Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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NAME OF SUPERVISOR
GENERAL SAFETY
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CHEMICAL HYGIENE PLAN
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Is the Chemical Hygiene Plan accessible in the lab?
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Has the Plan been reviewed and signed by lab workers?
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Has lab-specific safety information been updated (annually)?
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REQUIRED SIGNS
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Are eye protection and special signs posted on doors (if applicable)?
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Are there signs on contaminated equipment?
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PROHIBITED ITEMS IN LAB
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Are food and drinks being excluded from the lab?
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EYE PROTECTION
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Are appropriate safety glasses/goggles being worn?
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SECURITY
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Are lab doors locked when not in use?
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Are extra-lab areas blocked?
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ELECTRICAL
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Are extension cords being used properly and within limitations?
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Are any outlet circuits being overloaded?
EMERGENCY
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MEANS OF EGRESS AND EXITS
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Are aisles free and is there at least 36 inches of clearance?
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Are exits marked?
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EMERGENCY PLANS
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Is the evacuation plan posted?
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Are emergency phone numbers near a phone or outside the door?
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Are the locations of fire extinguishers and alarms posted?
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Are the locations of eyewash stations/showers posted?
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SPILL CLEAN-UP
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Is there a plan for hazardous chemicals?
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Is there a spill kit available in the lab with a posted/known location?
HOUSEKEEPING
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FLAMMABLES
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Are flammables stored in proper containers?
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Is the flammable cabinet being used properly?
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Are total flammable liquids under maximum amount allowed per lab?
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COMPRESSED GASES
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Are cylinders stored properly and capped if unused?
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Are cylinders properly labeled and secured?
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Are empty cylinders being managed or returned?
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HOUSEKEEPING
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Are floors, walls, workbenches, etc. clean?
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Is the lab neat and clean in appearance?
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Is there adequate space to perform work?
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Is there at least 18 inches of ceiling clearance?
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CHEMICAL STORAGE
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Are storage containers compatible and appropriate?
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Are breakables above eye level and away from shelf lips?
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Are tubs in use?
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CHEMICAL CONTAINER LABELS
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Are containers labeled appropriately?
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Are labels legible?
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HAZARDOUS WASTE
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Is there an identified central location for hazardous waste?
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Is waste being appropriately segregated?
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Are proper containers being used with appropriate labels?
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CHEMICAL HOOD
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Does hood chemical storage conflict with its designated use?
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Is the sash placed in the proper position when not in use?
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Are employees trained in hood use?
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UNSAFE CONDITIONS
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Is there any broken equipment?
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Are there any leaking gas or water lines?
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Is any of the lab shelving unstable?
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Are there guards on sharp edges or drive belts?
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SHARPS CONTAINERS
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Is the proper container in use?
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Are needles and syringes being stored appropriately?
DEPARTMENTAL ITEMS
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RESPONSIBILITIES OF OTHER PERSONNEL*
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Are eyewash station/shower inspections current?
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Are chemical fume hood/biosafety cabinet inspections current?
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Are chemical fume hoods functioning properly?
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Are fire extinguisher inspections current?
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* To be checked by inspection teams. Laboratory personnel should report to the Safety Officer if they notice that these items are not being done.
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ADDITIONAL COMMENTS
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INSPECTOR SIGNATURE