PPE Inspection v4-b

• Document No.

• leave blank

• PI / Building, Room

• Conducted on

  Date

• Inspector

  Nate Black

  Mike Houser

  Kevin Myers

  Alissa Hanshew

• Individuals present for inspection

Section 1 - General

• Is the Unit Specific Plan complete?

  Yes

  No

• What corrective actions will be, or have been, taken?

• Is the Certification of Agreement page up to date and signed by all members of the lab?

  Yes

  No

• What corrective actions will be, or have been, taken?

• Have SOPs been developed for the hazardous protocols and operations in this lab?

  Yes

  No

• What corrective actions will be, or have been, taken?

• Is yes checked for any of the following sections: II C – chemical safety fact sheet, II D – compressed gas cylinders, II E – highly reactive materials, high pressure reactions, or vacuum systems, II G – pesticides, III A – BSL 2, III B – blood borne pathogens, VI 10 & 11 – physical hazards?

  Yes, sections are checked

  No, no hazards present

Section 2 – Hazardous chemicals

• Does this lab work with hazardous chemicals, including, but not limited to: carcinogens, combustible dusts, corrosives, explosives, flammables, gases under pressure, irritants, oxidizers, poisons, pyrophorics, reproductive toxins, self-reactive or self-heating substances, sensitizers, simple asphyxiants, thermal substances (hot or cold), water reactives?

  Yes

  N/A

• Is eye protection worn when working with hazardous chemicals?

  Yes

  No

  N/A

• What corrective actions will be, or have been, taken?

• Have appropriate gloves been identified?

  Yes

  No

  N/A

• What corrective actions will be, or have been, taken?

• Are appropriate lab coats or body protective clothing worn?

  Yes

  No

  N/A

• What corrective actions will be, or have been, taken?

Section 3 – Compressed gas cylinders

• Does this lab work with compressed gas cylinders?

  Yes

  N/A

• Do lab workers wear eye protection when changing regulators or manipulating tubing or equipment potentially under pressure?

  Yes

  No

  N/A

• What corrective actions will be, or have been, taken?

Section 4 – Highly reactive materials, high pressure reactions, or vacuum systems

• Does this lab work with highly reactive materials, high-pressure reactions, or vacuum systems?

  Yes

  N/A

• Are pyrophorics handled in this lab?

  Yes

  N/A

• Are flame resistant lab coats worn, fully buttoned, and with sleeves fully extended?

  Yes

  No

  N/A

• What corrective actions will be, or have been, taken?

• Are cryogenics handled in this lab?

  Yes

  N/A

• Are impervious thermal gloves used when handling cryogenics?

  Yes

  No

  N/A

• What corrective actions will be, or have been, taken?

• Are vacuum systems used in this lab? (even house vac)

  Yes

  N/A

• Do lab workers wear safety glasses and face shields?

  Yes

  No

  N/A

• What corrective actions will be, or have been, taken?

• Are acutely toxic chemicals handled in this lab? (cyanides, ammonia, HF, arsinse, arsenic compounds) (fatal if swallowed, inhaled, or skin contact)

  Yes

  N/A

• Do lab workers wear a lab coat, gloves, and appropriate eyewear?

  Yes

  No

  N/A

• What corrective actions will be, or have been, taken?

• Are chemicals with high chronic toxicity, carcinogens, or reproductive toxins handled in this lab? (acrylamide, benzene, beryllium, cadmium, chloroform, cobalts, cyclosporin, formaldehyde, lead, mercury, nickle compounds, sulfuric acid)

  Yes

  N/A

• Do lab workers wear lab coats?

  Yes

  No

  N/A

• What corrective actions will be, or have been, taken?

• Are they cleaned frequently?

  Yes

  No

  N/A

• What corrective actions will be, or have been, taken?

• Are nanomaterials worked with in this lab?

  Yes

  N/A

• Do lab workers wear appropriate gloves and eyewear?

  Yes

  No

  N/A

• What corrective actions will be, or have been, taken?

Section 5 – Pesticides

• Does this lab use pesticides?

  Yes

  N/A

• Does the facility have all of the required PPE for every pesticide that is stored?

  Yes

  No

  N/A

• What corrective actions will be, or have been, taken?

Section 6 – BSL-2 agents

• Does this lab use BSL-2 (or 3?) agents?

  Yes

  N/A

• Are lab coats, gowns, smocks, or uniforms worn?

  Yes

  No

  N/A

• What corrective actions will be, or have been, taken?

• Are splashes or sprays of agent anticipated?

  Yes

  N/A

• Is appropriate eye and face protection (goggles, mask, face shield, or other splatter guard) worn?

  Yes

  No

  N/A

• What corrective actions will be, or have been, taken?

• Are gloves worn?

  Yes

  No

  N/A

• What corrective actions will be, or have been, taken?

Section 7 – Blood borne pathogens

• Does this lab work with human blood, blood products, or other potentially infectious materials?

  Yes

  N/A

• Is it anticipated that lab workers will have hand contact with blood, other potentially infectious materials, mucous membranes, or nonintact skin?

  Yes

  N/A

• Are gloves worn?

  Yes

  No

  N/A

• What corrective actions will be, or have been, taken?

• Are splashes, sprays, spatter, or droplets of blood or other potentially infectious material anticipated?

  Yes

  N/A

• Are masks, eye protection, and face shields worn?

  Yes

  No

  N/A

• What corrective actions will be, or have been, taken?

• Are lab coats worn?

  Yes

  No

  N/A

• What corrective actions will be, or have been, taken?

Section 8 – Physical hazards

• Does this lab work with machines often associated with machine shops, such as grinder, drill press, band saw, hand tools, etc?

  Yes

  N/A

• Are safety glasses worn when using power tools?

  Yes

  No

  N/A

• What corrective actions will be, or have been, taken?

• Are closed toe shoes worn?

  Yes

  No

  N/A

• What corrective actions will be, or have been, taken?

• Does the work performed present additional hazards that require other PPE, such as face shields?

  Yes

  No

  N/A

• What other PPE may be needed?

Section 9 – General

• Is there an adequate stock of the necessary PPE (at no cost to the employee/student)?

  Yes

  No

  N/A

• What corrective actions will be, or have been, taken?

• Do all members of the lab know how to properly don and doff PPE?

  Yes

  No

  N/A

• What corrective actions will be, or have been, taken?

• Do all members of the lab remove PPE prior to leaving the lab?

  Yes

  No

  N/A

• What corrective actions will be, or have been, taken?

• Is an appropriate plan in place to handle contaminated PPE?

  Yes

  No

  N/A

• What corrective actions will be, or have been, taken?

• Have all members of the lab been properly trained on these PPE requirements?

  Yes

  No

  N/A

• What corrective actions will be, or have been, taken?

Final

• Is there anything else from the inspection that should be addressed?

• Is the identified and used PPE adequate to protect workers against the hazards inside this work area?

  Yes

  No

  N/A

• What corrective actions will be, or have been, taken?

Other

• Does anyone in this lab use respiratory protection?

  Yes

  N/A

• Does this lab have any UV light producing equipment?

  Yes

  N/A