Information
-
Laboratory Inspection
-
Document Number
-
Location
-
Conducted on
-
Prepared by
-
Inspection Loctaion
-
NAME OF SUPERVISOR
GENERAL SAFETY
-
CHEMICAL HYGIENE PLAN
-
Is the Chemical Hygiene Plan accessible in the lab?
-
Has the Plan been reviewed and signed by lab workers?
-
Has lab-specific safety information been updated (annually)?
-
REQUIRED SIGNS
-
Are there signs on contaminated equipment?
-
PROHIBITED ITEMS IN LAB
-
Are food and drinks being excluded from the lab?
-
EYE PROTECTION
-
Are appropriate safety glasses/goggles being worn?
EMERGENCY
-
MEANS OF EGRESS AND EXITS
-
Are aisles free and is there at least 36 inches of clearance?
-
Are exits marked?
-
EMERGENCY PLANS
-
Is the evacuation plan posted?
-
Are emergency phone numbers near a phone or outside the door?
-
Are the locations of fire extinguishers and alarms posted?
-
Are the locations of eyewash stations/showers posted?
-
SPILL CLEAN-UP
-
Is there a plan for hazardous chemicals?
-
Is there a spill kit available in the lab with a posted/known location?
STORAGE
-
FLAMMABLES
-
Are flammables stored in proper containers?
-
Are total flammable liquids under maximum amount allowed per lab?
-
CHEMICAL STORAGE
-
Are storage containers compatible and appropriate?
-
Are breakables above eye level and away from shelf lips?
-
Are containers labeled appropriately?
-
HAZARDOUS WASTE
-
Is there an identified central location for hazardous waste?
-
Is waste being appropriately segregated?
-
Are proper containers being used with appropriate labels?
-
CHEMICAL HOOD
-
Are employees trained in hood use?
-
UNSAFE CONDITIONS
-
Is there any broken equipment?
-
Are there any leaking gas or water lines?
-
Is any of the lab shelving unstable?
DEPARTMENTAL ITEMS
-
RESPONSIBILITIES OF OTHER PERSONNEL*
-
Are eyewash station/shower inspections current?
-
Are chemical fume hoods functioning properly?
-
Are fire extinguisher inspections current?
-
* To be checked by inspection teams. Laboratory personnel should report to the Safety Officer if they notice that these items are not being done.
-
ADDITIONAL COMMENTS
-
INSPECTOR SIGNATURE
-
SUPERVISOR SIGNATURE