Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Lab 4120 (Muhannad Bair)

  • Do the lights work?

  • Does the HVAC work?

  • Are the ceiling tiles in good condition?

  • Do the fume hoods work properly?

  • Is the area free of any spills, unusual odors, or other hazards or problems?

Lab 4124 (Oliver Brand)

  • Do the lights work?

  • Does the HVAC work?

  • Are the ceiling tiles in good condition?

  • Do the fume hoods work properly?

  • Is the area free of any spills, unusual odors, or other hazards or problems?

Lab 4126 (Farroh Ayazi)

  • Do the lights work?

  • Does the HVAC work?

  • Are the ceiling tiles in good condition?

  • Do the fume hoods work properly?

  • Is the area free of any spills, unusual odors, or other hazards or problems?

Lab 3120 (Tony Kim)

  • Do the lights work?

  • Does the HVAC work?

  • Are the ceiling tiles in good condition?

  • Do the fume hoods work properly?

  • Is the area free of any spills, unusual odors, or other hazards or problems?

Lab 3121 (Gabe Kwong)

  • Do the lights work?

  • Does the HVAC work?

  • Are the ceiling tiles in good condition?

  • Do the fume hoods work properly?

  • Is the area free of any spills, unusual odors, or other hazards or problems?

Lab 3126/3127 (Wilbur Lam)

  • Do the lights work?

  • Does the HVAC work?

  • Are the ceiling tiles in good condition?

  • Do the fume hoods work properly?

  • Is the area free of any spills, unusual odors, or other hazards or problems?

Shared Lab Spaces

  • Do the lights work?

  • Does the HVAC work?

  • Are the ceiling tiles in good condition?

  • Is the area free of any spills, unusual odors, or other hazards or problems?

Lab 2122/2124 (Bara Cola)

  • Do the lights work?

  • Does the HVAC work?

  • Are the ceiling tiles in good condition?

  • Do the fume hoods work properly?

  • Is the area free of any spills, unusual odors, or other hazards or problems?

Lab 2123/2125 (Michael Filler)

  • Do the lights work?

  • Does the HVAC work?

  • Are the ceiling tiles in good condition?

  • Do the fume hoods work properly?

  • Is the area free of any spills, unusual odors, or other hazards or problems?

Lab 2126/2129 (Eric Vogel)

  • Do the lights work?

  • Does the HVAC work?

  • Are the ceiling tiles in good condition?

  • Do the fume hoods work properly?

  • Is the area free of any spills, unusual odors, or other hazards or problems?

Characterization

  • Do the lights work?

  • Does the HVAC work?

  • Are the ceiling tiles in good condition?

  • Does the fume hood work properly?

  • Is the area free of any spills, unusual odors, or other hazards or problems?

Gas Storage Room

  • Are all gas cylinders properly secured?

  • Is the flammable storage properly separated?

  • Is the area clear of obstructions or hazards?

  • Is the area free of any other problems or hazards?

Chemical Storage Room

  • Is the area free of any spills or puddles?

  • Is the waste properly labeled?

  • Is the light green on the non-halogenated solvent system?

  • Is the eyewash station free of any obstructions?

  • Is the light green on the halogenated solvent system?

  • Is the area free of any other hazards or unsafe conditions?

AWN Room

  • Is the area free of any spills or trip hazards?

  • Is everything well organized?

  • Is the area free of any other hazards or unsafe conditions?

North Hallway

  • Is the area free of any spills or trip hazards?

  • Is the exhaust drain empty?

  • Is the shower and eyewash station free of any obstructions?

  • Is the area free of any other hazards or unsafe conditions?

Vac/ Dry Air Room

  • Is the area free of any spills or trip hazards?

  • Is the area free of any other hazards or unsafe conditions?

Loading Dock

  • Is the area free of any spills or trip hazards?

  • Is the spill kit present?

  • Is the door free of any obstructions?

  • Is the area well organized?

  • Is the area free of any other hazards or unsafe conditions?

Machine/ Pipe Shop

  • Is the area free of any spills or trip hazards?

  • Is the area free of any other hazards or unsafe conditions?

Basement

  • Is the area free of any spills or trip hazards?

  • Are the glass cabinets free of any collection of sand or dust?

  • Are all electrical panels free of obstruction?

  • Are all aisle ways free from obstruction?

  • Is the area organized?

  • Is the area free of any other hazards or unsafe conditions?

Sub Fab

  • Is the area clear of any spills or trip hazards?

  • Are the exits free from obstruction?

  • Are the electrical panels free from obstruction?

  • Is the shower/ eyewash station free of obstruction?

  • Are all gas cylinders secured properly?

  • Is there no puddling under the pumps?

  • Are all later 1 buports clear?

  • Is the area free of any other hazards or unsafe conditions?

Polishing Room

  • Is the area free of any drips or puddles?

  • Are the showers free of any obstructions?

  • Is the area free of any other hazards or unsafe conditions?

Outside

  • Is the area free of any other hazards or unsafe conditions?

Silane Bunker

  • Is the area free of any spills or trip hazards?

  • Are all of the lights running properly?

  • Is the alarm outside on?

  • Is the area free of any other hazards or unsafe conditions?

Tank Farm

  • Is the area free of any trip hazards?

  • Are the tanks not blowing any air or steam (a whistling sound is usually made if so)?

  • Is there no excessive ice around the tanks?

  • Are there no clouds present?

  • Is the area free of any other hazards or unsafe conditions?

Process Chill Water Room

  • Is the area free of any puddles or trip hazards?

  • Is the area well organized?

  • Are there no substances spewing?

  • Are there no cracks in the pipes?

  • Is the exhaust pipe clear?

  • Is the area free of any other hazards or unsafe conditions?

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.