Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Emergency Contacts and Egress

  • Emergency contacts and phone numbers posted on each lab and storage area.<br>

  • Exits are free of obstructions and stored materials.

  • Emergency exits are not locked with slide bolts, dead bolts, padlocks, etc.

Fire Extinguisher

  • Accessible

  • Locations clearly visible as marked.

  • Monthly and annual inspections current.

  • Mounted.

  • Charged and seals in tact.

  • Correct for hazards present.

Safety Shower and Eyewash

  • Eyewash and/or safety shower present.

  • Eyewash and/or shower needed due to substances and compounds that have the capability of producing adverse effects on the health and safety of humans.

  • Not blocked - must be accessible within 10 seconds. Path of travel free of obstructions.

  • Locations clearly marked.

  • Weekly inspections and flushing current and documented.

  • Protective caps in place on eyewash.

Housekeeping

  • Counters and floors clean and clear of clutter.

  • A minimum of 28" egress is maintained.

  • Lab is free of trip hazards.

  • Equipment on benches is stable or secured.

  • Supplies stored in a stable and secure manner.

  • Sharps disposal container provided and clearly labeled.

  • No storage within 18 inches of sprinkler heads.

  • Hallways and exits are clear.

  • Moving parts on machinery are guarded.

  • No food storage in lab.

  • No chemical storage in food areas.

  • Refrigerators for food storage labeled "food only".

Compressed Gas

  • Cylinders secured in place.

  • Protective caps in place when not in immediate use.

  • Oxygen and flammable gasses stored separately (20 feet apart or fire wall in-between).

  • Manual shutoff valves provided at all points of supply and use.

  • Corrosive gasses stored no more than 6 months.

  • Pressure gauges and regulators are in place as appropriate an are not damaged.

Chemical Hygiene And Storage

  • Appropriate hazard warning signs posted on door and storage areas (e.g. Cancer Agent)

  • Chemical Hygiene Plan present in lab.

  • All containers labeled legibly with content and hazard warning.

  • Storage container in good condition: no rust, leakage, dents, or crystallization.

  • Glass storage containers are limited to 1 gallon size or smaller.

  • Peroxide forming chemicals labeled and dated upon receipt and opening.

  • Peroxide forming chemicals disposed of within 3-12 months after opening depending upon the compound.

  • Acid and bases are stored separately from solvents. Exception: Store acetic acid with solvents

  • Manufacturer expiration dates observed.

  • Water reactive chemicals stored away from water (liquid) and water (liquid) vapor.

  • Corrosive and flammable chemicals are stored below eye level.

  • Chemical containers are not stacked.

  • No more than 10 gallons or flammable liquid are stored outside a flammable liquid cabinet.

  • No more than 40 gallons of flammable liquid stored per lab.

  • All refrigerators and freezers labeled to indicate their suitability for flammable storage.

  • Carcinogenic and highly toxic chemicals stored in main compartment of refrigerator instead of door.

  • Carcinoens, reproductive toxins and highly toxic chemicals stored an used in a designated and labeled area. No open bench storage.

  • All chemicals must be stored in their chemical group. If multiple groups are on a shelf they must be separated by secondary containment.

  • Opened 5 gallon containers should be placed in secondary containment.

  • Explosion resistant refrigerators and freezers used for flammable liquids.

Ventilation

  • Hood sash is in working order - not stuck, broke or removed.

  • Equipment and materials are positioned and used at a minimum of 6" from the front of the hood.

  • Airfoils are not altered or removed.

  • Equipment or materials do not obstruct air flow.

  • Hood interior is clean, uncluttered and not used as permanent storage.

  • Annual hood certification present indicating face velocity is 100-120 fpm.

  • Arrows indicating the correct sash height posted.

  • Hood low flow alarms present and operational.

  • Perchloric Acid hoods labeled "For Perchloric Acid Operations Only".

Personal Protective Equipment (PPE)

  • Safety glasses/ eye protection available.

  • Lab coats and aprons available.

  • Face shields available for operations with appreciable splash hazards (e.g. handling acids)

  • Appropriate shoes worn (e.g. no sandals, no high heels)

  • Appropriate gloves available.

Biosafety

  • Annual certification of boisafety cabinet present.

  • Appropriate hazard warning signs posted on door and storage areas (e.g. Biohazard - Legionella Pneumophila)

  • All containers labeled so as to content and hazard.

  • Sharps containers provided and clearly labeled.

  • Biological waste containers labeled.

  • Municipal trash containers free of biohazardous waste.

Chemical Waste Management

  • Hazardous Waste Plan present.

  • Waste containers labeled with contents and start date.

  • Waste stored less than 90 days.

  • Waste containers closed and in good condition.

  • Secondary containment of wastes stored outside hood.

  • Municipal trash containers free of chemical waste.

Office Space

  • Office free of tripping hazards (e.g., cables, loose tiles, damaged carpet)

  • Electrical cords and plugs in good condition

  • Workstation set-up provides a minimum of 28" egress.

  • Office supplies stacked in a stable and secure manner.

  • Hallways and exits are clear.

  • No storage within 18 inches of the sprinkler heads.

  • Fire extinguisher mounted, accessible an inspected monthly and annually.

  • Coffee pot not placed on or near combustible material.

Building Condition

  • Unsealed holes or pen pipe/conduit through floors, ceilings, walls present.

  • Duct work is sealed.

  • Loose floor tile present.

  • Loose ceiling tiles present.

  • Chipping/peeling paint present.

  • Conduit/pipe extruding out of the middle of the floor.

  • Suspect friable asbestos.

  • Exposed Mastic.

  • Bugs/ rodents present (excluding bugs/rodents used for experiments)

Special or Unique Hazards

  • List special or unique hazard:

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.