NPS Laser Lab Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Admin Review

• Is NPS laser safety training current for the custodian and all of his workers ?

  Yes

  No

  N/A

• Has the DLC documented training on the specific lasers used on his permit for all DLWs who are using that laser ? This training should be documented in some manner, retained with lab safety records, and available for reviews and audits. Note that this is a separate training requirement than the NPS general laser safety training administered by the LSSO.

  Yes

  No

  N/A

• Have all deficiencies from the last inspection been cleared and has the DLC kept documented evidence of how they were corrected ?

  Yes

  No

  N/A

• Does the custodian have an SOP with laser hazard analysis on file for all lasers in active use that require an SOP ?

  Yes

  No

  N/A

Lab or Room

• Are all signs properly posted at the entryway and inside the LCA

  Yes

  No

  N/A

• If the laser is class 4 are entryway interlocks installed and tested

  Yes

  No

  N/A

• Do any viewing windows, screens, or barriers reduce radiation levels to < MPE

  Yes

  No

  N/A

• Are collecting optics being used, and if so is the beam power reduced to < MPE at the exit of any such optics

  Yes

  No

  N/A

• Do only trained personnel operate the lasers ? How does the DLC ensure this is the case ?

  Yes

  No

  N/A

• Are all entryways portals, and windows covered to prevent the exit of laser radiation

  Yes

  No

  N/A

• Are room access and control procedures adequate to prevent unauthorized access to the lasers

  Yes

  No

  N/A

• Is the beam kept away from eye level for normal sized workers both sitting and standing ?

  Yes

  No

  N/A

• Does the custodian have eyewear available (labeled with OD and wavelength) for all class 3B or 4 beams ?

  Yes

  No

  N/A

• Does the custodian understand and practice access and control restrictions for spectators, guests, and demonstrations

  Yes

  No

  N/A

• Is the laser being remotely controlled as far as possible from the aperture ?

  Yes

  No

  N/A

• Are there fiber optics being used to couple the beam ? If so, are they secure and labeled as a laser hazard at the disconnection points ?

  Yes

  No

  N/A

Lasers

• The total number of lasers attached to this permit of this DLC is:

• The total number of lasers attached to the permit of this DLC and FULLY AUTHORIZED for use is:

• Is a firing log maintained ?

  Yes

  No

  N/A

• Is the protective housing interlocked ?

  Yes

  No

  N/A

• If the laser has a service panel is it interlocked ?

  Yes

  No

  N/A

• Is the laser controlled with either a key or computer key coded access ?

  Yes

  No

  N/A

• Does the laser have a remote interlock connector permanently installed ?

  Yes

  No

  N/A

• Are all labels present ?<br>-Aperture Label<br>-Hazard class label<br>-Information label<br>-Conduit label if applicable

  Yes

  No

  N/A

• Is the laser beam path as enclosed as possible for the given application ?

  Yes

  No

  N/A

• Does the laser have a permanently installed beam stop or attenuator capable of reducing laser radiation to < MPE ?

  Yes

  No

  N/A

• Is the laser equipped with an activation warning system that is visible (or audible) from inside and outside the NHZ ?

  Yes

  No

  N/A

• Is the power of the beam being used the minimum necessary for the application ?

  Yes

  No

  N/A

Miscellaneous

• General comments:

• Overall Lab Rating

  Sat - No Additional Action

  Sat - Additional Action(s)

  Unsat - Terminate Operations

Signature

• LSSO

  Sign

• Laser Custodian

  Sign

• The Designated Laser Custodian signature above constitutes acknowledgement of responsibility for correction of deficiencies cited in this report.

• PLEASE RETAIN A COPY OF THIS REPORT WITH LABORATORY LASER SAFETY RECORDS