Title Page

  • Document No.

  • Client / Site

  • Conducted on

  • Audited by :

  • Location
  • Personnel

  • Entry Signage

Entry signage

  • Dangerous goods

  • OGTR/PC2

  • Appropriate PPE/ precautionary methods signage

  • Area supervisor / deputy area supervisor : Name, location, phone, A/hours - All info provided?

  • Room number

Chemicals

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

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

Chemicals removed from :

  • Refrigerators ?

  • Under the sinks ?

  • Fumehoods

  • Cabinets ?

  • Shelves ?

  • Bench tops ?

  • Any chemicals awaiting disposal ?

  • Any schedule 8 drugs have been disposed off in accordance with the poisons regulations 1965 (WA) ?

Refrigerator

  • Refrigerator

  • Defrosted ?

  • Cleaned ?

  • Doors have been left open ?

Bench tops

  • Bench tops

  • All disposal liners and covers have been removed ?

  • All bench tops cleaned ?

Fume cupboards / cabinets

  • Fume cupboard/s

  • Cleaned of residues, drips and spills

  • Decontaminated ?

  • Does fume cupboard contain a filter ?

  • Filter has been removed and treated as solid waste ?

  • Does fume cupboard contain a sink ?

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

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

Compressed gas cylinders

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

  • Cylinders properly labelled and secured ?

  • Cylinders not in use are disconnected ?

  • Arrangement made to return empty cylinders to vendors ?

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

Radioactive materials

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

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

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

  • Radiation detector ?

  • Wipe survey ?

  • Survey report sent to Safety and Health ?

  • All radioactive labels removed from work surfaces and doors

Biological Materials

  • All biological samples have been removed ?

  • Safe disposal has been carried out ?

  • Areas,equipment and surfaces that need to be disinfected

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

  • Surfactant based disinfectant used ?

  • 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 ?

  • Biological safety cabinets ?

  • Floors ?

  • Walk in coolers ?

  • Surfaces of equipment

  • Fume hoods

  • Water baths ?

  • Centrifuges ?

  • Refrigerators ?

  • Freezers ?

  • Incubators ?

  • Walls ?

  • Sinks ?

  • Walk in coolers ?

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

  • Sharps disposal organised ?

  • Decontamination and replacement of HEPA filters in biological safety cabinets

  • Certification of biological safety cabinets remains current ?

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

Equipment

  • All equipment has been decontaminated ?

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

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

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

Records

  • All signage no longer required has been removed ?

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

  • The above steps have all been completed.

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

  • 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.

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