Information
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Document No.
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Audit Title
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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
Hazard Rating Matrix
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For the following questions please indicate the hazard rating where applicable:
Housekeeping
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1. Are all aisles and doorways clear of materials and equipment?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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2. Are fridges, hoods, ovens reasonably clean?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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3. Are benches and sinks reasonably clean and uncluttered?
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Hazard Rating:
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Responsible Individual:
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4. Are office/work areas kept separate from laboratory areas?
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Hazard Rating:
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Responsible Individual:
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5. Are procedures and equipment posing potential hazards identified, and have safe work procedures been developed to mitigate the hazards?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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6. Are supplies and materials stored properly on shelves i.e. heavier material stored on lower shelves?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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7. Are racks and shelving properly installed and in good condition?
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Hazard Rating:
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Responsible Individual:
General Safety
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8. Food or drink are prohibited in the lab space.
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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9. Is the SFU, department, or lab specific Safety Manual available?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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10. If biohazards or radioactive materials (including naturally occurring) are used, are required permits in place?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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11. Is any other appropriate additional safety signage posted? (e.g. X-ray, laser)
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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12. Are personnel aware of who the safety committee members are in their area?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
Training
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13. Have all personnel received a laboratory-specific safety orientation with their supervisor?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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14. Have all personnel attended the relevant EHRS lab safety training sessions, including WHMIS if chemicals are used or stored?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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15. Is safety training documented?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
Emergency Information and Fire Safety
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16. Are campus emergency numbers posted by the phone?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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17. Are up-to-date Chemical Hazard signs posted at/by doors leading to rooms with hazardous chemicals (need to be updated annually)?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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18. Are emergency safety showers and eyewash stations available and the areas around them unobstructed?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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19. Have the safety showers and eyewash stations been inspected and tested within the last year?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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20. Are procedures in place for personnel working alone in evenings, or weekends?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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21. Are personnel familiar with the emergency evacuation plan, including egress routes, pull stations, extinguisher locations and assembly points?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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22. Do sprinkler heads have a minimum clearance of 18 inches?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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23. Has the fire extinguisher been inspected within the last year?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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24. Are fire extinguishers accessible?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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25. Are fire alarm pull stations clearly visible?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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26. Are emergency exit signs functional (i.e., not burnt out)?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
First Aid
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27. Is there a first aid kit, and if so, a mechanism to track its use and keep it stocked?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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28. Do personnel know how to access First Aid?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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29. Are incident report forms being submitted for all incidents?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
Chemical Storage and Handling Safety
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30. Is a hazardous materials inventory maintained?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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31. Are flammable liquids heated safely, with proper equipment? (e.g. not using an oil bath, or not directly on a hot plate)
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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32. Have personnel been trained on how to use a chemical spill kit?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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33. Do personnel have access to an appropriately stocked spill kit at all times?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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34. Are SDSs available, up-to-date and accessible for all chemicals in use? (either available online or printed paper copies that must be updated every 3 years)
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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35. Are all chemical containers legibly labeled for contents and hazard?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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36. Are chemicals stored in appropriate containers?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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37. Is secondary containment used when storing hazardous liquid chemicals in refrigerators, freezers and cabinets?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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38. Are chemicals stored according to compatibility (oxidizers separated from flammables)?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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39. Are flammable materials stored in closed containers and in approved flammable storage cabinets or refrigerators?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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40. Are amounts of flammables and corrosives stored kept to a minimum?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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41. Are peroxide-forming compounds (e.g. ethers) labelled and dated when opened and not stored in direct sunlight?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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42. Have peroxide-forming compounds been tested every 3-6 months for peroxide formation as per SFU protocols?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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43. Are safe transportation procedures and equipment used for chemicals? (e.g. chemical carriers)
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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44. Are separate waste receptacles for chemicals, sharps, glass, biohazards, and radioactive materials available and used?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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45. Do personnel know how to request disposal for hazardous materials?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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46. Are expired or unused chemicals disposed of?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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47. Are waste containers labelled for contents/hazards, capped, and disposed of when full with sufficient head room?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
Fume Hoods
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48. Is the lab equipped with a fume hood?
