Thomas Jefferson University Lab Inspection Report-2014

• PI/Department

• Emergency Contact Name & Number

• Lab Type

  Clinical Lab

  Research Lab

• Building/Room Number

• Conducted on

  Date

• Personnel on Tour

• Personnel in lab (including volunteers)

• This lab works with:

  Select human material rDNA pathogens lenti/retroviral vectors toxins controlled substances other viruses volunteers

  • human material
  • rDNA
  • pathogens
  • lenti/retroviral vectors
  • toxins
  • controlled substances
  • other viruses
  • volunteers

• Prepared by

A. Hazard Communication

• Correct signage on all entrances to the laboratory

  Yes

  No

  N/A

• Chemical bottles, solutions, and containers clearly marked and properly labeled with NO abbreviations

  Yes

  No

  N/A

• SDS sheets are on file and readily accessible

  Yes

  No

  N/A

• Equipment used for biohazardous materials is labeled

  Yes

  No

  N/A

• Chemical inventory is current, present in the lab, and on file with EHS

  Yes

  No

  N/A

• Low threshold chemical inventory is present in the lab and on file with EHS

  Yes

  No

  N/A

• Biological inventory is present in the lab

  Yes

  No

  N/A

• Lab has a notebook or computer file of all protocols (IBC, IACUC, and IRB), with employee certification that they are aware of what materials they are working with or have the potential to be exposed to

  Yes

  No

  N/A

B. Training

• All employees have taken their HealthStream courses for the current year

  Yes

  No

  N/A

• All employees, students, and volunteers are current in their lab safety training (lecture course)

  Yes

  No

  N/A

• Employees are trained to ship hazardous materials

  Yes

  No

  N/A

C. Laboratory Equipment

• Chemical fume hood is certified/working properly/clutter free

  Yes

  No

  N/A

• BSC is certifed/working properly/clutter free

  Yes

  No

  N/A

• HEPA filters are in vacuum linesif using infectious materials (this includes vacuum flasks on the lab bench)

  Yes

  No

  N/A

• Hoses for bunsen burners are in good condition throughout the lab

  Yes

  No

  N/A

D. Compressed Gases

• Old cylinders (lecture bottles) are removed from the lab

  Yes

  No

  N/A

• Cylinders are capped when not in use

  Yes

  No

  N/A

• Empty cylinders are promptly removed from the lab

  Yes

  No

  N/A

• Cylinders are properly secured

  Yes

  No

  N/A

• Cylinder labels are clear and legible

  Yes

  No

  N/A

• Proper segregation of full and empty cylinders

  Yes

  No

  N/A

• Cylinders are stored away from all heat sources such as flames, radiant heat, or burners

  Yes

  No

  N/A

E. Chemical Storage

• Flammable liquids are not stored in conventional refrigerators

  Yes

  No

  N/A

• Flammable liquids in excess of 10 gallons are stored in a flammable storage cabinet

  Yes

  No

  N/A

• Ether and any other highly flammable liquid is stored away from sources of light, heat, and direct sunlight

  Yes

  No

  N/A

• Incompatible chemicals are segregated (no water reactive chemicals are stored under the sink, flammables and oxidizers are separated, etc...)

  Yes

  No

  N/A

• Peroxide forming chemicals are dated upon receipt and disposed of properly

  Yes

  No

  N/A

• Outated, expired, or unknown chemicals are properly disposed of

  Yes

  No

  N/A

• All chemical containers are capped and sealed when not in active use

  Yes

  No

  N/A

• Hazardous chemicals are not stored above eye level, on top of refrigerators, or on the floor

  Yes

  No

  N/A

F. Hazardous Waste

• Waste containers are properly sealed and labeled

  Yes

  No

  N/A

• Secondary containment is provided for liquid waste

  Yes

  No

  N/A

• Secondary containment provided for tissue culture waste flask

  Yes

  No

  N/A

• Waste is separated by hazard class

  Yes

  No

  N/A

• Waste is accumulated for no longer than one year

  Yes

  No

  N/A

G. Biological Safety

• Portable liquid nitrogen tanks are properly labeled, stored, and vented

  Yes

  No

  N/A

• Infectious waste properly labeled and disposed

  Yes

  No

  N/A

• Sharps container available

  Yes

  No

  N/A

• Universal precautions practiced

  Yes

  No

  N/A

• Written decontamination procedure for biohazard spill are in place

  Yes

  No

  N/A

H. Emergency Preparedness

• Designated hand washing sink is available and labeled as such

  Yes

  No

  N/A

• Safety shower accessible and unobstructed

  Yes

  No

  N/A

• An ANSI approved eye wash is available

  Yes

  No

  N/A

• Eye wash is tested weekly, documented, and logs kept for 3 years (2 years prior plus current year)

  Yes

  No

  N/A

• A chemical spill kit is available and accessible to all employees

  Yes

  No

  N/A

• Employees know proper procedures for reporting chemical spills

  Yes

  No

  N/A

• Fire extinguishers are accessible and are inspected

  Yes

  No

  N/A

• Material for biohazard spill readily available

  Yes

  No

  N/A

• Emergency contact information is on file

  Yes

  No

  N/A

I. Personal Protective Equipment

• Gloves are available and worn during procedures

  Yes

  No

  N/A

• Protective clothing is available and worn during procedures (lab coat, apron, etc...)

  Yes

  No

  N/A

• Eye protection available

  Yes

  No

  N/A

J. Housekeeping

• Food or beverage is NOT consumed in the lab

  Yes

  No

  N/A

• Exits and means of egress are unlocked and unobstructed

  Yes

  No

  N/A

K. Other

• Copy of TJU Guide to Laboratory Safety (2013 version) is available to all personnel

  Yes

  No

  N/A

• Items are stored at least 18" from the ceiling

  Yes

  No

  N/A

• An updated list of IBC protocols is on file with EHS (includes deactivation of old files)

  Yes

  No

  N/A

L. ADDITIONAL FINDINGS

• Is there any additional findings?

  Yes

  No

  N/A
Tap to enter information

• Additionally findings 1:

• Is there any additional findings?

  Yes

  No

  N/A
Tap to enter information

• Additionally findings 2:

• Is there any additional findings?

  Yes

  No

  N/A
Tap to enter information

• Additionally findings 3:

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• Department/Unit Representative

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• Staff member leading tour

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