OCCUPATIONAL HEALTH AND SAFETY

LABORATORY INSPECTION FORM

Department: Plant and Soil Sciences	Room(s): 112 Worrilow Hall
Principle Investigator(s): C. Golt	Date: 9/18/02
Inspector(s): C. Golt	Period: Fall 2002

Area	S	UNS	NA	Comments (CHO Response)
A. ADMINISTRATIVE:
Emergency Posting?	X
After hours work?	X
Windows covered?	X
Unauthorized occupants?	X
Chemical inventory available?	X
Biological material inventory available?	X
MSDSs in lab?	X
RTK/CHP training?	X
Job Hazard Analysis?		X
PPE available?	X
No Smoking, Eating, Drinking?	X
Emergency training?	X
Lab doors closed?	X
B. ELECTRICAL:
General condition?	X
Use of extension cords?	X
Breaker/Circuit identification?		X		Some are done. Needs to be done by electrician.
Ground fault protection?	X
C. GENERAL SAFETY:
Housekeeping/egress?	X
Tripping/slipping hazards?	X
Surplus equipment?	X
Hot surfaces/equipment?	X
Refrigerators/freezers?	X
Safety shower/eye wash?	X
Potable water protection?	X
First Aid Kits?	X
Needles/syringes secured?	X
Emergency lights?	X
Ice machines/microwave ovens?			X
D. FIRE SAFETY CONCERNS:
Fire extinguishers?	X
Detectors/sprinklers?	X			No sprinklers in building.
Combustible storage?	X
Extinguishing systems?	X
Special concerns?	X
E. 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
F.WASTE MANAGEMENT:
Quantity of waste accumulated?	X
Segregated in proper containers?	X
Properly labeled?	X
Properly stored/secured?	X
G. 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
H. PERSONAL PROTECTIVE EQUIPMENT (PPE)
Proper lab attire?	X
PPE made available?	X
Safety glasses being worn?	X
Contaminated PPE?	X
I. VENTILATION
Fume hood in use?	X
Fume hood certified?	X
Proper use of fume hood?	X
Fume hood cluttered?	X
Biosafety cabinets?			X
J. COMPRESSED GASES
Unnecessary storage?	X
Capped/restrained/labeled cylinders?	X
Proper lines and regulators?	X
Regulators inspected?	X
Proper labeling?	X
K. SPECIAL CONSIDERATIONS: If any of the following are being used in the lab, notify DOHS at x8475.			X	None of these used.
Acutely toxic chemicals
Animals
Bloodborne pathogens
Carcinogens
Heavy metals
Infectious Agents
Lasers
PCBs
Pesticides
Recombinant DNA
Reproductive hazards