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48a. Is the fume hood tested annually, with a sticker to show the date last tested?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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48b. Are fume hood sashes at recommended height?
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Hazard Rating:
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Responsible Individual:
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48c. Is the airflow monitor in the fume hood functioning? (test by raising the sash if safe to do so)
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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48d. Are fume hoods clear, uncluttered, and not used for storage to ensure good airflow?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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48e. Is the front 15 cm of the fume hood clear?
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Hazard Rating:
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Responsible Individual:
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48f. Are fume hoods used for storage labeled and ONLY used for storage?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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48g. If perchloric acid is used, is a designated fume hood used?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
Equipment and Compressed Gases
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49. Are the operator and service manuals available for the equipment? Are emergency stop buttons operational? Do centrifuges have an interlocked lid, cover, system?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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50. Do moving parts have guards installed (e.g. belt-drive vacuum pumps)?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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51. Do vacuum pumps have cold traps to prevent volatile substances from getting into pump oil, or do they have a provision to purge pump?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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52. Are Dewar flasks and vacuum desiccators taped or guarded?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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53. Are storage tanks adequately vented and gauged?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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54. Are all plastic and rubber tubes and hoses in good condition, with connections secured with wire or clamps to prevent accidental releases of hazardous materials?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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55. Is a hand cart available for moving gas cylinders? (The cart must have 4 wheels)
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Hazard Rating:
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Responsible Individual:
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56. Are all compressed gas cylinders properly capped or regulated?
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Hazard Rating:
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Responsible Individual:
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57. Are compressed gas cylinders appropriately secured to a wall or bench with two points of contact?
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Hazard Rating:
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Responsible Individual:
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58. Are flammable gas cylinders located away from doors and electrical outlets?
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Hazard Rating:
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Responsible Individual:
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59. If an internal combustion engine is present, is maintenance and ventilation of the room verified and documented?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
Inspections
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60. Have the deficiencies from previous safety inspections been addressed?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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61. Are safety inspection records kept and maintained?
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Hazard Rating:
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Recommended Completion Date:
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62. Is a monthly safety self-inspection checklist posted and completed?
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Hazard Rating:
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Responsible Individual:
Personal Protective Equipment (PPE)
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63. Are lab coats available and worn when working in lab?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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64. Are lab coats stored separately from personal clothing, jackets, backpacks, etc.?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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65. Are safety glasses/goggles and face shields available and worn when working with hazards such as caustics, corrosives, UV radiation, cryogenic liquids, infectious materials, glass, lasers, machine tools, etc.?
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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66. Are appropriate protective gloves available and worn when skin contact is a risk?
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Hazard Rating:
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Responsible Individual:
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67. Is fully enclosed footwear worn inside the lab?
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Hazard Rating:
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Responsible Individual:
Electrical Safety
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68. Do all appliances have 3-pronged plugs for grounding?
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Hazard Rating:
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Responsible Individual:
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69. Are power bars and extension cords used appropriately:<br>• One power bar can be directly plugged into a wall outlet or through a single extension cord into an outlet. It is not ok to plug one power bar into another power bar.<br>• Extension cords cannot be plugged into power bars or into other extension cords.<br>• Power bars and extension cords should not be excessively loaded.<br>• 12 outlet power bars must not be used.
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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70. Are all wires and plugs in good condition?
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Hazard Rating:
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Responsible Individual:
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71. Are cables and cords secured to prevent a tripping hazard?
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Hazard Rating:
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Responsible Individual:
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72. Are all panels and covers in place on electrical equipment?
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Hazard Rating:
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Responsible Individual:
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73. Does electrical equipment have appropriate safety labeling present? (e.g. CSA certification)
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
Tools, Machinery and Equipment
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74. Are tools, machinery or equipment used? If yes, confirm with the department that inspections of the area are being performed.
Other
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75. Are building materials in good condition?:<br>• Look for visible signs of water staining or water damage (i.e., bubbling paint, water damaged drywall, rotting wood).<br>• Ask area occupants or staff if there has been any recent water ingress reported/identified.
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Hazard Rating:
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Recommended Completion Date:
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Responsible Individual:
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Additional Items or Comments: