Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Caution Signs
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Doors
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Hoods
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Hardware
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Work Areas
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Refrigerators/Freezers
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Waste Areas
Required Postings
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Emergency Spill Procedures
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Notice to Employees
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Emergency Notification
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Laboratory Safety Rules
Instrumentation
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Battery Check
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Calibrated within 12 months
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Proper meters in use
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LSC info same as last inspection
Waste Areas
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Properly shielded
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Segregated by isotopes and type
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Properly stored and secure
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Appropriate catch-trays for liquid waste
Protective Clothing
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Lab coat
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Disposable gloves
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Eye protection
Lab Documentation
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Training forms (Within 2 years)
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Utilization forms
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Transfer forms
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Survey frequency and documentation
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Personal contamination or spills > 100 uCi
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Post-decon surveys for contamination >100 dpm
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Waste disposal receipts
General Lab Safety
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Fume hood inspected within 1 year
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Absorbent paper used in work areas
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Work/storage areas free of food/drink
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Proper shielding for isotopes used
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Security of all radioactive materials
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Survey of hands and feet following use
Personnel Monitoring
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Whole body badge worn
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Extremity badge worn (> 1mCi P-32)
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Exposure reports accessible
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Iodine > 10mCi processed in 1 month<br>If YES, names:
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H-3 > 100 mCi processed in 1 month<br>If YES, names:
