Methodist University office of Enviornmental Health and Safety Page 1 of 3 B. ANNUAL CAMPUS EHS INSPECTION CHECKSHEET [ PRINTSHOP ] Methodist University | Environmental Health and Safety Division Principal Investigator: Date: Room Contact: Room Number: Room 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 ITEM NA Written Laboratory Safety Policies and Procedures 1 Is there a current MU Lab Chemical Hygiene Plan accessible to every worker in the lab? 4 Is a laboratory Floor 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 room’s inventory entered into CID (Chemical Inventory Database)? 8 Has the room's room number and contact been updated in CID in the last year ? EH&S Comments Employee Training 9 11 12 Have all employees using equipment in this room attended Annual Training class? Have all employees received instruction of proper use of all PPE's needed? Are training records complete and available upon request to outside inspectors? Emergency Kits/Safety Equipment 13 14 15 16 17 18 19 20 21 Does the laboratory have access to first aid kit and chemical/biological spill kits ? Are eyewash/showers accessible within 10 seconds (approx 50 ft)? Are emergency eyewash and shower stations free of obstructions ? Are tests current for the emergency shower (annually) and eyewash (weekly)? Can ALL chemical work be done more than six inches into a fume hood ? Have fume hoods been tested in the past year? Are fume hood sashes in good condition and being used at the proper setting? Are chemical fume hoods kept uncluttered so that air flows properly? Are appropriate hazard warning signs (chem/bio) posted in lab? Fire and Electrical Safety 22 23 Are aisles, exits, and adjoining hallways maintained free of obstructions ? Are fire extinguishers easily accessible and free of obstructions? Updated: November 2011 EHS - Printshop Checksheet Methodist University office of Enviornmental Health and Safety 24 25 26 27 28 29 30 Page 2 of 3 Have fire extinguishers been inspected in the past year? Are there 18 inches of clearance between stored items and ceiling/fire sprinklers? Do suspended ceilings have all of their ceiling tiles in place? Are extension cords used only as temporary wiring? Are extension cords or power strips not daisy-chained to each other? Are electrical cords in good condition with no breaks or exposed wiring? Are tall bookcases, filing cabinets, and furnishings near doorways & exits secured ? Hazardous Material Safety 31 Are all containers clearly labeled with their contents and primary hazard(s)? 32 Are all containers in good condition (not corroded or leaking)? 33 Do all containers have secondary containment ? 34 Are hazardous materials storage cabinets properly labeled ? 35 Is the amount of flammable liquids outside of storage cabinets under 10 gallons ? 36 Are chemical & waste containers kept away from sinks and floor drains ? 37 Are incompatible hazardous materials segregated? 38 Do spill/cleanup kits have tamper seals in tack? 39 Are compressed gas cylinders secured to prevent them from falling or tipping? 40 41 42 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? Are room surfaces organized and clean of gross chemical contamination ? Hazardous Chemical Wastes 43 Are chemical waste containers compatible with contents & in good condition? 44 Are chemical waste containers closed ? 45 Are chemical wastes segregated by hazard class? 46 Are chemical waste containers labeled with MU Hazardous Waste label (MU-HAZLBL)? 47 Is the room free of chemicals that are expired or unneeded? 48 Are there any signs of chemicals being discharged down the drains ? Printshop Specific 49 50 51 52 53 Are all surfaces free of dust and particulate matter from chemicals and papers? Are guillotine and other cutters in proper working order and have all safety covers and protectors in tact? Is hearing protection being worn during use of loud machinery? All ink and fountain solutions are being collected as hazardous waste and are in secondary containment? General Housekeeping rules are being followed? (no food in work areas and vice versa) Personal Protective Equipment Updated: November 2011 EHS - Printshop Checksheet Methodist University office of Enviornmental Health and Safety 54 55 Page 3 of 3 Is PPE identified in the chemical hygiene plan available to all people present and in good condition? Is all proper PPE being provided by the university and available in the room ? Comments: Corrective Action Items: Room Inspection Conducted By: (Sign) Supervisor/Instructor/Chair/Dean (Sign, Date) Updated: November 2011 EHS - Printshop Checksheet