OCCUPATIONAL HEALTH AND SAFETY

LABORATORY INSPECTION FORM

Department: Plant and Soil Sciences	Room(s): 105 Worrilow Hall
Principle Investigator(s): Soil Teaching Lab	Date: 12/3/01
Inspector(s): Maria Pautler	Period: Winter 2001

Area	S	UNS	NA	Comments (CHO Response)
ADMINISTRATIVE:
Emergency Posting?	X
After hours work?	X
Windows covered?	X
Unauthorized occupants?	X
Chemical inventory available?	X
MSDSs in lab?	X
RTK/CHP training?	X
Job Hazard Analysis?		X		Working on
PPE available?	X
No Smoking, Eating, Drinking?	X
Emergency training?	X
ELECTRICAL:
General condition?	X
Use of extension cords?			X
Breaker/Circuit identification?	X
Ground fault protection?		X		Waiting for administration to deal with
GENERAL SAFETY:
Housekeeping/egress?	X
Tripping/slipping hazards?	X
Surplus equipment?	X
Hot surfaces/equipment?			X
Refrigerators/freezers?			X
Safety shower/eye wash?	X			Checked 7/01
Potable water protection?	X
First Aid Kits?	X
Needles/syringes secured?			X
Emergency lights?			X
Ice machines/microwave ovens?			X
FIRE SAFETY CONCERNS:
Fire extinguishers?	X			Checked 7/01
Detectors/sprinklers?		X		no sprinklers
Combustible storage?	X
Extinguishing systems?			X
Special concerns?			X
CHEMICAL CONCERNS:
Spill kits?	X
Storage by hazard?	X
Flammables/combustibles?	X
Container labels?	X
Excessive quantities?	X
Any materials which are highly toxic or carcinogenic require a Standard Operating Procedure developed. Check here for more details.	X
WASTE MANAGEMENT:
Quantity of waste accumulated?	X
Segregated in proper containers?	X
Properly labeled?	X
Properly stored/secured?	X
PHYSICAL/ ENVIRONMENTAL CONCERNS
Equipment clean and operable?	X
Laboratory lighting?	X
Moving parts guarded?			X
Noise levels?	X
Sharp edges, points?			X
Shields used?			X
Temperature?	X
Wet floors?	X
PERSONAL PROTECTIVE EQUIPMENT (PPE)
Proper lab attire?	X
PPE made available?	X
Safety glasses being worn?	X
VENTILATION
Fume hood in use?	X
Fume hood certified?	X			Checked 9/13/01
Proper use of fume hood?	X
Fume hood cluttered?	X
Biosafety cabinets?			X
COMPRESSED GASES
Unnecessary storage?			X
Capped/restrained/labeled cylinders?			X
Proper lines and regulators?			X
Regulators inspected?			X
SPECIAL CONSIDERATIONS: If any of the following are being used in the lab, notify DOHS at x8475.
Acutely toxic chemicals	X
Animals			X
Bloodborne pathogens			X
Carcinogens	X			K2CrO7
Heavy metals	X			K2CrO7
Hydrofluoric acid			X
Infectious Agents			X
Lasers			X
PCBs			X
Pesticides			X
Recombinant DNA			X
Reproductive hazards	X			K2CrO7

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