PART 1 - Laboratory Information

  • Laboratory Building and room(s)

  • Location
  • Conducted on

  • Inspector

  • Personnel in lab - enter unoccupied if no personnel are present during the inspection

  • C-14

PART 2 - Laboratory Inspection

Laboratory Signs, Postings, and Documents

  • All required laboratory signs, postings, or document administrative controls are in place?

  • Add media

Chemical Storage

  • Are all laboratory containers stored/managed properly? i.e.-INCOMPATIBLE/UNSTABLE - STORED ON FLOOR - PEROXIDE FORMERS - FLAMMABLE STORAGE LIMIT - CORRODED CONTAINERS/INTEGRITY - UNCAPPED - SPECULATIVE ACCUMULATION

  • Add media

Chemical Labeling

  • Are all laboratory chemical containers sufficiently labeled to perform an exposure assessment and waste determination?

  • Add media

Waste Management

  • Are waste management practices in accordance with the U.S. EPA Resource Conservation and Recovery Act (RCRA), Clean air Act (CAA), or Clean Water Act (CWA)? MAINTAIN SAA - UNLABELED - INCOMPATIBLE - UNCAPPED

  • Add media

  • Are regulated medical Waste (RMW) management practices in accordance with New York State Department of Environmental Conservation (NYSDEC) laws?

  • Add media

Potential for Release to the Environement

  • Are there any containers at risk of fire, explosion, or release to the environment? i.e. - THREATENING DRAIN - STORED NEAR DOMESTIC WATER

  • Add media

Laboratory Health and Safety - General Duty Items and CUNY University Policy

  • Is housekeeping adequate? (i.e Unnecessary accumulation of combustible material, aisle egress, trip hazards, etc)

  • Add media

  • Are all laboratory areas free from food and/or drink?

  • Add media

PART 3 - Facilities Request

  • Please select the type of service requested

  • Please describe below, attaching photos as necessary

  • Add media

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