Methodist University | Environmental Health and Safety Division
Principal Investigator: Date:
Lab Contact:
Room Number: Lab 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 Lab Chemical Hygiene Plan accessible to every worker in the lab?
EH&S Reference
2 Are there up-to-date written Standard Operating Procedures ( SOPs )?
3 Is there an up-to-date laboratory Floor Plan - Emergency Exit posted in the laboratory?
4 Is a laboratory 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 lab’s inventory entered into CID (Chemical Inventory Database)?
8 Has the lab's room number and contact been updated in CID in the last year ?
Employee Training
Have instructors and lab assistants attended Annual Training class?
9
Have all lab participants received laboratory specific safety training ?(from instructor)
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 laboratory 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
Can ALL chemical work be done more than six inches into a fume hood ?
17
Have fume hoods been tested and certified in the past year?
18
Are fume hood sashes in good condition and being used at the proper setting?
19
Are chemical fume hoods kept uncluttered so that air flows properly?
20
Are appropriate hazard warning signs (chem/bio) posted in lab?
21

Fire and Electrical Safety
Are aisles, exits, and adjoining hallways maintained free of obstructions ?
22
Are fire extinguishers easily accessible and free of obstructions?
23
Have fire extinguishers been inspected in the past year ?
24
Are there 18 inches of clearance between stored items and ceiling/fire sprinklers?
25
Do suspended ceilings have all of their ceiling tiles in place?
26
Are extension cords used only as temporary wiring?
27
Are extension cords or power strips not daisy-chained to each other?
28
Are electrical cords in good condition with no breaks or exposed wiring?
29
Are tall bookcases, filing cabinets, and furnishings near doorways & exits secured ?
30
Hazardous Material Safety
Are all containers clearly labeled with their contents and primary hazard(s)?
31
Are all containers in good condition (not corroded or leaking)?
32
Do all containers have secondary containment ?
33
Are hazardous materials storage cabinets properly labeled ?
34
Is the amount of flammable liquids outside of storage cabinets under 10 gallons ?
35
Are chemical & waste containers kept away from sinks and floor drains ?
36
Are incompatible hazardous materials segregated?
37
Do spill/cleanup kits have tamper seals in tack?
38
Are compressed gas cylinders secured to prevent them from falling or tipping?
39
40
Are refrigerators marked " Not for Human Consumption "? And personal food is not being stored in the refridgerator?
Is food and drink only consumed outside of laboratory?
41
Are laboratory surfaces organized and clean of gross chemical contamination ?
42
Hazardous Chemical Wastes
Are chemical waste containers compatible with contents & in good condition?
43
Are chemical waste containers closed ?
44
Are chemical wastes segregated by hazard class?
45
Are chemical waste containers labeled with MU Hazardous Waste label (MU-HAZLBL)?
46
Is the lab free of chemicals that are expired or unneeded?
47
Are there any signs of chemicals being discharged down the drains ?
48

Biological Safety
49
If work involves infectious agents or recombinant DNA, does the instructor have a Biological Use
Authorization Letter?
Are blades, needles and other sharps promptly disposed of in sharps containers?
50
Has autoclave been structurally inspected and tested within the past two years?
51
Are needles disposed of after a single use and not recapped /reused?
52
Personal Protective Equipment
Is PPE identified in the lab SOPs available to all people present and in good condition?
56
Is all proper PPE being provided by the university and available in the lab ?
57
Corrective Action Items:
Lab Inspection Conducted By: (Sign)
Supervisor/Instructor/Chair/Dean (Sign, Date)