Laboratory
Safety Inspection Form
Conducted By: _______________________________ Date: __________
Location (room # &
building):
____________________________
| I. Lab Work Practices |
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Yes/No
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Comments
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No smoking, food & beverages rules are observed.
Food and beverages are not stored in the laboratory areas,
refrigerators or in glassware that is also used for laboratory
operations.
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Yes/No |
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Pipetting is performed by mechanical means.
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Yes/No |
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Laboratory surfaces are cleaned; disinfected or
decontaminated after work is performed.
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Yes/No |
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Required PPE is being worn.
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Yes/No |
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Used needles are stored in appropriate sharps containers
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Syringes are needle locking..
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Yes/No |
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No recapping of needles is performed.
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Yes/No |
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Hoods are not being used for storage.
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Yes/No
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| II.
Housekeeping |
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Yes/No
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Comments
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Laboratory and storage areas uncluttered and orderly
(including benchtop).
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Yes/No |
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Aisles & exits are free from obstruction.
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Yes/No |
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Work surfaces are protected from contamination.
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Yes/No |
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Electrical cords are in good condition and are UL listed.
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Yes/No |
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Tools and equipment are in good repair and electrically
grounded.
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Yes/No |
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Tops of cabinets and shelves are free from stored items.
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Yes/No |
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Heavy objects are confined to lower shelves.
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Yes/No |
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Glassware is free from cracks, chips, sharp edges and
other defects.
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Yes/No |
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Broken glass containers are available and in use.
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Yes/No |
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| III.
Personal Protective Equipment |
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Yes/No |
Comments |
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Protective gloves are available and matched to hazards
involved.
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Yes/No
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Eye protection is available and in use in all
laboratories.
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Yes/No
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Lab coats, "Tvek" garments etc. are available
and in use.
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Yes/No
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Lab coats are only worn in the laboratory and are removed
before entering offices, lunchrooms, rest rooms, conference rooms
and other non-laboratory general use areas. (This includes
disposable protective clothing).
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Yes/No
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Dirty lab coats/uniforms are stored in a covered container
until removed for laundering.
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Yes/No
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Appropriate protective clothing is available and in use
when working with radioactive materials.
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Yes/No
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Respirators are provided when necessary, and selected on
the basis of hazard present.
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Yes/No
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Respirators are used correctly, cleaned after every use
and stored in a convenient, clean and sanitary area.
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Yes/No
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| IV.
Hazard Communication |
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Yes/No |
Comments |
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Primary & secondary chemical containers are labeled
with identity, appropriate hazard warnings, and expiration dates.
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Yes/No
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Signs on storage areas (e.g. Refrigerators) and
laboratories are consistent with hazards within.
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Yes/No
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MSDS binders are available for chemicals used and stored
in area.
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Yes/No
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Employees know the location of the MSDS binders for their
work area.
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Yes/No
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Satellite MSDS collections are complete and readily
available at all times to labs.
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Yes/No
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| V.
Chemical Storage |
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Yes/No |
Comments |
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Incompatible materials are segregated.
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Yes/No
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Corrosives and flammables are stored below eye level.
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Yes/No
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Hazardous materials used/stored in the laboratory are
limited to small quantities.
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Yes/No
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Unnecessary, unused, or outdated materials are removed
from laboratories and chemical storage areas.
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Yes/No
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Safety carriers are available and in use while transporting
chemicals.
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Yes/No
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All lab carts have side-rails.
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Yes/No
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All containers are properly labeled with: Name, Date, Contents, Lab #
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Yes/No
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| VI.
Flammable Liquids Storage & Handling |
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Yes/No |
Comments |
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Flammable liquids are stored and used away from ignition
sources.
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Yes/No
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Bulk quantities of flammable liquids are stored in
approved storage cabinets.
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Yes/No
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Flammable liquid storage cabinets are properly labeled.
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Yes/No
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Flammable liquid storage cabinets close properly.
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Yes/No
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Flammables stored on open shelves in glass or plastic
containers are within permissible quantities (limit =
)
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Yes/No
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Safety cans used to handle small quantities of flammable
liquids are properly labeled.
