Laboratory Fume Hood Form

• Building

• Conducted on

  Date

• Inspector

• Room Number

• Light Operable

  Pass

  Fail

  N/A

• Fan Operable

  Pass

  Fail

  N/A

• Air flow monitor available

  Yes

  No

  N/A

• Are there chemicals or items stored in the hood?

  Yes

  No

  N/A

• Describe what is in the hood.

• Hood Model

• Sash Height (inches)

• Length of hood face

  3 feet

  4 feet

  6 feet

• Baffle Position

  Position A

  Position B

  Position C

  No baffles

• Face Velocity Grid Readings: Record each grid reading for the hood face (Ex: 75, 92, 88, 77, 89, 99)

• Average Face Velocity

Picture of Hood

• Provide a picture of this hood

  Media