Title Page

  • Conducted on

  • Department:

  • Building:

  • Room Number(s):

  • Inspector(s):

  • PI or Primary Contact:

  • RSO

General Safety Information

  • Required Training has been completed?

  • Documented Training includes:

  • Are safety issues addressed in Standard Operating Procedures (SOPs) where appropriate?

  • Are lab personnel familiar with incident reporting procedures? (injury, workers comp, etc.)

  • Is the appropriate PPE worn in the lab?

  • Are there SOPs in place to deal with biological and/or chemical spills in the lab?

  • Are first aid kits available, accessible, and properly stocked?

  • Electrical cords and power strips used appropriately and in good condition?

  • Fire extinguisher are available, accessible, charged, and the proper type?

  • Is the laboratory clean. Aisles, passageways and exits are clear from obstructions and trip hazards?

  • Are procedures in place for disposal of non-contaminated broken glassware? (glass disposal box, sharps container).

  • Are gas cylinders properly restrained, capped when not in use, and away from heat sources?

  • Are lab freezers, refrigerators and incubators used and labeled properly?

  • Are after hours and emergency contact phone numbers up to date and posted?

  • Is there a hand washing sink available in the lab?

  • Are eyewashes available, accessible, and is it documented that the eyewash is flushed weekly?

  • Are safety showers available and accessible?

Chemical Safety

  • Are high hazard chemicals clearly documented, and covered in SOPs? (carcinogens, reproductive toxins, acute toxins, pyrophoric or water reactive, peroxides, etc.).

  • Are Safety Data Sheets available for all chemicals in the lab (computer or hard copy)?

  • Are chemicals and lab prepared reagents properly labeled?

  • Are fume hoods functional, certified, and free of clutter?

  • Are chemicals of incompatible hazard classes kept separated in storage? (acids, bases, oxidizers, organics).

  • Are flammable chemicals stored in properly labeled cabinets, refrigerators or freezers rated for flammable material storage?

  • Are liquid chemicals equipped with secondary containment?

  • Are peroxide forming chemicals dated when received and when opened (aldehydes, benzyllic hydrogen compounds, allylic compounds, vinyl compounds, etc.).

  • Are perchloric acids used only in hoods with wash-down systems?

  • Is chemical waste properly stored?<br> Properly labeled<br> Closed<br> Secondary containment<br> removed within 90 days<br> not cluttered<br> Properly segregated

  • Are weekly waste storage inspections documented?

  • Radiation Questions

Radiation

  • Name of the isotope(s):

  • Are the required radiation notices posted, with up to date emergency contact information?

  • Are radiation badges required?

  • Is radiation safety training completed?

  • Is isotope usage tracked from receipt through disposal?

  • Are radioactive materials stored in approved areas?

  • Biohazard Questions

Biosafety

  • Do lab personnel know how to access the Biosafety Manual?

  • This lab is what biosafety level?

  • List biohazards used:

  • Is IBC approval on file for your research?

  • Are indicators / integrators used at least monthly to ensure proper operation of the autoclave with results recorded in a log?

  • Are work surfaces and equipment being decontaminated when work with infectious material is finished and immediately after spills or splashes?

  • Are biological safety cabinets in use and certified?

  • Is vacuum equipment properly trapped and HEPA filtered?

  • Are bio spill kits available in biohazardous waste storage areas?

  • Are biohazardous waste storage areas properly secured?

  • Has bloodborne pathogen training been conducted? Annual refreshers if needed?

  • Animal Use & Care Questions

Animals

  • Has IACUC approval been obtained for the research?

  • Are SOPs available for safe animal handling?

  • Are procedures in place for dealing with bites or other injuries?

  • Are Respirators Worn by employees cleaning cages?

  • Have employees wearing respirators been trained and fit tested?

  • Controlled Substance Questions

Controlled Substances

  • Are inventory and usage records complete and up-to-date?

  • Are controlled substances stored in an approved safe?

  • Are all authorized staff trained in the management of controlled substances?

  • Does lab staff know how to contact DEHS to obtain slurry bottles for controlled substance waste?

Additional Information

  • Notes:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.