UWA IOMRC Laboratory decommissioning/Project cessation checklist

• Document No.

• Client / Site

• Conducted on

  Date

• Audited by :

• Location
  Address

• Personnel

• Entry Signage

  Media

Entry signage

• Dangerous goods

  Yes

  No

  N/A

• OGTR/PC2

  Yes

  No

  N/A

• Appropriate PPE/ precautionary methods signage

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Room number

  Yes

  No

  N/A

Chemicals

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

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

  Yes

  No

  N/A

Refrigerator

• Refrigerator

  Media

• Defrosted ?

  Yes

  No

  N/A

• Cleaned ?

  Yes

  No

  N/A

• Doors have been left open ?

  Yes

  No

  N/A

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 made ?

  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

• All 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

Equipment

• 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

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.