UWA Faculty MDHS, UWA Laboratory decommissioning/Project cessation checklist - duplicate

• Document No.

• Client / Site

• Conducted on

  Date

• Audited by :

• Location
  Address

• Personnel

Contact and Adminstrative Details

• Name of person vacating

• Forwarding contact details

• Vacation category

  Part of location

  Entire Location

• Select all that the vacating person is a contact for

  Select Biosafety certification Radiation license/s Builidng or floor warden First Aid Officer Emergency Contact Servicing contracts 2IC redirect Chemical Waste Collection ChemAlert Poison Permit Other None

  • Biosafety certification
  • Radiation license/s
  • Builidng or floor warden
  • First Aid Officer
  • Emergency Contact
  • Servicing contracts
  • 2IC redirect
  • Chemical Waste Collection
  • ChemAlert
  • Poison Permit
  • Other
  • None

• Provide numbers and details of Radiological Council Licenses Held

• Has the Radiological Council been informed?

  Yes

  No

  N/A

• Inform Radiological Council

• Has the UWA Radiation Safety Officer been informed?

  Yes

  No

  N/A

• Please inform the Safety Offices and Safety, Health & Wellebing that a person filling a relevant role is leaving.

• Please Inform the Biosafety office a certification holder is leaving.

• Has the Medicines and Poisons Regulation Branch of the WA Department of Health have been informed ?

  Yes

  No

  N/A

• Please inform the Medicines and Poisons Regulation Branch of the WA Department of Health.

• Staff position/s occupied at vacating time?

  Select Chief Investigator Senior Research Satff Senior Technical Staff PostDoc Technician PhD Student Masters Student Honours Student Other

  • Chief Investigator
  • Senior Research Satff
  • Senior Technical Staff
  • PostDoc
  • Technician
  • PhD Student
  • Masters Student
  • Honours Student
  • Other

• Has Authority for the research area been transferred?

  Yes

  NO, needs to be arranged

  NA

• To whom has authority been transferred?

• Did this person have research students in the vacating area?

  Yes

  No

  N/A

• Do these students have items in storage?

  Yes

  No

  N/A

• Have names of students and details of collections along with relevant dates of destruction been supplied?

  Yes

  No

  N/A

• Information must be supplied if retention is required. Items without this information will be destroyed at the discretion of the controlling area.

• Was this person assigned assets.

  Yes to Laboratory assets

  Yes to office/IT assets

  all assets already surrendered

  Other assets assigned

  None assigned

• Laboratory Assets

Laboratory Asset

• Name of asset e.g. 'themocycler', 'mass spectrometer', 'computer'

• Barcode of asset

• Has the item been decontaminated?

  Yes

  No

  N/A

• Item (please select all that apply)

  Select Decontamination not relevant Item will be disposed of will be decontaminated item does not need decontamination

  • Decontamination not relevant
  • Item will be disposed of
  • will be decontaminated
  • item does not need decontamination

• Date of decontamination

  Date

• Does the item require maintenance or servicing?

  Yes

  No

  N/A

• The item must be appropriately decontaminated before being sent for servicing or maintenance.

Audit

Entry signage

• Entry Signage

  Media

• Confirm room/s number/s.

• Dangerous goods

  Yes

  No

  N/A

• OGTR/PC2

  Yes

  No

  N/A

• Area supervisor / deputy area supervisor : Name, location, phone, A/hours - All information updated or removed as appropriate

  Yes

  No

  N/A

• Select date

  Date

Chemicals

• All areas of the laboratory have been checked for storage of hazardous materials.

  Yes

  No

  N/A

• Has a copy of the last current laboratory chemical inventory been provided?

  Yes

  No

  N/A

• This inventory must be supplied to the controlling area. If the vacating area had no chemicals then please supply a statement to that effect.

• Any agreement with the unit manager for retention of chemicals ?

  Yes

  No

  N/A

• Please list person taking ownership of respective chemicals.

• Signature of person taking ownership of listed chemcials.

