Information

  • Building

  • Room number

  • Principle Investigator

  • Principle Investigator Present?

  • Other faculty/staff present:

  • Department

  • Conducted on

  • Prepared by:

A. Documentation (Door Placards, CHP & Training)

  • 1. Is a door placard posted?

  • Are potential biohazards present?

  • Are potential chemical hazards present?

  • Are potential radioactive hazards present?

  • Are potential physical hazards present (i.e. Electrical or mechanical)?

  • 2. Was the door placard accurate and up to date?

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

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

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

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

  • 7. Documentation of Hazardous Communication (HazCom) training is available?

  • 7a. Specifically, personnel have been trained on the Globally Harmonized System of Hazard Communication?

B. General Work Environment

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

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

  • 3. Emergency eyewash and shower are accessible?

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

  • 5. All exits are unobstructed?

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

C. Personal Protective Equipment

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

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

  • 3. PPE is being stored properly to guard against contamination or damage?

D. Electrical & General Equipment Hazards

  • 1. Flexible cords are in good condition?

  • 2. Flexible cords are installed in a manner that is safe and according to code? (e.g. Extension cords are not running through ceiling tiles, behind heavy movable objects or through walls.)?

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

  • 4. Circuit breaker panels are unobstructed?

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

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

  • 7. All electrical equipment is being used according to its design and approved use (e.g. Circuits are not overloaded. Power strips are not daisy-chained).

  • 8. Pressurized equipment or equipment under vacuum is being operated and kept in a safe state?

E. Chemical Storage & Labeling

  • 1. Chemical storage cabinets are properly labeled?

  • 2. Shelving is adequate for supported loads?

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

  • 4. Chemicals of different hazard classes are segregated to avoid incompatibilities?

  • 5. Corrosives are not stored above eye level?

  • 6. Storage quantities are minimized?

  • 7. Storage of chemicals is limited on lab benches and other work areas (e.g. Chemical fume hoods)

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

  • 9. Secondary containers are used during transport of more than one liter of chemicals or for particularly hazardous chemicals?

  • 10. Refrigeration units and/or microwaves for chemical storage and processing are labeled "Not for Food"?

  • 11. Containers are kept closed except during transfers?

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

  • 13. Containers are compatible with the chemical (e.g. No food containers)

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

F. Flammables

  • 1. If more than 10 gallons of flammable liquids are present, they are stored in a flammable liquid storage cabinet?

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

  • 3. Flammables are separated from oxidizers?

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

  • 5. If pyrophorics or air/water reactive solids are present proper PPE, firefighting measures, administrative, and engineering controls are in proper use?

G. Compressed Gases

  • 1. Storage quantities are minimized?

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

  • 3. Cylinder carts are used for transport?

  • 4. Protective valve caps are in place?

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

  • 6. Lecture bottles, if present, are stored upright?

H. Waste Disposal

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

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

  • 3. Constituents are described with complete chemical name?

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

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

  • 6. Containers are compatible with waste?

  • 7. Personnel have had hazardous waste training?

I. Fume Hood

  • 1. Each chemical fume hood has been surveyed for proper airflow?

  • 2. Fume hood vents are unobstructed and baffles are set appropriately?

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

  • 4. Fume hood is not overloaded?

  • 5. Sash glass is clean and maintained to have a clear visual path to work being done?

J. Awareness: Do laboratory workers know

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

  • 2. how to clean up chemical spills and when to seek help?

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

  • 4. Who the Chemical Hygiene Officer for the lab is?

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

  • 6. Proper PPE selection, usage, and storage?

  • 7. what to do with chemical waste?

  • 8. what the most hazardous materials used in the lab are and what precautions to take?

  • 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?

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

  • 11. to question unfamiliar visitors in the lab

K. General Laboratory Conditions

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

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

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

L. Potential improvements or General Comments

  • Item #1:

  • Item #2:

  • Item #3:

  • Item #4:

  • Item #5:

M. Web Links

  • Environmental Health and Safety website
    http://www.ehs.utk.edu

  • EHS Safety Manual (policies)
    http://ehs.utk.edu/safety%20manual/Safetymanual2kj.html

N. Safety Office Representative Performing Inspection

  • Environmental Health & Safety Representative:

  • Signature

O. Responsible Laboratory Representative (PI or designee)

  • I have reviewed the above findings and agree to the recommended improvements. I will ensure these are attended in a timely manner.

  • Laboratory Representative

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.