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Yes/No
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Solvent waste cans are labeled properly with: Name, Contents, Lab #.
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Yes/No
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Nothing is stored on top of flammable cabinets.
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Yes/No
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| VII.
Compressed Gas Cylinders |
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Yes/No |
Comments |
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Gas cylinders are properly chained/secured.
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Yes/No
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Cylinder caps are in place when cylinders are not in use
or being moved.
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Yes/No
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Gas cylinders are transported on a cart with chains.
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Yes/No
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Gas cylinders are stored away from excessive heat.
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Yes/No
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Fuel gas cylinders are at least 20 feet away from oxygen
cylinders.
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Yes/No
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Gas cylinders are properly marked as to their contents.
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Yes/No
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Full and empty cylinders are stored separately.
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Yes/No
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Empty gas cylinders are labeled “EMPTY”.
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Yes/No
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Gas lines, piping, manifold, etc. are labeled with the
identity of their contents.
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Yes/No
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Hoses, tubing and regulators are in good working
condition.
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Yes/No
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| VIII. Waste Handling: Hazardous,
Non-Hazardous & Biological
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Yes/No |
Comments |
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No liquid waste is disposed of in the sinks or the sewer.
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Yes/No
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Hazardous wastes are not accumulated for longer than one
month in the laboratory.
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Yes/No
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Waste streams are separated as necessary: ex. Solid vs.
liquid, hazardous vs. non-hazardous, halogenated vs non-halogenated,
etc..
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Yes/No
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Waste containers are appropriately tagged before placing
in waste room.
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Yes/No
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Containers of hazardous waste are labeled properly with
the date and name of person discarding waste.
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Yes/No
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Biological waste
is appropriately marked with a biohazard symbol.
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Yes/No
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Syringes and other sharp waste are disposed of into a
sharps container and placed directly into biohazard waste
container.
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Yes/No
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Waste material is not allowed to accumulate on the floors,
in corners or under shelves/tables in laboratories.
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Yes/No
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Radioactive waste
is properly marked with radiation symbol.
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Yes/No
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| IX.
Exits |
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Yes/No |
Comments |
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Exits are clearly marked.
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Yes/No
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Exits are free from obstruction.
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Yes/No
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All fire doors are self-closing.
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Yes/No
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All fire doors are kept closed.
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Yes/No
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Fire alarms are provided.
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Yes/No
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Telephones are labeled with emergency numbers.
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Yes/No
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Emergency evacuation routes are clearly posted.
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Yes/No
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Emergency evacuation routes are posted in common hallways.
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Yes/No
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Emergency exit lights are working and clear of
obstruction.
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Yes/No
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| X.
Safety Equipment |
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Yes/No |
Comments |
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Safety showers and eye wash stations are located within
75’ of all laboratories.
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Yes/No
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Safety showers and eye wash stations are clearly labeled,
and these areas are clear from obstruction.
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Yes/No
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All showers and eye wash stations are clean, covers are
replaced and they in good working condition.
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Yes/No
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Fire extinguishers are available.
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Yes/No
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Fire extinguishers are the appropriate type for the hazard
in the work area.
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Yes/No
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Fire extinguishers are checked monthly. Date of last check:
_________
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Yes/No
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Fire detection devices, smoke alarms, sprinkler systems,
lighted exit signs are in good working condition.
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Yes/No
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First-aid supplies are readily available and clearly
visible.
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Yes/No
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Spill team list is clearly posted in laboratories.
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Yes/No
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| XI.
Other Labeling & Posting |
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Yes/No |
Comments |
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Warning signs and labels are present whenever
required (e.g. carcinogen, mutagen) where chemicals are stored.
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Yes/No
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“No Smoking” signs are posted in prohibited
areas.
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Yes/No
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“Caution- Radioactive Material” signs are posted
on doors of all authorized laboratories, and on
refrigerators/freezers where materials are stored.
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Yes/No
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Biohazard symbols are posted on access doors to
biohazard laboratories and animal rooms and on potentially
contaminated equipment.
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Yes/No
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| XII.
Miscellaneous & Notes |
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