Title Page

  • This audit is a tool to help you assess your performance against the requirements of AS/NZS 2243.5:2004 Safety in laboratories Part 5: Non-ionizing radiations – Electromagnetic, sound and ultrasound and Radiation Protection Standard for Occupational Exposure to Ultraviolet Radiation (2006) (RPS 12).

    When you select 'No' on a question it may be related to a recommendation or 'should' statement (orange/warning) or a requirement or 'shall' statement (red/fail). All No and N/A responses should be explained in the notes field for that question.

  • -Note about exempt sources -
    In ARPANS Regulations 2018 section 44 (7) exempt dealings describe the following items as exempt:
    (k) an artificial optical source emitting ultraviolet radiation (315-400 nm)
    (l) a completely enclosed apparatus containing an ultraviolet radiation light source (e.g. a spectrophotometer)
    (m) a biological safety cabinet (laminar flow or biohazard) with a failsafe interlock system

  • Conducted on

  • Prepared by

  • Lab/Building Name

  • Address/Location

Premises/Management Questions

  • These questions apply to the laboratory or work site as a whole, questions specific to each UV source will be in the following section.

  • Are employees provided with safety training before working with UV sources? [AS: 1.5.4; RPS: 2.1, 3.1.4]

  • Describe the type of training

  • Provide evidence (e.g. training records)

  • Are procedures in place to ensure risk assessment and control prioritisation are carried out prior to use of UV sources? [AS: 1.5.1 & 1.5.3; RPS: 3.1.2 & 3.1.3]

  • Are documented procedures in place, in the form of a list of authorised personnel, standard operating procedures and work instructions [RPS: 3.1.4]

  • Notes for site controls and assessments (if any)

Incident Reporting [AS: 1.6; RPS: 3.3]

  • Is there an Incident Reporting procedure in place?

  • Are there plans for the management of post incident exposure?

UV Source

  • Note: you can inspect multiple UV sources on one checklist by adding extra unit's here.

  • UV source
  • ID (e.g. Serial No/LAD No/ Description of unit )

  • Picture of unit

  • Main purpose/use of UV source

Physical Control Measures [AS 1.5.3; RPS: 2.1, 3.1.3]

  • Engineering controls are in place (ex. shielding, barriers, enclosing source, fail-safe interlocks, distance from source, isolation)

  • What type of engineering controls are in place?

  • Notes about physical controls (if any)

Administrative Controls Measures [AS 1.5.3; RPS: 2.1, 3.1.3]

  • PPE (e.g. protective clothing, eyewear, gloves) is provided for UV protection

  • What type of PPE is provided? include the standard or rating (e.g. wavelength / Australian Standard AS/NZ 1607.1, AS/NZ 1338.2 )

  • Evidence of PPE

Labelling & Signage [AS 1.5.3, 1.5.5; RPS: 3.1.3]

  • This is the non-ionising radiation symbol:

    radiation.png
  • Warning signs are displayed at the entrance and/or adjacent to source

  • Photo of warning signage/label

  • Signage includes the non-ionising radiation symbol

  • The type of radiation is identified on the sign

  • Signs indicate PPE to be used

  • Signs indicate access restrictions to authorised personnel only (listed)

  • Notes about signage and labelling (if any)

Exposure Limits [AS 2.4; RPS: 3.1.2(b), 3.15]

  • Exposure emission levels have been estimated (or measured) as part of risk assesment

  • Exposure emission levels have been measured

  • Measurement made on

  • Details of emission level measurment (e.g. result, distance, device)

  • Is there a plan to measure exposure? or descibe arrangements

  • Permissible exposure time (exposure limit 30 J.m–2 to eye or skin) has been<br>calculated [RPS12: Schedule 1.5, Annex 3]

  • The calculated permissible exposure time is

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.