OCCUPATIONAL HEALTH AND SAFETY

LABORATORY INSPECTION FORM

Department: Plant and Soil Sciences/ Animal Sciences	Room(s): 307 Worrilow Hall
Principle Investigator(s):  Caroline Golt	Date: 9/18/02
Inspector(s): C. Golt	Period: Fall 2002

Area	S	UNS	NA	Comments (CHO Response)
A. ADMINISTRATIVE:
Emergency Posting?		X		Need wall poster insert card.
After hours work?	X
Windows covered?	X
Unauthorized occupants?	X
Chemical inventory available?			X	No chemicals stored here.
Biological materials inventory available?			X	None stored here.
MSDSs in lab?			X	None
RTK/CHP training?			X	Everyone using this general equipment room is assigned to another lab.
Job Hazard Analysis?		X		Needed for autoclave.
PPE available?	X			Each lab must bring their own gloves, etc.
No Smoking, Eating, Drinking?	X
Emergency training?	X
Lab doors closed?			X	Room is never closed - general equipment for entire college.
B. ELECTRICAL:
General condition?	X
Use of extension cords?	X
Breaker/Circuit identification?	X
Ground fault protection?	X
C. GENERAL SAFETY:
Housekeeping/egress?	X
Tripping/slipping hazards?	X
Surplus equipment?	X
Hot surfaces/equipment?	X			Autoclave.
Refrigerators/freezers?			X	None.
Safety shower/eye wash?	X
Potable water protection?	X
First Aid Kits?			X
Needles/syringes secured?			X	None.
Emergency lights?			X	Hallway.
Ice machines/microwave ovens?	X			Ice machine for building.
D. FIRE SAFETY CONCERNS:
Fire extinguishers?	X
Detectors/sprinklers?			X
Combustible storage?			X	None.
Extinguishing systems?			X
Special concerns?			X
E. CHEMICAL CONCERNS:
Spill kits?
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.				Ethidium bromide to stain DNA in gels.
F.WASTE MANAGEMENT:
Quantity of waste accumulated?			X	No waste collected in this room.
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			May be wet from ice or autoclave.
H. PERSONAL PROTECTIVE EQUIPMENT (PPE)
Proper lab attire?			X	Must be supplied by individual researchers using room.
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	None.
J. COMPRESSED GASES
Unnecessary storage?			X	None.
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
Acutely toxic chemicals
Animals
Bloodborne pathogens
Carcinogens
Heavy metals
Hydrofluoric acid
Infectious Agents
Lasers
PCBs
Pesticides
Recombinant DNA
Reproductive hazards