Information

  • Document Number

  • Conducted on

  • Prepared by

  • Personnel

  • Enter Room

  • Room

Location

  • Room/Location

  • Business Unit

Housekeeping

  • 18" clearance maintained between ceiling and stored materials

  • Aisles/ hallways maintained clutter free

  • Work surfaces clean and free of all materials no in immediate use

  • No food or drinks in hallways, labs or refrigerators

Chemical Storage

  • All flammable a stored in flammable cabinet

  • Flammable cabinets completely closed

  • Incompatible chemicals segregated

  • Cabinets properly labeled

  • Cabinets in good condition

  • Ethers and per oxides properly labeled

  • Chemical bottles kept closed

Hoods - Chemical and Laminar

  • Equipment stored at least 6" from front edge

  • Hoods clear of unnecessary supplies and chemicals

  • Hood certification current

  • Sash height maintained

Freezers, Fridges, and Chambers

  • Fridges/Freezers clean

  • Labelled with required labels ( e.g. radiation, biohazard, etc.)

  • If contains radioactives, appropriately locked?

  • Materials inside are appropriately labeled

  • No excessive ice built up in freezer

Safety Equipment

  • Eyewashes unobstructed, inspected, tested and signed off

  • Spill kits present, properly labeled and easily accessible

  • Fire extinguishers in place, properly mounted, charged, unobstructed, and inspected

  • PPE donned and used properly

  • Safety showers unobstructed, inspected (with sign-off) and tested

  • "Visitor" safety glasses properly stocked

  • Respirators stored and maintained properly

Communication

  • Chemicals appropriately labeled with chemical name and hazard warning (NFPA)

  • Empty chemical bottles properly labeled

  • Personnel aware of location of PPE grid

  • Emergency numbers posted on or near phone

  • Contact info available for equipment storing bio hazardous materials (fridge, freezer, chamber, etc)

  • If radioactivity in use, are samples properly labeled (>4000 dam/ml should be labeled)

Hazardous Waste

  • Hazardous waste satellite accumulation containers appropriately labeld

  • All liquid containers labeled hazardous waste in secondary containment

  • Hazardous waste primary and secondary containers clean and free of spills

  • Hazardous waste inventory sheet maintained

  • Containers closed when not in use

  • Inventory provided for all lab pack items

Comments/Notes

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  • Comment
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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.