• Add signature

  Sign

Chemicals removed from :

• Refrigerators ?

  Yes

  No

  N/A

• Under the sinks ?

  Yes

  No

  N/A

• Fumehoods

  Yes

  No

  N/A

• Cabinets ?

  Yes

  No

  N/A

• Shelves ?

  Yes

  No

  N/A

• Bench tops ?

  Yes

  No

  N/A

• Any chemicals awaiting disposal ?

  Yes

  No

  N/A

• Do the items have a disposal manifest?

  Yes

  No, but someone has agreed to supply one for next chemical disposal

  No, not requried

  No, one needed.

• Name of person who will compile manifest

• Disposal mnaifests must be lodged with the UWA Chemical Safety Officer at least 2 working weeks prior to the chemical waste collection date.

• Date disposal manifest due

  Date

• Any schedule 8 drugs have been disposed off in accordance with the Medicines and Poisons Regulations 2016 (WA) ?

  Yes

  No

  N/A

• Failure to surrender S8 poisons for destruction is a criminal offence in Western Australia. The permit holder MUST arrange surrender for destruction of all S8 Poisons relating to their permit/s.
  Supply Quantities of S8 poisons surrendered, location of surrender and names of authorised officers to which these drugs were surrendered.

• Date of surrender of listed S8 poisons.

  Date

Refrigerator

• Refrigerator

  Media

• Defrosted ?

  Yes

  No

  N/A

• Cleaned ?

  Yes

  No

  N/A

• Doors have been left open ?

  Yes

  No

  N/A

Walk Cool rooms

• Do have a cool room or part of a cool room assigned to you?

  Yes

  No

  N/A

• Is the cool room (part or whole) empty and cleaned?

  Yes

  No

  N/A

• Are you leaving items in the cool room/s?

  Yes, but destruction and cleaning orgnaised

  Yes, but for donation to collections

  Yes, but for donation to specified researcher

  No but cleaning and decon need to be organised

• List which collection or researcher respective items are being donated to.

Bench tops

• Bench tops

  Media

• All disposal liners and covers have been removed ?

  Yes

  No

  N/A

• All bench tops cleaned ?

  Yes

  No

  N/A

Fume cupboards / cabinets

• Fume cupboard/s

  Media

• Cleaned of residues, drips and spills

  Yes

  No

  N/A

• Decontaminated ?

  Yes

  No

  N/A

• Does fume cupboard contain a filter ?

  Yes

  No

  N/A

• Filter has been removed and treated as solid waste ?

  Yes

  No

  N/A

• Does fume cupboard contain a sink ?

  Yes

  No

  N/A

• Has the wash down facility been running for at-least 15 minutes ?

  Yes

  No

  N/A

• All materials involved in decontamination and clean up are labelled and packaged as solid contaminated waste, awaiting collection ?

  Yes

  No

  N/A

Compressed gas cylinders

• Any cylinders to be retained in laboratory, this retention has been agreed with the unit manager ?

  Yes

  No

  N/A

• Cylinders properly labelled and secured ?

  Yes

  No

  N/A

• Cylinders not in use are disconnected ?

  Yes

  No

  N/A

• Arrangement made to return empty cylinders to vendors ?

  Yes

  No

  N/A

• Arrangements made for safe transfer of cylinders to new location?

  Yes

  No

  N/A

Radioactive materials

• Arrangements made with Safety and Health for safe transfer of materials to alternate storage

  Yes

  No

  N/A

• All radioactive materials have been disposed off according to the UWA requirements

  Yes

  No

  N/A

• All laboratory surfaces have been verified as decontaminated to background levels ?

  Yes

  No

  N/A

• Radiation detector ?

• Wipe survey ?

• Survey report sent to Safety and Health ?

  Yes

  No

  N/A

• All radioactive labels removed from work surfaces and doors

  Yes

  No

  N/A

Biological Materials

• Are any organisms being donated to the culture collection?

  Yes

  No

  N/A

• Give details of organisms donated to the culture collection.

