Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. Electrical Safety

Misc. Electrical.

  • Damaged electrical outlet (Item of Concern): Repair is needed on electrical outlet. Submit request for repair through AggieWorks.

  • Add media

  • Blocked electrical panel (Item of Concern): Remove items that block access to the electrical panel.

  • Add media

Extension Cords/Power Strips/Plug Adapters.

  • Power strips in fume hood (Item of Concern): Remove electrical strips from fume hood.

  • Add media

2. Fire/Life Safety

Clearance.

  • Blocked evacuation routes (Deficiency): Keep evacuation/exit routes clear of obstructions.

  • Add media

Fire Extinguishers.

  • Blocked fire extinguisher (Deficiency): Remove obstruction blocking fire extinguisher.

  • Add media

  • Discharged fire extinguisher (Item of Concern): Fire extinguisher has been discharged. Complete an “Accident/Investigation Form” for the incident or near-miss, and submit the form to the EHS inspector within 24 hours.

  • Add media

  • Damaged fire extinguisher (Item of Concern): Fire extinguisher is damaged. EHS inspector will notify Fire & Life Safety personnel.

  • Add media

3. Safe Lab Practices

Food/Beverages.

  • Food/drink in lab (Deficiency): Food and beverages may not be consumed, stored, or prepared in lab areas.

  • Add media

Hand-washing Facilities.

  • Sink/water needed (Item of Concern): Provide running water for hand washing.

  • Add media

  • Soap needed (Item of Concern): Provide soap for hand washing.

  • Add media

  • Paper towels needed (Item of Concern): Provide paper towels for drying hands after washing.

  • Add media

Sharps Handling, Storage, and Disposal.

  • Unsecured sharps (Deficiency): Secure razors, knives, needles, microtome blades, and other sharps to be reused in rigid protective cases.

  • Add media

Housekeeping/Misc.

  • Spilled chemicals (Deficiency): Clean up spilled chemicals on bench top, in fume hood, or on floor.

  • Add media

  • Clutter in lab (Item of Concern): Dispose of clutter, including unnecessary boxes, old equipment, and trash.

  • Add media

  • Dirty fume hood (Item of Concern): Clean dirty fume hood.

  • Add media

  • Dirty work surface (Item of Concern): Clean dirty or untidy workspace or lab bench.

  • Add media

4. Physical Hazards

Cryogenic Cylinders and Dewars.

  • Damaged cryogenic cylinder (Deficiency): Ribbing, excessive ice buildup on tank, cracked gaskets, excessive rust, etc. are indications that the cryogenic cylinder is in poor condition. Contact service provider to have cylinder serviced.

  • Add media

Compressed Gas Cylinders

  • Improperly secured gas cylinder (Item of Concern): Properly secure compressed gas cylinder(s) with a device designed for such use. Ropes and bungee cords are not permitted for securing cylinders.

  • Add media

  • Gas cylinders secured in group (Item of Concern): Secure compressed gas cylinder(s) individually, not in groups.

  • Add media

  • Gas cylinder missing safety cap (Item of Concern): Apply safety cap to cylinders when not in use.

  • Add media

Glass Equipment or Containers.

  • Unshielded glass under pressure (Item of Concern): Shield and/or wrap tape around glass that is under vacuum pressure (Rotovap, glass Dewars, etc.).

  • Add media

  • Glass items on floor (Item of Concern): Do not store glass items directly on the floor. Place in cabinets or in secondary containment.

  • Add media

Misc. Hazards.

  • Unguarded moving parts (Deficiency): Guard exposed, moving parts of equipment, including pinch points and belts.

  • Add media

  • Tripping hazard (Item of Concern): Relocate, tape down, or otherwise secure electrical cords, computer cables and/or hoses that present tripping hazards.

  • Add media

5. Chemical Fume Hood

Misc. Fume Hood.

  • Items on fume hood knobs (Item of Concern): Remove items that are hanging on fume hood control knobs.

  • Add media

Obstructed Fume Hood.

  • Airflow obstructed in fume hood (Deficiency): To avoid obstructing airflow in the fume hood, place items at least 6 inches back from the face of the hood and 6 inches away from the baffles in the rear of the hood.

  • Add media

  • Clutter in fume hood (Item of Concern): Remove clutter from fume hood.

  • Add media

  • Chemicals stored in fume hood (Item of Concern): Remove chemicals stored in fume hood. Return them to chemical storage cabinets.

  • Add media

  • Loose paper in fume hood (Item of Concern): Remove loose paper (paper towels, Kim wipes, notebook paper) from fume hood. Paper can become lodged in the ductwork, and removing it requires significant monetary costs and labor.

  • Add media

Improper Use of Fume Hood.

  • Fume hood sash left up (Item of Concern): Pull fume hood sash down completely when the hood is unattended. Pull down to lowest working level when working in the hood.

  • Add media

6. Personal Protective Equipment/Eyewash/Showers

Emergency Shower.

  • Blocked emergency shower (Deficiency): Remove obstruction(s) blocking emergency shower to ensure clear access to this safety equipment.

  • Add media

Eyewash.

  • Flush the eyewash unit and make sure it's functional

  • Add media

Personal Protective Equipment (PPE).

