Laboratory Safety Inspection Form

Building

Room #

Inspector

Date

1 Lab is maintained secure; door is locked when no one is in lab.

• Yes
• No
• N / A

2 Appropriate clothing (no shorts or sandals) worn by everyone in lab.

• Yes
• No
• N / A

3 Personal protective equipment (PPE) (i.e. lab coats, nitrile gloves, safety glasses, etc.) is available in labs handling chemicals, infectious materials, or any other health/physical hazard.

• Yes
• No
• N / A

4 Work and storage areas clear of clutter; access to exit is unrestricted.

• Yes
• No
• N / A

5 No food or drinks found in labs.

• Yes
• No
• N / A

6 Hazard sign posted on corridor door.

• Yes
• No
• N / A

7 Emergency phone numbers & plan posted next to phone.

• Yes
• No
• N / A

8 Eyewash not blocked; can be accessed easily.

• Yes
• No
• N / A

9 Fume hood free of clutter and stored chemicals.

• Yes
• No
• N / A

10 Appropriate labels are found on all hazardous chemical containers.

• Yes
• No
• N / A

11 Flammable liquid storage is limited to 25 gallons/room w/o flammable cabinet.

• Yes
• No
• N / A

12 No flammable chemicals stored in regular refrigerator.

• Yes
• No
• N / A

13 All compressed gas cylinders secured in upright position.

• Yes
• No
• N / A

14 All compressed gas cylinders capped when not in use.

• Yes
• No
• N / A

15 Shelves and chemical containers in good condition (no leaks, rust).

• Yes
• No
• N / A

16 Spill control equipment (neutralizers, absorbent pads) are present.

• Yes
• No
• N / A

17 Hazardous chemical waste is generated in this area (If “N/A”, skip to question # 26).

• Yes
• No
• N / A

18 Satellite Accumulation Area (SAA) is located at or near where waste is generated.

• Yes
• No
• N / A

19 Maximum SAA storage capacity not exceeded (55-gallons per hazardous waste stream).

• Yes
• No
• N / A

20 Waste containers are in good condition (not leaking, rusted, bulging or damaged).

• Yes
• No
• N / A

21 Each container is marked with the words “Hazardous Waste”.

• Yes
• No
• N / A

22 Each container is marked with full chemical names identifying the contents stored inside (no abbreviations or formulas).

• Yes
• No
• N / A

23 Waste containers are kept closed unless adding waste.

• Yes
• No
• N / A

24 Waste containers storing liquid hazardous waste at or near sinks and drains are stored within secondary containment.

• Yes
• No
• N / A

25 Secondary containment is in good condition (free of cracks, gaps and impervious to leaks).

• Yes
• No
• N / A

26 Regulated medical waste or "sharps" waste is generated in this area (If “N/A”, skip to question # 29).

• Yes
• No
• N / A

27 Sharps are disposed in a proper container that is kept closed unless waste is being added.

• Yes
• No
• N / A

28 Regulated medical waste is placed in red bags within boxes that are properly labeled or in another suitable container (e.g. 55-gallon fiberboard drum).

• Yes
• No
• N / A

29 Biological materials are not stored in hallways or chaseways in unlocked freezers or refrigerators.

• Yes
• No
• N / A

30 Biohazard signs are posted in all labs handling infectious materials (BSL2 >).

• Yes
• No
• N / A

31 Lab coats, gowns or scrubs are in use in labs handling infectious materials (BSL2 >).

• Yes
• No
• N / A

32 Disinfectants are on hand for sanitizing bench tops and treating spills.

• Yes
• No
• N / A

33 Biological safety cabinet(s) were certified within the last 12 months.

• Yes
• No
• N / A

34 If radioactive material is present, is a proper sign posted on the lab door?

• Yes
• No
• N / A

35 Radioactive waste is generated in this area.

• Yes
• No
• N / A

36 Mixed waste (e.g. scintillation vials and any other radioactive and hazardous chemical waste mixture) is generated in this area.

• Yes
• No
• N / A

37 Radioactive and/or mixed waste containers are properly labeled.

• Yes
• No
• N / A

38 The GM meter(s) is calibrated.

• Yes
• No
• N / A

39 The radioactive material use area is marked properly.

• Yes
• No
• N / A

40 The radioactive material storage freezer is properly labeled.

• Yes
• No
• N / A

41 Vials of radioactive material within a freezer are stored in a proper "lock box".

• Yes
• No
• N / A

Comments

Reference: https://ehs.stonybrook.edu/programs/laboratory-safety/general-laboratory-safety/Laboratory%20Safety%20Inspection%20Form.pdf