Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Section 1: Monitors

  • Monitors in good condition

  • Monitors within required calibration period

Section 2: Contamination

  • Contamination in fume hood

  • Contamination on benches

  • Contamination on pipettors

  • Contamination on floor

  • Contamination on centrifuges

  • Contamination on heat blocks / Incubators / other equipment

Section 3: PPE

  • Lab coats being worn

  • Safety Glasses being worn

  • Gloves being worn

  • Personal monitor badges being worn

Section 4: Shielding

  • Appropriate shielding in place

  • Perspex shielding

  • Lead shielding

  • Other Shielding present (if yes, specify)

Section 5: Housekeeping

  • Room is kept tidy

  • Benches are tidy

  • Shelving is tidy / not overcrowded

  • Fume hoods kept tidy / uncluttered

Section 6: Waste

  • Adequate shielding around waste containers

  • Level of waste in room acceptable

  • Waste containers appropriate for the type of waste and labelled correctly

Section 7: Isotopes in use

  • 32-P

  • 35-S

  • 3-H

  • Other (if yes, specify)

Section 8: Monitoring required

  • Log book

  • Swab test

  • Results recorded & acceptable

  • Other (if yes, specify)

Section 9: Signatures

  • Name

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.