Laboratory Safety Inspection Report

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared By

• Location
  Address

• Personnel

A. General Work Environment

• 1. Emergency eyewash stations are regularly tested and documented (at least monthly) by lab personnel?

  Yes

  No

  N/A

• 2. Emergency shower is tested at least annually by Facilities Services?

  Yes

  No

  N/A

• 3. Emergency eyewash and shower are accessible?

  Yes

  No

  N/A

• 4. Fire extinguisher is mounted on the wall and access is not blocked by equipment or supplies?

  Yes

  No

  N/A

• 5. All exits are unobstructed?

  Yes

  No

  N/A

• 6. Aisles are uncluttered and are without tripping hazards?

  Yes

  No

  N/A

B. Documentation (CHP & Training)

• 1. A written Chemical Hygiene Plan is available in the laboratory?

  Yes

  No

  N/A

• 2. A Lab Safety Agreement is signed and on file for everyone that works in the lab?

  Yes

  No

  N/A

• 3. Documentation of general lab safety training is available?

  Yes

  No

  N/A

• 4. Documentation of lab-specific training on SOPs is available?

  Yes

  No

  N/A

C. Personal Protective Equipment

• 1. Required protective equipment (such as gloves, safety glasses, goggles) is available and in functional condition?<br>

  Yes

  No

  N/A

• 2. PPE is being worn appropriately in the laboratory? (check N/A if no work is being performed at time of inspection)

  Yes

  No

  N/A

D. Electrical & General Equipment Hazards

• 1. Flexible cords are in good condition?

  Yes

  No

  N/A

• 2. Cover plates are in place for outlets and switches?

  Yes

  No

  N/A

• 3. Circuit breaker panels are unobstructed?

  Yes

  No

  N/A

• 4. Machine/instrument access panels/guards are in place?

  Yes

  No

  N/A

• 5. Ground fault circuit interrupters (GFCI) are used for wet/exterior applications?

  Yes

  No

  N/A

E. Chemical Storage & Labeling

• 1. Chemical storage cabinets are properly labeled?

  Yes

  No

  N/A

• 2. Shelving is adequate for supported loads?

  Yes

  No

  N/A

• 3. Large/heavy containers are stored on lower shelves?

  Yes

  No

  N/A

• 4. Chemicals are segregated to avoid incompatibilities?

  Yes

  No

  N/A

• 5. Corrosives are not stored above eye level?

  Yes

  No

  N/A

• 6. Storage quantities are minimized?

  Yes

  No

  N/A

• 7. Storage of chemicals is strictly limited in actively used fume hoods?

  Yes

  No

  N/A

• 8. Materials with shelf lives are dated and disposed of per supplier's recommendations?

  Yes

  No

  N/A

• 9. Secondary containers are used during transport of more than one pint of chemicals?

  Yes

  No

  N/A

• 10. Refrigeration units for chemical storage are labeled No Food?

  Yes

  No

  N/A

• 11. Containers are kept closed except during transfers?

  Yes

  No

  N/A

• 12. Containers are clearly labeled with entire chemical name(s)?

  Yes

  No

  N/A

• 13. Containers are compatible with the chemical?

  Yes

  No

  N/A

• 14. Lab check-out procedures for departing lab workers are in place to avoid long-term storage of abandoned chemicals?

  Yes

  No

  N/A

F. Flammables

• 1. Flammables are stored in flammable liquid storage cabinet for more than 10 gallons per room?

  Yes

  No

  N/A

• 2. Refrigeration units containing flammables are approved for flammables storage?

  Yes

  No

  N/A

• 3. Flammables are separated from oxidizers?

  Yes

  No

  N/A

• 4. Flammable liquids are not stored near ignition sources?

  Yes

  No

  N/A

G. Compressed Gases

• 1. Storage quantities are minimized?

  Yes

  No

  N/A

• 2. Cylinders are secured from tipping by a chain or strap?

  Yes

  No

  N/A

• 3. Cylinder carts are used for transport?

  Yes

  No

  N/A

• 4. Protective valve caps are in place?

  Yes

  No

  N/A

• 5. Empty or unused gas cylinders are promptly returned to supplier?

  Yes

  No

  N/A

H. Waste Disposal

• 1. Containers are kept closed except during transfer of materials?

  Yes

  No

  N/A

• 2. Containers are labeled with the UT Hazardous Waste label?

  Yes

  No

  N/A

• 3. Constituents of the waste on the container label are described with complete chemical name?

  Yes

  No

  N/A

• 4. Hazardous waste storage area is labeled with yellow Hazardous Waste Storage Area sign?

  Yes

  No

  N/A

• 5. Separate disposal containers are available for broken glass?

  Yes

  No

  N/A

• 6. Containers are compatible with waste?

  Yes

  No

  N/A

I. Fume Hood

• 1. Each chemical fume hood has been surveyed?

  Yes

  No

  N/A

• 2. Fume hood vents (baffles) are unobstructed?

  Yes

  No

  N/A

• 3. Fume hoods are used with sash in appropriate position?

  Yes

  No

  N/A

J. Awareness: Do laboratory workers know

• 1. what to do in the event of an emergency, such as fire, injury, including evacuation routes

  Yes

  No

  N/A

• 2. how to clean up chemical spills

  Yes

  No

  N/A

• 3. the location /contents of the Chemical Hygiene Plan

  Yes

  No

  N/A

• 4. the Chemical Hygiene Officer for the lab

  Yes

  No

  N/A

• 5. what an MSDS is and where to find them and other safety information

  Yes

  No

  N/A

• 6. what type of personal protective equipment to use and when to use it

  Yes

  No

  N/A

• 7. what to do with chemical waste

  Yes

  No

  N/A

• 8. what are the most hazardous materials you use and what precautions to take

  Yes

  No

  N/A

• 9. if any of the materials used in the lab are carcinogens, highly toxic agents or reproductive toxins. If so, have you completed a prior approval form?

  Yes

  No

  N/A

• 10. where and how to use emergency equipment, such as safety showers and eyewash stations

  Yes

  No

  N/A

• 11. to question unfamiliar visitors in the lab

  Yes

  No

  N/A

• 12. if anyone in the laboratory is conducting unauthorized research activities

  Yes

  No

  N/A

K. General Laboratory Conditions

• 1. Is the laboratory space organized and free from clutter or potentially unsafe working conditions?

  Yes

  No

  N/A

• 2. Is the space free of any visible mold growth?

  Yes

  No

  N/A

• 3. Current storage conditions do not present a fire hazard and do not block sprinkler systems?

  Yes

  No

  N/A

• 4. Is the area free from any other recognized hazards?

  Yes

  No

  N/A

L. Corrective Actions

• Action Item #1:

• Action Item #2:

• Action Item #3:

• Action Item #4:

• Action Item #5:

M. Web Links

• *Note: the link will open below - watch for hand symbol while hovering over link with mouse cursor

• UTIA Safety Office
  
  https://safety.ag.utk.edu/
  
  https://safety.ag.utk.edu/

• Laboratory Safety Training
  
  https://extol.tennessee.edu/people/login/index.php
  
  https://extol.tennessee.edu/people/login/index.php

N. Safety Office Representative Performing Inspection

• Safety Office

  Sign

O. Responsible Laboratory Representative (PI or designee)

• I have reviewed the above findings and agree to the recommended corrective actions. I will ensure the corrective actions are completed in a timely manner.

• Laboratory Representative

  Sign