Material Pre-Purchase Checklist - Health, Safety and Emergency

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Pre-Purchase Checklist for Materials (e.g. Specimen or Sample)
This checklist is to be used for the initial purchase of Materials, not commercial products, listed in Point 1.
Operational Area
Date
__ / ___ /
(School/ Department/ Research Group/ Project/
Area)
Completed by
Authorised by
(Line-manager/ Lab Management)
Description of chemical
Location of storage and use
Quantity requested
(Identify building, laboratory and
storage locations, may be multiple
locations)
Supplier
___________________________________
___________________________________
Quantity to be approved by Laboratory Management
as the total storage capacity of each Operational
Areas must to be assessed prior to purchase
Complete this section prior to the material order being placed
Checklist
1
LEGISLATION and SDS
Is the material a:
 restricted carcinogen/poison/substance (refer to Schedule 5.4 and 5.5 of the
OSH Regulations 1996)?
 scheduled substance in the Standard for Uniform Scheduling of Medicines
and Poisons?
 ozone depleting substance as defined by the Ozone Protection and Synthetic
Greenhouse Gas Management Act 1989?
 hazardous substance?
 dangerous good?
 nano-material?
 biological material?
 quarantine material?
 radioactive material?
Is the material a:
 sample taken from the environment, outside of Australia?
 sample taken from the environment, from the Eastern States of Australia?
 sample of/from a living creature taken from the wild in Western Australia?
 sample taken from a person or an animal?
Version 2.0
Additional Notes
Yes ☐ No ☐
If yes, contact HSEM on ext: 4900
Yes ☐ No ☐
If yes, contact the Hazardous Substances Advisor on ext: 1724
Yes ☐ No ☐
If yes, contact the Portfolio Manager Sustainability on ext: 7952
Yes ☐
Yes ☐
Yes ☐
Yes ☐
Yes ☐
Yes ☐
No ☐
No ☐
No ☐
No ☐
No ☐
No ☐
If yes, contact HSEM on ext: 4900
If yes, contact HSEM on ext: 4900
If yes, contact HSEM on ext: 4900
If yes, contact Biological Safety Advisor ext 1383
If yes, contact Biological Safety Advisor ext 1383
If yes, contact Radiation Safety Advisor ext 1708
Yes ☐
Yes ☐
Yes ☐
Yes ☐
No ☐
No ☐
No ☐
No ☐
If you answered yes, to any of these questions contact the Biological Safety
Advisor ext 1383
Refer to the Biosafety Awareness Statement to learn how to comply with
legislation and permit requirements.
Health, Safety and Emergency Management
Complete this section prior to the material order being placed
Checklist
2
Additional Notes
Have you obtained and reviewed formal written information from the supplier
regarding any risks associated with this material?
FACILITIES and EMERGENCY MANAGEMENT
Would the material be hazardous to the environment or landfill? (e.g. emissions into
the atmosphere, dust, contaminated animal carcasses, glassware, sharps, PCB’s, rock
samples or asbestos)
If Yes, are there appropriate procedures in place to prevent contamination to the
environment or landfill?
3
Is the area the material is to be handled appropriate for the use of that material? (e.g.
restricted access, adequate ventilation, biosafety cabinet, laminar flow).
Are there appropriate emergency procedures and equipment in place to manage any
incident associated with the material? (e.g. safety showers, eye wash, spill kits, fire
extinguishers, first aid)
RISK ASSESSMENT and SAFE WORK PROCEDURES
Have the required risk assessments for the use of the material been undertaken and
approved? (this will include, elimination, substitution, isolation, engineering,
administration and PPE requirements)
Is area monitoring or health surveillance required?
4
5
TRAINING
Is any particular training on the handling and storage of the material required? (e.g.
Radioactive Material, Biological Substances or Hazardous Substances and Dangerous
Goods).
DISPOSAL
Is a waste storage, disposal criteria and disposal procedure in place to manage the
waste material?
Yes ☐ No ☐
If yes, contact Biological Safety Advisor ext 1383
Yes ☐ No ☐
If yes, contact the Portfolio Manager Sustainability on ext: 7952
Yes ☐ No ☐
If yes, contact the Portfolio Manager Sustainability on ext: 7952
Yes ☐ No ☐
If no, contact the Laboratory Manager
Yes ☐ No ☐
If no, contact the Laboratory Manager
Yes ☐ No ☐
If no, complete the risk assessments and forward to your Manager/Supervisor
for approval
Yes ☐ No ☐
If yes, provide details
Yes ☐ No ☐
If yes, provide course details and booking or evidence of completion
Yes ☐ No ☐
If no, contact the Laboratory Manager
Manager/Supervisor Acknowledgement: All hazards have been identified and adequately controlled and all appropriate documentation is in place prior to purchase of the material/s.
Name:
Signature:
Role:
Date:
Comments:
Record Keeping: It is the responsibility of the Faculty to store all relevant records regarding the purchase of all material/s.
Version 2.0
Health, Safety and Emergency Management
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