  • Ensure appropriate PPE (eye protection, lab coats, gloves, etc.) and clothing (no shorts, bare midriffs, unsecured long hair, dangling jewelry or open-toed shoes) are available in the lab.

  • Add media

7. Chemical Safety

Flammable Chemical Storage

  • Excessive flammables outside of flammable cabinet (Deficiency): Store flammable chemicals in excess of 10 gallons in a flammable storage cabinet.

  • Add media

  • Improper storage of flammables (Item of Concern): Store flammable chemicals in flammable storage cabinet.

  • Add media

Chemical Dating & Retention.

  • Old non-time sensitive chemicals (Item of Concern): Noted non-time sensitive chemicals older than 5 years in the lab. Periodically review chemical inventory. Dispose of old chemicals that are no longer used. Label non-time-sensitive chemicals that are still in use with current 'in use' date.

  • Add media

  • Peroxide forming chemicals out of date (Deficiency): Explosive peroxide forming chemicals and oxidants such as ethyl ether, tetrahydrofuran (THF), perchloric acid, cyclohexene, butadiene, isopropyl ether and dioxanes must be used within 1 year of purchase or 6 months after opening and must be disposed of before the expiration date. Tag these chemicals for disposal immediately if past these time constraints.

  • Add media

  • Undated chemicals (Item of Concern): Date chemicals when received and again when opened. If date of acquisition or opening is unknown, back-date to the oldest known date for a reference point, e.g. "REC'D PRE-2010" or “OPENED PRE-2010”

  • Add media

Faulty Containers & Unstable Chemicals.

  • Unstable chemicals (Deficiency): Do not attempt to open or move peroxide-forming and oxidizing chemicals (such as ethyl ether, THF, perchloric acid, cyclohexene, butadiene, isopropyl ether and dioxanes) with crust on lid, stratification of liquid, discoloration, or crystallization. (EHS will follow-up with PI).

  • Add media

  • Damaged chemical container (Item of Concern): Repackage or dispose of chemicals in deteriorated containers.

  • Add media

  • Missing or damaged chemical cap (Item of Concern): Replace cracked or missing cap on chemical container.

  • Add media

Chemical Segregation.

  • Unsegregated chemicals (Deficiency): Segregate chemicals by hazard class (flammable, corrosive, oxidizer, reactive, toxic). Recommend using a color-coded labeling system on chemical containers to quickly identify the hazard class. For more information, see the EHS Laboratory Safety webpage (https://ehsd.tamu.edu/Pages/LabSafety.aspx).

  • Add media

General Chemical Storage.

  • Hazardous liquids above eyelevel (Item of Concern): Do not store hazardous liquid chemicals above the eye level of the shortest person working in the lab.

  • Add media

  • Chemicals on workbench (Item of Concern): To avoid cluttering workspaces, do not store multiple chemicals on workbenches. Return chemicals to storage cabinets when they are not actively being used.

  • Add media

  • Chemicals on edge of bench top (Item of Concern): Do not place chemical bottles on the edge of the bench top, where they can easily be knocked to the floor.

  • Add media

  • Heavy chemicals on upper shelves (Item of Concern): Store heavy chemical containers on the lowest shelves.

  • Add media

  • Chemicals on floor (Item of Concern): Do not store chemicals directly on the floor. Rather, store them in approved cabinets or in secondary containers large enough to hold the entire contents of the bottle in case of a spill.

  • Add media

8. Waste Disposal

Improper Accumulation of Waste.

  • Old samples present (Deficiency): Dispose of old samples that are no longer needed.

  • Add media

  • Full waste containers (Deficiency): Dispose of filled chemical waste containers.

  • Add media

Glass Disposal.

  • Improper glass disposal (Deficiency): Dispose of broken glass in a covered sturdy box marked "BROKEN GLASS."

  • Add media

  • Over-filled glass waste (Deficiency): Do not overfill glass waste container. Glass should not protrude over lip of disposal container.

  • Add media

Improperly Labeled Chemical Waste.

  • Improperly labeled chemical waste (Item of Concern): Label chemical waste container with the words "HAZARDOUS WASTE" or tie a Hazardous Waste Disposal tag on the container with string.

  • Add media

  • Hazardous waste not identified (Item of Concern): List the chemical contents on the waste disposal container or on the Hazardous Waste Disposal tag tied to the container.

  • Add media

  • Dated hazardous waste disposal tags (Item of Concern): DO NOT date Hazardous Waste Disposal tag. EHS will date the tag at time of pick-up.

  • Add media

9. Warning Signs/Labels

Chemical Container Labels.

  • Damaged/missing chemical label (Deficiency): Replace missing or deteriorating labels on primary (original) chemical containers.

  • Add media

  • Improperly labeled secondary container (Item of Concern): Ensure that all containers (squeeze bottles, flasks, dilutions, etc.) are labeled with the complete name of the contents, even those that contain water or are a part of equipment or experiments. The label should also include words, pictures, and/or symbols to notify users of the hazards of the chemicals. Replace fading/deteriorated labels.

  • Add media

10. Other Violations

  • Other: See Comments.

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.