Ortho Clinical Diagnostics Environmental Health & Safety Laboratory Inspection Form

• Audit Title

• Client / Site

• Location
  Address

• Conducted on

  Date

• Prepared by

Housekeeping

• Lab exits, corridors, aisles free and clear of obstructions and clearly identified.

  Yes

  No

  N/A

• Tubing, electrical wiring secured and not in the walkways.

  Yes

  No

  N/A

• Bench tops uncluttered.

  Yes

  No

  N/A

• No for or drinks in lab.

  Yes

  No

  N/A

• Ceiling - No signs of water damage/stains or missing tiles.

  Yes

  No

  N/A

• Unsafe floor conditions - trip, fall hazards.

  Yes

  No

  N/A

• All areas properly lighted.

  Yes

  No

  N/A

• No porous materials, carpets, upholstered chairs.

  Yes

  No

  N/A

• Orderly storage below bench tops.

  Yes

  No

  N/A

Emergency Response & Fire Protection

• Emergency phone numbers posted on all phones.

  Yes

  No

  N/A

• Proper fire extinguishers hung and inspected.

  Yes

  No

  N/A

• Access to extinguishers unblocked.

  Yes

  No

  N/A

• Emergency procedures posted in room or in hallways.

  Yes

  No

  N/A

• Spill clean-up kit available and sealed.

  Yes

  No

  N/A

• Storage no closer the 18" from ceiling and sprinkler heads.

  Yes

  No

  N/A

• Refrigerators "explosion-proof" or "lab safe" if used for storage of flammable liquids.

  Yes

  No

  N/A

Safety Equipment

• Emergency Showers/Eyewash.

  Yes

  No

  N/A

• Labeled with highly visible sign.

  Yes

  No

  N/A

• Access Unblocked

  Yes

  No

  N/A

• Eyewash activated weekly.

  Yes

  No

  N/A

• Fume Hood

  Yes

  No

  N/A

• Sash operating properly and unobstructed.

  Yes

  No

  N/A

• Appropriate opening for sash.

  Yes

  No

  N/A

• Fume hood uncluttered / exhaust slots open.

  Yes

  No

  N/A

• Inspected in last 6 months.

  Yes

  No

  N/A

• Equipment with local exhaust inspected in last 6 months.

  Yes

  No

  N/A

• Electrical equipment properly grounded.

  Yes

  No

  N/A

• Electrical cords not frayed / cracked.

  Yes

  No

  N/A

• Safety warning signs posted.

  Yes

  No

  N/A

Chemical Safety

• Transportation containers available.

  Yes

  No

  N/A

• MSDS/SDS file available / updated.

  Yes

  No

  N/A

• No open chemicals on bench tops.

  Yes

  No

  N/A

• Chemical containers labeled.

  Yes

  No

  N/A

• Fume hoods, floor free of chemical storage.

  Yes

  No

  N/A

• Incompatibles stored separately.

  Yes

  No

  N/A

• Flammables stored in approved cabinets.

  Yes

  No

  N/A

• Peroxide formers dated at receipt and opening - discarded three months after opening.

  Yes

  No

  N/A

• No food stored in chemical refrigerators.

  Yes

  No

  N/A

• Chemical storage / use at bench top limited to one day's use.

  Yes

  No

  N/A

• Picric Acid - check for crystallization and is within expiration date.

  Yes

  No

  N/A

Radiation Protection

• Appropriate signs on doors, storage areas, containers and equipment.

  Yes

  No

  N/A

Biosafety

• Appropriate signs on doors, storage areas, containers and equipment.

  Yes

  No

  N/A

• Biosafety cabinets inspected within last 6 months.

  Yes

  No

  N/A

• Work surfaces cleaned and decontaminated daily.

  Yes

  No

  N/A

Machine Safety

• Guards in place, functioning.

  Yes

  No

  N/A

• Safety interlocks operating properly.

  Yes

  No

  N/A

Environmental Waste Handling

• No signs of spills, stains, or odors.

  Yes

  No

  N/A

• Secondary containment used for ALL chemical waste stored on shelves, counter tops, cabinets and floors.

  Yes

  No

  N/A

• Drains effectively protected against accidental spills.

  Yes

  No

  N/A

• Segregated waste streams:<br> Hazardous from non-hazardous.<br> Recyclable from non-recyclables.<br> Halogenated solvents from non-halogenated.<br> Medical from hazardous.

  Yes

  No

  N/A

Hazardous Waste

• All liquid waste container (for instance: safety cans and drums affixed with Hazardous Waste Type Form (FM22199).

  Yes

  No

  N/A

• Hazardous Waste Type Forms (FM22199) clearly marked with accumulation start date, chemical name, quantity and user's name.

  Yes

  No

  N/A

• Containerized Thimerosal Waste containers (Gray Pails) labeled with yellow hazardous waste labels already affixed by Facility Technician. FM22199 should NOT be affixed to these containers.

  Yes

  No

  N/A

• HPLC waste containers labeled as hazardous waste OR non-hazardous waste.

  Yes

  No

  N/A

• BufferSolution-waste containers picked up within 3 days of reaching capacity.

  Yes

  No

  N/A

• All hazardous waste containers picked up within 3 days of reaching capacity.

  Yes

  No

  N/A

• Waste containers closed when not in use.

  Yes

  No

  N/A

• Verify wastes are compatible within the container.

  Yes

  No

  N/A

• Lab Pack - Hazardous Waste Disposal Request Form kept with the chemicals waiting for pick-up.

  Yes

  No

  N/A

Medical Waste

• Medical Waste Disposal Log sent to Environmental Engineer on a weekly basis.

  Yes

  No

  N/A

• All medical waste containers affixed with Medical Labels.

  Yes

  No

  N/A

• Medical waste labels fully completed.

  Yes

  No

  N/A

• Sharp containers/orange bags labeled Medical Waste.

  Yes

  No

  N/A

• Regulated Medical Waste glassware place in sharps containers (not bags).

  Yes

  No

  N/A