Department of Environmental Safety Lab Safety Inspection Report ...
Department of Environmental Safety Lab Safety Inspection Report ...
Department of Environmental Safety Lab Safety Inspection Report ...
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<strong>Department</strong> <strong>of</strong> <strong>Environmental</strong> <strong>Safety</strong><br />
<strong>Lab</strong> <strong>Safety</strong> <strong>Inspection</strong> <strong>Report</strong><br />
Building/Room:_____________________ Date:___________ Inspectors:_______________________<br />
PI/<strong>Lab</strong>oratory Manager:_____________________ Contact (if different): _______________________<br />
<strong>Department</strong>/Division/<strong>Lab</strong>oratory Unit:_______________________________________________________________<br />
Items checked below as “No” indicate problems that were observed or identified in this lab facility. A copy <strong>of</strong> this<br />
form with links to instructions for correction <strong>of</strong> deficiencies is available at: www.des.umd.edu/ls/survey.html<br />
Biological <strong>Safety</strong> No Yes N/A<br />
1. <strong>Lab</strong> employees using ( human blood / unfixed human tissue / human cell cultures ) have taken on-line Bloodborne<br />
Pathogens Training in past 12 months<br />
2. Biosafety cabinet has been certified in past 12 months<br />
3. At least one sink is equipped with soap and paper towels<br />
4. An appropriate disinfectant is available<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
<strong>Environmental</strong> Affairs<br />
5. Hazardous waste is properly stored ( closed / labeled / secondary containment / segregated )<br />
6. Sharps disposed in appropriate containers ( labeled / puncture-resistant / not over-filled )<br />
7. Radioactive waste is properly stored ( closed / labeled / secondary containment )<br />
8. Radioactive waste has log attached to the container that notes date(s) and activity level(s)<br />
9. Biological waste is autoclaved or chemically disinfected before disposal<br />
10. Waste generators (radioactive or chemical) have taken on-line training<br />
11. Chemical spill kit is immediately available<br />
12. Waste Disposal Guidelines are posted in room<br />
13. Satellite accumulation area sign is posted near point <strong>of</strong> hazardous chemical waste generation<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
Occupational Health & <strong>Safety</strong><br />
14. A Chemical Hygiene Plan with SOPs and chemical inventory has been prepared with a copy submitted to DES<br />
15. <strong>Lab</strong> workers have taken on-line Chemical Hygiene training<br />
16. <strong>Lab</strong> workers have received training from the PI concerning safety and emergency procedures<br />
17. Material <strong>Safety</strong> Data Sheets are available for all hazardous materials in the lab<br />
18. A chemical segregation strategy has been implemented to separate incompatible chemicals<br />
19. Chemical storage appears acceptable (describe problems in Remarks)<br />
20. Corrosive chemicals are not stored above eye level<br />
21. Chemical containers are ( intact / labeled / closed )<br />
22. Gas cylinders are properly restrained to prevent tipping or falling<br />
23. Peroxide-forming chemicals are dated when opened and disposed when expired<br />
24. Personal protective equipment used by lab workers is appropriate (describe problems in Remarks)<br />
25. <strong>Lab</strong> workers using respirators are enrolled in the UM Respiratory Protection Program (ID purpose in Remarks)<br />
26. Necessary emergency drench apparatus ( shower / eyewash ) is available and accessible<br />
27. Emergency eyewash is tested at least weekly<br />
28. Electrical connections or equipment are in serviceable condition (describe problems in Remarks)<br />
29. Electrical access panels are unobstructed<br />
30. Food and beverages are not ( consumed / stored ) in the laboratory<br />
31. Research apparatus that is connected into facility systems has been reviewed by FM (describe problems in Remarks)<br />
32. Fume hoods are ( not cluttered / unaltered by users )<br />
33. Emergency Response Guidelines are posted in the lab<br />
34. Hazard warning signs at entrances to laboratory are ( installed / current )<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
WHITE COPY - <strong>Lab</strong> YELLOW COPY - <strong>Department</strong> Head PINK COPY - Filed
<strong>Lab</strong> <strong>Safety</strong> <strong>Inspection</strong> <strong>Report</strong> - page 2<br />
Fire <strong>Safety</strong> No Yes N/A<br />
35. ( Exits / aisles / fire extinguishers / fire alarm pull stations ) are unobstructed<br />
36. Materials are not stored/placed within 18" <strong>of</strong> sprinkler heads<br />
37. <strong>Lab</strong> occupants have not made modifications to the facility structure<br />
38. Less than 10 gallons <strong>of</strong> flammable/combustible liquids are stored outside flammable liquid storage cabinets<br />
39. ( Refrigerator / freezer ) used for storage <strong>of</strong> flammable/combustible liquids or gases is approved<br />
40. Combustible materials are stored away from heat sources (e.g., ovens, furnaces, etc. (describe problems in Remarks)<br />
41. Exit ( signs / lights ) are functioning properly<br />
42. Gas cylinder storage is not excessive (describe problems in Remarks)<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
Radiation & Laser <strong>Safety</strong><br />
43. The (Caution Radioactive Material / X-Ray Radiation) sign is posted<br />
44. The MDE Notice to Employees is posted<br />
45. Radioactive materials are present only in authorized areas (describe unauthorized materials/locations in Remarks)<br />
46. Doors to rooms with radioactive materials are locked when lab personnel are not present<br />
47. Personnel using radioactive materials have received required training<br />
48. Personnel using radiation-producing devices have received required training<br />
49. Laser Warning Signs are ( posted when laser is in use / available / de-posted when laser is <strong>of</strong>f )<br />
50. Personnel operating lasers have received required training<br />
51. Appropriate laser eyewear is ( used / available ) by personnel in laser area<br />
52. Operating procedures are posted at the laser<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
G G G<br />
Research Information & Remarks<br />
Are any <strong>of</strong> the following biological toxins present in the lab: Abrin / Botulinum neurotoxins / Conotoxins / Diacetoxyscirpenol / Ricin / Saxitoxin /<br />
Shigatoxin / T-2 Toxin / Tetrodotoxin / Staphylococcal enterotoxins / Shiga-like ribosome inactivating proteins / Clostridium perfringens epsilon<br />
toxin<br />
Check box if an Electron Microscope is in this facility G<br />
Describe any (type, wavelength, power) lasers that are known to be in the lab that have potential for users to be exposed to the beam:<br />
Describe general nature <strong>of</strong> work conducted:<br />
What does the PI/<strong>Lab</strong> Manager believe is the lab’s greatest hazard:<br />
What additional safety efforts/initiatives does the PI/<strong>Lab</strong> Manager feel DES should initiate:<br />
Remarks/Special Hazards/Housekeeping Issues:<br />
<strong>Report</strong> Received by: _________________________________________________ Date:_________________<br />
WHITE COPY - <strong>Lab</strong> YELLOW COPY - <strong>Department</strong> Head PINK COPY - Filed
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