Title Page

  • Conducted on

  • Conducted by

  • Lab Manager (for MPI Compliance)

Laboratory

  • Are there open spaces under benches accessible for cleaning?

  • Are there any cardboard boxes on the floor?

  • Are there any carboard boxes on the benches?

  • Are there protective covers provided for keyboards on workbenches (or clearly labelled not to be removed from PC2)

  • Are the decontamination/cleaning solutions within expiry date?

  • Is food and drink present in the laboratory?

  • Is there are a decontamination kit available for spills and contents within expiry date

  • Is the sample receipt bench clear?

  • Are cultures clearly identified, labelled, and appropriately stored?

  • Are appropriate disposal procedures for cultures in place?

  • Are waste streams clearly identified?

  • Does mouth pipetting occur in laboratory?

  • Are water baths maintained in a clean state?

  • Is all microbiological waste autoclaved before disposal?

  • Is all contaminated glassware autoclaved or chemically disinfected prior to washing?

  • Are protective clothing worn in the laboratory?

  • Is there provision for storing protective clothing?

  • Have there been any containment breaches since the last audit?

Paperwork in the laboratory

  • Is the current Manual available to staff?

  • Are the current import Permits available to staff?

  • Are Approval applications and Approvals available to staff?

  • Is there an inventory of imported microorganisms?

  • Are BACCS available?

  • Are there records of Transfers available?

  • Are there records of occasions when animals are exposed to microorganisms?

  • Is there a record of internal audits and corrective actions?

  • Is there a record of external audits and corrective actions?

Register check and track items

  • Is the method of destruction recorded in the registers?

  • Are the importation documents correct and appropriate?

Item #1 tracked

  • Item

  • Location

  • Register / Reference

  • Transfer sighted

  • BACC Sighted

  • Approval sighted

  • Sample tracked

  • Comments

Item #2 tracked

  • Item

  • Location

  • Register / Reference

  • Transfer sighted

  • BACC sighted

  • Approval sighted

  • Sample tracked

  • Comments

Sign Off - Signature and Date

  • DFO

  • Lab Manager (for MPI Compliance)

  • Team Leader

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.