Research Lab Safety Form - University of San Diego

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Laboratory Hazard Assessment,
Personal Protective Equipment Use, and
Policy on Working Alone in the Laboratory
hemist, Department
of Chemistry
and Biochemistry
All undergraduate
research
students,
University of San Diego
Work-Study students, teaching assistants, post-doctoral scholars and
research staff must complete this document on an annual basis to insure 1) knowledge of the hazards that may
be encountered in the chemistry and biochemistry teaching and research laboratories; 2) knowledge of how
Chemistry
and protective
Biochemistry
at the UNIVERSITY
OF SAN
personal
equipment
(PPE) is used
to avoid injury.
of
andiego.edu/cas/chemistry), an independent Catholic university,
track assistant professor in biochemistry to begin in Fall 2014.
NAME
EMAIL __________________________________
applicant will
have a_____________________________________
demonstrated commitment to undergraduate
ontribute to chemistry and biochemistry curriculum development;
ergraduate
level lecture
and laboratory courses _________________________________________________________
including
FACULTY
MENTOR/SUPERVISOR
biophysical chemistry and specialized courses in the field of
is expected to establish a vigorous externally funded
Part 1) Whereas
Attend the
department
safety training
Initials _________
esearch program.
research specialization
is open to
related disciplines, we seek applicants whose work resonates
-centeredPart
approach
to teaching
and a collaborative approach to
2) Hazard
identification
rgraduate research. Candidates with interdisciplinary approaches
the potential
hazardsis and
theinrecommended Personal Protective Equipment guidelines on page
research Review
are encouraged
to apply.chemical
The Department
housed
this document.
000 sq. 2
ft. of
interdisciplinary
science facility boasting excellent
equipment and support staff. The department is strongly
Initials _________
iversity and especially encourages applications from ethnic
Part 3) General training for Personal Protective Equipment
members of other underrepresented groups. To submit your
Watch
and ofreview
thephilosophy,
video on research
“Outfit for
Safety”
(UCSD) regarding Personal Protective Equipment and
rials (C.V.,
statement
teaching
plans
and
recommendation),
to: www.sandiego.edu/hr/faculty
laboratoryplease
safety.go URL:
http://www.youtube.com/watch?v=RXmG8mjUviI
C11186). Application materials should be received by October
Initials _________
Part 4) Lab specific training
With the faculty advisor, supervisor or lab safety officer:
Discuss what types of PPE are used in the lab.
Discuss when PPE is necessary in the lab.
Discuss how to obtain and wear PPE for this lab.
Discuss proper care and disposal of the PPE for this lab.
Discuss the limitations of the PPE for this lab.
Discuss the proper PPE practices (not wearing gloves outside of lab hazard areas, etc.).
Initials _________
Part 5) Work Alone Policy
Undergraduates (research students, Work-Study students and TAs) can work alone with dangerous materials,
equipment or perform laboratory operations only after having received the consent and with the knowledge of
the research advisor or supervisor. Where possible, students shall arrange their schedules to work in lab when
another person is also in the lab. Students may not work alone after hours (evenings or when the
advisor/supervisor is not present), or on weekends unless given explicit permission by the research advisor for
those specific days/times.
Initials _________
Part 6) Documentation
This form is submitted to Desiree Harpe (SCST375), department executive assistant who will provide copies of
both pages of this signed document to the (1) student researcher, (2) the faculty research mentor, (3) Danny
Rillera, the department safety officer, and (4) Starla Tudor, the building manager.
Laboratory Hazard Assessment, Personal Protective Equipment Use,
Lab Work and PPE Document – Page 1 of 2
and Policy on Working Alone in the Laboratory
Chemical Use Hazards
Activity
Working with small volumes
(<4 liters) of corrosive liquids.
Working with small to large volumes of
acutely toxic corrosives (solid, liquid,
or gas), or work that creates a splash
hazard.
Working with small volumes
(<4 liter) of organic solvents or
flammable organic compounds.
Working with large volumes
(>4 liter) of organic solvents, small to
large volumes of very dangerous
solvents, or work that creates a splash
hazard.
Potential Hazards
Eye or skin damage.
Poisoning, increased potential for
eye or skin damage, increased
potential poisoning through skin
contact.
Skin or eye damage, potential
poisoning and/or burns through
skin contact.
Recommended PPE
Safety glasses or goggles
, light
chemical-resistant gloves, lab coat.
Safety goggles or face-shield
, heavy
chemical-resistant gloves, lab coat, and
chemical resistant apron.
Safety glasses or goggles, light
chemical-resistant gloves, and lab coat.
Major skin or eye damage, Safety goggles, heavy chemicalpotential poisoning and/or burns resistant gloves, and flame-resistant
through skin contact. Fire.
lab coat
.
Poisoning, eye, skin or respiratory Safety glasses (goggles for large
Working with toxic or hazardous
damage. Potentially even death quantities), light chemical-resistant
chemicals (solid, liquid, or gas).
from exposure to toxic chemicals.
gloves, and lab coat.
Safety glasses or goggles, face shield
Working with an apparatus with
for high-risk activities. ChemicalEye or skin damage.
contents under pressure or vacuum.
resistant gloves and lab coat, chemicalresistant apron for high-risk activities.
Work in inert atmosphere, when
possible. Safety glasses or goggles.
Working with air or water reactive
Chemical-resistant gloves and lab coat,
Severe skin and eye damage. Fire.
chemicals.
flame resistant lab coat for high-risk
activities. Chemical- resistant apron
for high-risk activities.
Safety glasses, face shield and blast
Working with potentially explosive Splash, detonation, flying debris,
shield, heavy gloves and flamechemicals.
skin and eye damage, fire.
resistant lab coat
.
Working with low and high
Safety glasses, lab coat, and thermally
Burns, splashes, fire.
temperatures.
insulated gloves, when needed.
Safety glasses or goggles, chemicalresistant gloves, and lab coat.
Skin or eye damage, respiratory
Chemical-resistant
apron
and
Minor chemical spill cleanup.
damage.
boot/shoe
covers for high-risk
activities.
I understand the risks associated with working in a lab environment and will adhere to all USD and the
Department of Chemistry and Biochemistry safety rules.
SIGNATURE ________________________________________________
(Student/Staff Researcher)
DATE ________________
SIGNATURE ________________________________________________
(Faculty Advisor/Supervisor)
DATE ________________
Lab Work and PPE Document – Page 2 of 2
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