Audit

Instructions:

1. Answer the questions provided below. Please refer below for the Risk Rating*.
2. Add photos and notes by clicking on the paperclip icon.
3. To add a Corrective Actions, click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
4. Complete audit by providing digital signature.
5. Share your report by exporting as PDF, Word, Excel or Web Link.


*Risk Rating is based on the possible injury consequences and the likelihood of an injury occurring
High = potential for serious or critical injury or highly likely to cause an injury
Medium = moderate injury (sub-critical) or moderately likely to cause an injury
Low = minor injury or not very likely to cause an injury

Employee Contacts: List employees contacted and note any safety-related issues/concerns. (click "Add Employee")

Employee

Employee Number/Job Title/Name

State any safety-related issues/concerns

1.0 General Workplace Safety

1.1 Laboratory Safety Manual is available and accessible

Risk Rating

1.2 Sunnybrook Emergency Response Plan is available and accessible

Risk Rating

1.3 Fire and Security phone number is clearly posted and familiar to staff

Risk Rating

1.4 Staff are wearing identification badges

Risk Rating

1.5 Visitors/contractors are wearing identification and have been made aware of workplace hazards

Risk Rating

1.6 Required signage (e.g. biohazard) is posted in a conspicuous place

Risk Rating

1.7 Required signage for CL2 zones posted at entry

Risk Rating

2.0 Laboratory Environment

2.1 Work areas are orderly and free of clutter

Risk Rating

2.2 Aisles, doorways, passageways and exits are free of obstruction; evacuation routes are clear

Risk Rating

2.3 Floors are free of tripping hazards (e.g. unsecured mats, uneven/damaged surfaces, wet areas, extension cords)

Risk Rating

2.4 Furniture, shelving and carts are in good repair

Risk Rating

2.5 Light fixtures are in good repair and bulbs are functioning

Risk Rating

2.6 Emergency lighting is present and operational

Risk Rating

2.7 Physical environment is acceptable with respect to noise, lighting temperature, air quality and humidity

Risk Rating

2.8 Ceiling vents are clean; ceiling tiles are present and free of water damage

Risk Rating

3.0 Personel Safety

3.1 Appropriate personal protective equipment is available, accessible and is used by all staff when required (e.g. fully buttoned lab coats, gloves, safety eye wear, face shields)

Risk Rating

3.2 Emergency wash devices are accessible, in working order and tested as required

Risk Rating

3.3 Food and drink are not stored or consumed in the laboratory

Risk Rating

3.4 Food fridge temperatures are monitored and documented

Risk Rating

3.5 Cosmetics/contact lenses are not handled in the laboratory

Risk Rating

Risk Rating

3.6 Personal belongings are not placed on contaminated laboratory surfaces

Risk Rating

3.7 Staff do not use cellular phones or other personal devices in the laboratory

Risk Rating

3.8 Hair beyond shoulder length is suitably confined to prevent contamination or entanglement with equipment

Risk Rating

3.9 Staff are not wearing loose or dangling clothing that could become contaminated or entangled

Risk Rating

3.10 Staff are not wearing loose or dangling jewelry that could become contaminated or entangled, or jewelry that could compromise integrity of personal protective equipment

Risk Rating

3.11 Appropriate footwear is worn by all staff

Risk Rating

3.12 Staff have received mandatory safety training as required (e.g. WHMIS, Fire Safety, TDG)

Risk Rating

3.13 Procedures for reporting workplace incidents and acquiring necessary first aid are familiar to staff

Risk Rating

3.14 Incident and Hazard report forms are accessible to staff

Risk Rating

4.0 Biological Safety

4.1 Specimen transported in leak proof, impact resistant primary container within a leak proof secondary container/packaging, laboratory forms physically separated from primary container to protect against contamination.

Risk Rating

4.2 Specimens/cultures are consistently handled using Routine Practices and appropriate level of containment

Risk Rating

4.3 Biological Safety Cabinets are certified, maintained and in working order

Risk Rating

4.4 Aerosol generating activities are performed using appropriate controls

Risk Rating

4.5 Appropriate disinfectants are available and benches are disinfected as required

Risk Rating

4.6 Centrifuge lids are locked during use, tubes are properly capped and rotor covers are employed consistently

Risk Rating

4.7 Spill management procedure and materials are readily accessible

Risk Rating

5.0 Chemical Safety

5.1 An inventory of hazardous chemicals is maintained

Risk Rating

5.2 Chemicals, solvents and compressed gases are appropriately labeled, handled and stored

Risk Rating

5.3 Flammable storage cabinet doors are closed, side bung is plugged, cabinet is grounded if necessary

Risk Rating

5.4 Chemical Fume Hoods are certified, maintained and in working order

Risk Rating

5.5 Only working quantities of chemicals are kept on benches; stock flammable materials are stored in flammable storage cabinets

Risk Rating

5.6 Material Safety Data Sheets are accessible and current (<3 years)

Risk Rating

5.7 Spill management procedure and materials are readily accessible

Risk Rating

5.8 Code Brown Response Plan is available and accessible

Risk Rating

6.0 Electrical and Equipment Safety

6.1 Electrical equipment is CSA/ULC certified, is in working condition and cords/plugs are free of damage

Risk Rating

6.2 Cords are not run across passageways/under mats

Risk Rating

6.3 Sufficient outlets are available for laboratory equipment

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6.4 Outlets and electrical panels are covered

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6.5 Access to electrical panels is not blocked

Risk Rating

6.6 Equipment is maintained, tested, cleaned and decontaminated as required

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6.7 Moving equipment parts are guarded

Risk Rating

7.0 Fire Safety and Evacuation

7.1 Code Red Response Plan is available and accessible

Risk Rating

7.2 Fire equipment is properly mounted, accessible and checked regularly

Risk Rating

7.3 Fire alarm pull stations are accessible

Risk Rating

7.4 Fire doors are closed or close properly with fire alarm

Risk Rating

7.5 There is at least 18" radius clearance around sprinklers

Risk Rating

7.6 Exit signs are present, illuminated and unobstructed

Risk Rating

7.7 Wall penetrations are sealed with fire stop

Risk Rating

7.8 Evacuation Plans are posted and familiar to staff

Risk Rating

8.0 Waste Disposal

8.1 Sharps are discarded in appropriate containers; containers are not overfilled

Risk Rating

8.2 Biohazardous waste is discarded appropriately; containers are removed regularly

Risk Rating

8.3 Chemical waste is discarded and logged appropriately; waste is removed as required

Risk Rating

Other

Any other safety issues/employee concerns?

List Other Safety Issues/Employee Concerns (location and details) (click "Add Issue/Concern")

Note: Use the paperclip icon for the Corrective Action or Plan of Action (click the paperclip icon then Add Action).

Issue/Concern

State Issue/Concern here

Completion
Inspector's Signature
Manager or Delegate's Signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.