Form 1: Laboratory Safety Inspection Checklist

Laboratory/room number: Person in charge: Date of inspection:

Please delete as
applicable:
Risk assessments Is there a written Risk Assessment for all of the
activities carried out in this area either from the
generic set or specially written If !"o# which
ones are lacking

Yes No
COS special
assessments
$ritten %&'(( assessments for all chemicals
used which re)uire it
Yes No
Are Data sheets available Yes No
S!mmary"comment:
Please tick as applicable
Items:
#ood Satisfactor
y
$nacceptable Poor
Laboratory layo!t
and %eneral state
*)uipment layout
"umber of
occupants/overcrowding
+entilation
Lighting
,urniture
,ood- temperature-
chemical and biological
material
Offices"&rite !p
areas
'eparation of work/write
up areas
"umber of
occupants/overcrowding
+entilation
,urniture
Lighting
$orkstation
assessments
%hemicals/.iological
material- temperature
S!mmary"comment:
1
Please tick as applicable
Items:
#ood Satisfactor
y
$nacceptable Poor
Personal protecti'e
e(!ipment
Lab coats /worn-
clean0
'afety glasses
/available- worn0
L*+ /working- in test
date0
S!mmary"comment:
State of:
o!sekeepin%
)Incl!din% stora%e
and access*
,loors
Aisles
*1its
%eilings
.enches
,ume2hoods
,ridges
%upboards
.ins
*lectrical %abling
'helves
&ther e)uipment
S!mmary"comment:
+mer%ency
+(!ipment
,ire *1tinguishers
,ire *1tinguisher
training
,ire blankets
,ire e1its
,irst aid bo1
,irst aider list
*ye wash
*mergency shower/s0
'pill kits
Laboratory ha3ards plan
%ontact person
4elephone number
"otices
*mergency telephone
numbers
S!mmary"comment:
2
Please tick as applicable
Items:
#ood Satisfactor
y
$nacceptable Poor
Chemicals
Amounts
'torage
Labelling
.ar2coding- Inventory
Sol'ents"Flammable
li(!ids
Amounts
'torage
,aste sol'ent
Amounts
Location
S!mmary"comment:
+lectrical +(!ipment Please
delete as
applicable
Comments
PA4 4esting 5678- 9678
,ailed/untested e)uipment in use :es "o
"on2complaint custom e)uipment :es "o
Visual checks:
Lack of strain relief :es "o
Damaged main leads :es "o
Damaged mains plugs :es "o
Mains distribution panels:
;nsecured :es "o
Poorly positioned :es "o
Daisy chained :es "o
Mains extension cables/adaptors:
<=7v mains adaptors in use :es "o
%ables too long :es "o
;nprotected floor trailing cables :es "o
S!mmary"comments:
3
Other Laboratory e(!ipment Comments
Lasers /registered- shielded- warning0
$- so!rces /shielded- warnings0
.icro&a'e so!rces /shielded- warnings0
Centrif!%es /tested0
Press!re 'essels incl!din% a!tocla'es /registered-
tested0
-ac!!m p!mps /vented- guarded0
F!me/hoods /tested0
,ater lines /firm- secure0
#as cylinders /secure- well sited0
Re%!lators /suitable- registered- in date- marked0
#as lines /suitable- inspected0
0/ray so!rces
Radioacti'e so!rces:
'ealed
&pen
O'ens
1rolleys /suitable- safe0
-2$ &orkstations /see checklist in procedure
number <: ;se of Display 'creen *)uipment0
Other
S!mmary"comments:
Laboratory"office occ!pants safety concerns:
O'erall s!mmary"comments:
Re'isit re(!ired3
Si%ned:
4
Form 4: Laboratory Clearance Checklist
Name of researcher: Laboratories",ork areas:
Chemicals
'earch out and evaluate all
chemicals and label all containers>
4ransfer responsibility to:
"ame /print0:
Prepare chemical waste for disposal
%lean glassware- refrigerators- ovens
etc
%lean working area
'ign out
.icro/or%anisms and c!lt!res
Label and secure material
Autoclave waste
%lean glassware- incubators- ovens-
refrigerators
4ransfer responsibility for material to:
"ame /print0:
Decontaminate and clean the
working area
'ign out
Radioacti'e material
Label and secure material> %heck for
stock cards
Dispose of waste> ;pdate stock
cards
4ransfer responsibility for material to:
"ame /print0:
;pdate stock cards
Departing group leaving material
inform RPA and safety adviser in
writing> Permission obtained in
writing /copy attached0
%lean and decontaminate the
working area> Approval of RPA
obtained /copy attached0
.i5ed ha6ard material
%omplete the appropriate clearing
and decontamination procedures
outlined above>
+(!ipment
;nwanted e)uipment
decontaminated and cleared to
waste>
*)uipment to be left transferred to:
"ame /print0:
%ustom e)uipment instructions to:
"ame /print0:
%ustom e)uipment instructions and
risk assessment
?as cylinders to store
%lean the working area
'ign out
7ll clearin% proced!res ha'e been completed8
'ignature Researcher:
Date:
'ignature Laboratory @anager/Line @anager/(ead of 'ection:
Date:
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