Methodist University | Environmental Health and Safety Division
Principal Investigator: Date:
Room Contact:
Room Number(s): Name/Function:
Building: Department:
Please check “YES,” “NO,” or “NOT APPLICABLE” for each item. Comments may be written next to the question or at the end of the survey. Questions answered “NO” require follow-up.
# Y N NA ITEM
Written Laboratory Safety Policies and Procedures
1 Is there a current MU Chemical Hygiene Plan accessible to every worker in the area?
EH&S Reference
2 Are there up-to-date written Standard Operating Procedures ( SOPs )?
3 Is there an up-to-date Floor Plan - Emergency Exit posted in the area?
4 Is a area F loor Plan included on the University's Internal Website?
5 Are Emergency Phone Numbers posted in lab near telephone?
6 Do employees / lab workers have ready access to MSDSs ?
7 Is the rooms inventory entered into CID (Chemical Inventory Database)?
8 Has the room's number and contact been updated in CID in the last year ?
Employee Training
Have all instructors/trainers/work studies attended EPA/OSHA Annual Training class?
9
Have all participants received area specific safety training ? (from instructor/trainer)
10
Have all lab participants received instruction of proper use of all PPE's needed?
11
Are training records complete and available upon request to outside inspectors?
12
Emergency Kits/Safety Equipment
Does the room have access to first aid kit and chemical/biological spill kits ?
13
Are eyewash/showers accessible within 10 seconds (approx 50 ft)?
14
Are emergency eyewash and shower stations free of obstructions ?
15
Are tests current for the emergency shower (annually) and eyewash (weekly)?
16
Are appropriate hazard warning signs (chem/bio) posted in lab?
17
Fire and Electrical Safety
Are aisles, exits, and adjoining hallways maintained free of obstructions ?
18
Are fire extinguishers easily accessible and free of obstructions?
19
Have fire extinguishers been inspected in the past year ?
20

Are there 18 inches of clearance between stored items and ceiling/fire sprinklers?
21
Do suspended ceilings have all of their ceiling tiles in place?
22
Are extension cords used only as temporary wiring?
23
Are extension cords or power strips not daisy-chained to each other?
24
Are electrical cords in good condition with no breaks or exposed wiring?
25
Are tall bookcases, filing cabinets, and furnishings near doorways & exits secured ?
26
Hazardous Material Safety
Are all containers clearly labeled with their contents and primary hazard(s)?
27
Are all containers in good condition (not corroded or leaking)?
28
Do all containers have secondary containment ?
29
Are hazardous materials storage cabinets properly labeled ?
30
Are chemical & waste containers kept away from sinks and floor drains ?
31
Are chemical & waste containers kept away from sinks and floor drains ?
32
Do spill/cleanup kits have tamper seals in tack?
33
Are compressed gas cylinders secured to prevent them from falling or tipping?
34
35
Are refrigerators marked " Not for Human Consumption "? And personal food is not being stored in the refridgerator?
Hazardous Chemical Wastes
Are chemical waste containers compatible with contents & in good condition?
36
Are chemical waste containers closed ?
37
Are chemical waste containers labeled with MU Hazardous Waste label (MU-HAZLBL)?
38
Is the lab free of chemicals that are expired or unneeded?
39
Are there any signs of chemicals being discharged down the drains ?
40
Atletic Training Specific
Are blades, needles and other sharps promptly disposed of in sharps containers?
41
Are needles disposed of after a single use and not recapped /reused?
42
43
Is biological waste disposed out through Student Health Services? (includes anything that has come into contact with blood that would be trashed)
Cleaners labeled and stored property
44
Laundry Services
Are laundry detregences used able to kill all biological or blood borne pathogens ?
45
Are all checmicals for the laundry room labeled / stored correctly?
46

All chemicals are in secondary containment and kept away from drains?
47
Consession Stands
Backflow preventer on soda fountains?
48
All cleaning chemicals are correctly labeled and are kept away from drains?
49
Personal Protective Equipment
Is PPE identified in the lab SOPs available to all people present and in good condition?
50
Is all proper PPE being provided by the university and available in the lab ?
51
Corrective Action Items:
Room Inspection Conducted By: (Sign)
Supervisor/Instructor/Chair/Dean (Sign, Date)