency Exits signs in working order?

  • Are emergency exits free from obstructions?

  • Are corridors and stairwells clear of debris and not used for storage?

  • Is emergency lighting in working order?

Chemical Safety

Chemical Safety

  • Chemicals/hazardous materials are stored in room

  • Are all hazardous materials stored in secondary containment?

  • Does the room have a current chemical inventory?

  • Are Safety Data Sheets made available for all chemicals in the workspace?

  • Are chemicals stored by compatibility?

  • Are all chemicals stored in tightly closed containers?

  • If chemicals are on shelves, are they secure and at or below shoulder height?

  • Are chemical containers in good condition (not rusty, crusty, dusty)?

  • Are chemicals labeled in plain English with name, contents and hazards?

  • Corrosives are used or stored in room

  • Are corrosives stored within corrosive cabinet?

  • Are acids and bases separated?

  • Are corrosive cabinets free of evidence deterioration?

  • Are containers structurally sound (no signs of deterioration, bearding or crusting)?

  • Flammable liquids are used or stored in room

  • Are flammables stored within flammable cabinets when not in use?

  • If flammables are in fridge or freezer, is the equipment spark-proof?

  • Are flammable cabinets closed when not in use?

  • Are flammable containers closed?

  • Are flammables stored away from sources of heat, flame, or ignition?

  • Are flammables stored away from oxidizers?

Spill Response

  • Is a fully stocked spill kit present in the room?

Chemical Inventory

Emergency equipment

Eyewash stations

  • Eyewash station in room

  • Is eyewash station in good working order (clean, free of debris, delivers water 60-100 degrees)?

  • Is there an "emergency eyewash station" sign above the eyewash station?

  • Is eyewash station inspected monthly?

  • Can eyewash be operated hands-free?

  • Is eyewash readily accessible (not blocked)?

Safety showers

  • Safety shower in room

  • Is there an "emergency shower" sign above the shower?

  • Are safety showers accessible and not blocked?

  • Are safety showers inspected monthly?

  • Are flow tests conducted annually?

  • If shower is located near electrical outlet, is the outlet GFCI?

Personal protective equipment

  • Is hand protection provided?

  • Is proper eye protection provided?

  • Is there an AU Laboratory Incident/Injury contact sign posted near the door or telephone?

  • Is everyone wearing long pants?

  • Is everyone wearing closed toe shoes?

Signs and postings

  • Is an AU Emergency/Incident contact sign posted near the door or landline?

First aid

  • Is there a first aid kit mounted on the wall?

  • Is the first aid kit fully stocked?

Waste management

Hazardous waste

  • Hazardous waste is generated or stored in room

  • Do all waste containers have a properly completed (contents, accumulation start date) hazardous waste label?

  • Are hazardous wastes allowed to evaporate?

  • Is all hazardous waste stored in tightly closed containers?

  • Are wastes stored by compatibility?

  • Is hazardous waste stored in secondary containment?

Glass waste

  • Glass waste is generated or stored in room

  • Glass waste box does not contain chemical waste, other than residue

  • Glass waste container is puncture resistant and structurally sound

  • Glass waste is below the top rim of the container, not overflowing

Universal waste

  • Universal waste is generated or stored in room

  • Are universal wastes stored in a closed, structurally sound container?

  • Are universal wastes properly labeled ("universal waste" and accumulation start date)?

  • Have any of the universal wastes been stored for more than 1 year?

Security

  • Does door self-close?

  • Is room secured when no one is present?

  • Are occupants aware of how to use the room's security system?

  • Are controlled substances, radioactive materials, and other high hazard materials stored under lock and key?

Other

Other

  • Additional safety concerns or observations

  • Add media

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.