• 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

  • EHS Safety Manual (policies)

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

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