Chemical Appendix 8

 

APPENDIX 8

 ANNUAL LABORATORY SAFETY INSPECTION FORM

   Building_______________________________________Room__________ Date____________________

 Principal Investigator (PI)_________________________________________________________________

 Person conducting inspection:                                                                                                                           

 Inspector signature______________________________________________________________________

 

 

#

Description

Yes

No

N/A

1.0  GENERAL      

1.   Individuals avoid working alone in the laboratory.      

2.   Appropriate eye protection is worn.      

3. Sources of ignition are identified and mitigated prior to working with flammable materials.      

4. Food, beverages, or cosmetic products are not used in chemical use or storage areas.      
2.0  HOUSEKEEPING      

1. Access to emergency equipment (eyewash, shower, extinguishers) and exits are not blocked.      

2. All chemical containers are labeled with the name (as listed on the MSDS) and appropriate hazard warnings.      

3.  Work areas are clean and uncluttered.      

4.  Chemical wastes are appropriately labeled and logged.      

5. Aisles, hallways, and stairs are clean and uncluttered (chemicals are not stored here).      

6.  Designated areas are clearly marked.      
3.0  SAFETY EQUIPMENT      

1. Eye wash and safety shower are available if using corrosive or contact hazard materials.      

2. Eye wash and safety shower are checked monthly (they should be tagged and initialed when checked).      

3.  Respirators (if used) are used appropriately (see section 3.3.4).      

4.  Perchloric acid is handled only in a hood rated for perchloric acid use.      

5. Hood vent ducts and fans are inspected annually and cleaned when necessary.      

6.  Uncluttered hood space is maintained for use.      

7.  Annual hood airflow test has been performed within the last year.      

8.  Latest Test Date___________      

9.      Researchers know how to use the hoods, and use them appropriately.      
4.0  INFORMATION AND TRAINING      

1. Laboratory personnel know that medical examinations and or consultations are available under certain circumstances      

2. Laboratory personnel understand the hazards of the materials they use (including signs and symptoms of exposure).      

3.  Laboratory personal are familiar with the Laboratory Standard.      

4.  Laboratory Personnel are familiar with the Chemical Hygiene Program.      

5. Laboratory personnel know where reference materials on the chemicals they use are maintained (including MSDS).      

6. Laboratory personnel know the procedures and protective equipment required for each material with which they work.      

7.  Laboratory personnel understand proper emergency procedures.      

8. All laboratory personnel have been trained on the Chemical Hygiene Program and specific safe work practices for their laboratories.      

9.      The training listed above has been documented in written form.      
5.0  STORAGE      

1. Flammable liquids above exempt quantities are stored in flammable storage cabinets      

2.  Corrosives and reactives are not stored above shoulder height.      

3.  Reactive materials are appropriately segregated.      

4.  Inimical chemicals are stored and used in designated areas.      

5. Ethers and other materials that may form unstable compounds are dated when received and opened.      

6.  A current inventory of all hazardous materials is available.      

7.  MSDSs are available for all materials on the chemical inventory.      

8.  Flammable materials are not stored in unapproved refrigerators.      

ACTION ITEMS:  

Sec.

#

Item

#

Found

Action

Completion

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Chemical Hygiene Policy