• Are any organims or materials stored in -80 ° C freezer/s?

  Yes

  No

  N/A

• Supply room and freezer numbers and list number of containers in -80 ° C freezer/s?

• Supply 'Destroy after date'

  Date

• Are any organisms or materials in liquid nitrogen storage?

  Yes

  No

  N/A

• Supply room number, LN2 storage vessel details and number of items stored.

• Supply 'destroy after date'

  Date

• All other biological samples have been removed ?

  Yes

  No

  N/A

• Safe disposal has been carried out ?

  Yes

  No

  N/A

• Areas,equipment and surfaces that need to be disinfected

• Areas, equipment and surfaces that need to be disinfected.

  Media

• Surfactant based disinfectant used ?

  Yes

  No

  N/A

• Proper cleaning information.
  
  1. If the disinfectant in use does not contain a surfactant, wash the areas to be decontaminated with soap (detergent) and water first to remove oily dirt that may prevent the disinfectant from contacting and killing the microorganism.
  
  2. Pour the disinfectant on the areas to be decontaminated or onto towelling. Rub the areas and repeat. Let a film of disinfectant remain on the surface to air dry. If using a phenolic- based compound, follow up with a water rinse to remove the residual phenolic ( if desired). For this procedure to be effective, the disinfectant must contact the organism and be in contact forms sufficient time to destroy it ( see manufacturer's recommendations).

Check for decontamination and appropriate disinfection of :

• Bench tops ?

  Yes

  No

  N/A

• Biological safety cabinets ?

  Yes

  No

  N/A

• Floors ?

  Yes

  No

  N/A

• Walk in coolers ?

  Yes

  No

  N/A

• Surfaces of equipment

  Yes

  No

  N/A

• Fume hoods

  Yes

  No

  N/A

• Water baths ?

  Yes

  No

  N/A

• Centrifuges ?

  Yes

  No

  N/A

• Refrigerators ?

  Yes

  No

  N/A

• Freezers ?

  Yes

  No

  N/A

• Incubators ?

  Yes

  No

  N/A

• Walls ?

  Yes

  No

  N/A

• Sinks ?

  Yes

  No

  N/A

• Walk in coolers ?

  Yes

  No

  N/A

• Arrangements have been made for potentially infectious materials to be autoclaved and await appropriate disposal?

  Yes

  No

  N/A

• Sharps disposal organised ?

  Yes

  No

  N/A

• Decontamination and replacement of HEPA filters in biological safety cabinets

  Yes

  No

  N/A

• Certification of biological safety cabinets remains current ?

  Yes

  No

  N/A

• All PC2 signs and other signage which is no longer applicable has been removed from doors and other surfaces ?

  Yes

  No

  N/A

• All equipment has been decontaminated ?

  Yes

  No

  N/A

• Arrangements have been made for decommissions, dismantling, and disposal of equipment as described in the JSA.

  Yes

  No

  N/A

• Campus management have been contacted for the safe removal of any equipment connected to building infrastructure if applicable

  Yes

  No

  N/A

• All sharps and broken glass placed in appropriate containers and disposal arranged ?

  Yes

  No

  N/A

Other Areas?

• Areas which may hold items or documents

  Select Basement storeroom Common storerooms Corridor Cupboards Former areas storage Office areas Field trial areas Affiliated areas Other

  • Basement storeroom
  • Common storerooms
  • Corridor Cupboards
  • Former areas storage
  • Office areas
  • Field trial areas
  • Affiliated areas
  • Other

• Research regents, samples, collections or equipment may have been stored in areas (e.g. cupboards, store rooms, offices, or old research faciliites.

Records

• All signage no longer required has been removed ?

  Yes

  No

  N/A

• Copies of any other document which contribute to this post-project clean up or decommissioning process are attached.

  Yes

  No

  N/A

• The above steps have all been completed.

• Person carrying out the work : Name : Signatures : Date :

  Sign

• I certify that in accordance with the work practices identified above and by physical inspection the laboratory can now be safely accessed by other personnel.