Title Page
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Conducted on
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Department:
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Building:
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Room Number(s):
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Inspector(s):
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PI or Primary Contact:
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RSO
General Safety Information
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Required Training has been completed?
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Documented Training includes:
- Introduction to Research Safety
- Chemical Safety
- Chemical Waste Management
- Lab Specific Training
- Annual Update Training
- Additional
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Are safety issues addressed in Standard Operating Procedures (SOPs) where appropriate?
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Are lab personnel familiar with incident reporting procedures? (injury, workers comp, etc.)
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Is the appropriate PPE worn in the lab?
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Are there SOPs in place to deal with biological and/or chemical spills in the lab?
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Are first aid kits available, accessible, and properly stocked?
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Electrical cords and power strips used appropriately and in good condition?
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Fire extinguisher are available, accessible, charged, and the proper type?
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Is the laboratory clean. Aisles, passageways and exits are clear from obstructions and trip hazards?
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Are procedures in place for disposal of non-contaminated broken glassware? (glass disposal box, sharps container).
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Are gas cylinders properly restrained, capped when not in use, and away from heat sources?
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Are lab freezers, refrigerators and incubators used and labeled properly?
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Are after hours and emergency contact phone numbers up to date and posted?
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Is there a hand washing sink available in the lab?
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Are eyewashes available, accessible, and is it documented that the eyewash is flushed weekly?
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Are safety showers available and accessible?
Chemical Safety
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Are high hazard chemicals clearly documented, and covered in SOPs? (carcinogens, reproductive toxins, acute toxins, pyrophoric or water reactive, peroxides, etc.).
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Are Safety Data Sheets available for all chemicals in the lab (computer or hard copy)?
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Are chemicals and lab prepared reagents properly labeled?
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Are fume hoods functional, certified, and free of clutter?
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Are chemicals of incompatible hazard classes kept separated in storage? (acids, bases, oxidizers, organics).
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Are flammable chemicals stored in properly labeled cabinets, refrigerators or freezers rated for flammable material storage?
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Are liquid chemicals equipped with secondary containment?
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Are peroxide forming chemicals dated when received and when opened (aldehydes, benzyllic hydrogen compounds, allylic compounds, vinyl compounds, etc.).
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Are perchloric acids used only in hoods with wash-down systems?
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Is chemical waste properly stored?<br> Properly labeled<br> Closed<br> Secondary containment<br> removed within 90 days<br> not cluttered<br> Properly segregated
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Are weekly waste storage inspections documented?
Radiation Questions
Radiation
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Name of the isotope(s):
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Are the required radiation notices posted, with up to date emergency contact information?
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Are radiation badges required?
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Is radiation safety training completed?
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Is isotope usage tracked from receipt through disposal?
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Are radioactive materials stored in approved areas?
Biohazard Questions
Biosafety
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Do lab personnel know how to access the Biosafety Manual?
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This lab is what biosafety level?
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List biohazards used:
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Is IBC approval on file for your research?
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Are indicators / integrators used at least monthly to ensure proper operation of the autoclave with results recorded in a log?
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Are work surfaces and equipment being decontaminated when work with infectious material is finished and immediately after spills or splashes?
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Are biological safety cabinets in use and certified?
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Is vacuum equipment properly trapped and HEPA filtered?
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Are bio spill kits available in biohazardous waste storage areas?
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Are biohazardous waste storage areas properly secured?
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Has bloodborne pathogen training been conducted? Annual refreshers if needed?
Animal Use & Care Questions
Animals
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Has IACUC approval been obtained for the research?
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Are SOPs available for safe animal handling?
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Are procedures in place for dealing with bites or other injuries?
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Are Respirators Worn by employees cleaning cages?
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Have employees wearing respirators been trained and fit tested?
Controlled Substance Questions
Controlled Substances
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Are inventory and usage records complete and up-to-date?
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Are controlled substances stored in an approved safe?
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Are all authorized staff trained in the management of controlled substances?
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Does lab staff know how to contact DEHS to obtain slurry bottles for controlled substance waste?
Additional Information
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Notes: