The University of Akron Environmental and Occupational Health and Safety Laboratory Inspection Notification 180 East Mill St. 44325-0607 Tel. # (330) 972-6866, Fax # (330) 972-5711 Laboratory Safety Notice of Violation Building: Department: Room Number: Name of Research Advisor: Occupant Name: Phone Number: Fax Number: Zip: Date: Corrective Actions: Time: Unit # 1. 2. 3. 3. 4. 5. Type of Inspection: Remove/Reposition equipment in the hood Unblock/Free sash operation Organize/Store your chemicals properly Clean up (general housekeeping) Replace / repair 1. 2. 3. 4. 5. Weekly Monthly Safety Concern Special/ testing Re-inspection 6. Service 7. Assistance needed from EOHS Areas of Violation: 1 Emerg. Contact Posted 12 2 Storage of Flammables 13 3 4 5 6 Storage of Corrosives Storage of Reactives Unsafe Apparatus setup Extension Cords 7 8 Aisle Housekeeping Bench Housekeeping Housekeeping in 9 Hoods 10 Staff wearing PPE Needles/Sharps 11 Managed Inspector's Comments: 14 15 16 17 18 19 Hazardous Waste Management Appropriate Signs (Rad. Biohazard) Gas cylinders secured Emergency Notification Info Objects Blocking Egress Fuel gases > 20 ft from Oxygen Chemical Hygiene Plan in area Lab Safety Training 23 24 Chemicals in the office area Access to Safety Showers/Eyewash 25 26 First Aid Kit in the area Refrigerators for Chemicals only 27 Hood Inspection Current 28 Fire Extinguishers Inspection 29 30 Explosion proof refrigerator Emergency Spill Kits 20 21 MSDS Information Chemical Inventory Updated 31 32 Presence of Unlabelled Containers Accident Reporting Procedure 22 Food/Beverage in the lab 33 Clear Glass Panel on Lab Door You are hereby notified to correct the above conditions within . If you have any concerns or questions, please contact the Department of Environmental and Occupational Health and Safety at (330)-972-6866. Inspector Printed Name: Inspector Signature: