Title Page

  • Location of Monitoring

  • MD1

  • MD4

  • MD6

  • MD11

  • Personnel

  • Conducted on

Cold Room

  • Monthly cleaning is carried out and recorded

  • Room kept clear of litter, carton boxes, liquid nitrogen and compressed gas tanks

  • Lights in good working order

  • Mop and floor wipes accounted for

Dark Room

  • Filled waste bin is swapped with empty one

  • Room is clean and kept clear of litter

Freezer Room

  • Temperature is adequate

  • Lights in good working order

  • Aisles and doorways free of obstructions and permits visibility and movement

Common Areas

  • Aisles and doorways free of obstructions and permits visibility and movement

  • No major changes to placement of user's equipment (e.g. new/movement of equipment)

  • Storage of suspicious laboratory items outside the lab area

Equipment

  • Glasswasher chamber condition/cleanliness

  • Autoclave chamber condition/cleanliness

  • Autoclave blue gasket is fitted properly

  • No misuse of autoclave (e.g. spill, cross usage of waste and clean autoclaving without official labeling)

Emergency Response Equipment

  • Emergency eyewash and shower checked and recorded accordingly

  • Access to emergency response equipment is clear of obstruction

  • Fire extinguishers mounted, accessible, free of obstruction

  • Firemen access point not obstructed

Gas Detection System

  • Alarm/fault indicator not lighted up

Completion

  • Additional recommendation

  • Attachment (if any)

  • Full Name & Signature of Inspector

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