FACULTY OF SCIENCE FACILITY AUDIT CHECKLIST Version 5.1: October 2014 Next Form Review: August 2017 Name of School: Building No: Room No: Section/Area: Purpose: (Teaching, Research, Diagnostic, Commercial etc) Use: (Laboratory/Prep Area etc) Containment Level: Facility Risk Rating: Facility Manager: Contact Details: Date of Inspection: Inspection Team Leader: (Independent Staff Member) Names of Inspection Team: Signature of Inspection Team Leader: Date: Areas covered in the Facility Audit Item No: Category: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Policies and Documentation Risk Management Operational Facility Compliance/Fire Safety General Building Condition, Housekeeping and Maintenance Machinery and Equipment Cold Storage Biological Safety Anatomy Facilities Chemicals Drugs and Scheduled Substances Environmental Other (list items) Facility Inspection Audit Checklist Page No: 2 3 4 5 6 7 8 9 10-11 12 13 13 Page 1 of 14 Version 5.1 – October 2014 TRIM 11/55012 Hardcopies of this document are considered uncontrolled, please refer to the Technical Services Website for the latest version. 1. Policies and Documentation Component 1A Facility security & access 1B Facility (Laboratory) Manual 1C Facility Risk Register 1D 1E Asset Register Laboratory Awareness Guide 1F Visitors Policy 1G Prac Requirements Teaching 1H Projects - Research 1I Induction 1J Workplace inspections 1K Training Records 1L Safe work procedures (SWP) and/or Standard operating procedures (SOP) Risk assessments 1M 1N Purchase of equipment and chemicals procedure 1O Accident / incident reports 1P Staff Immunisation Facility Inspection Audit Checklist Compliance X N/A Additional Notes / Description Limited to laboratory personnel & others specified by laboratory management Faculty authorised access only sign displayed on all entrances Faculty Format Up to date All risks documented on a risk register Up to date Staff aware of and able to access the guide Register of all visitors Complete list of all requirements for practical classes - provided a minimum of 6 weeks in advance Register of all projects being undertaken in the facility All personnel inducted into the work area Up to date list of personnel inducted into the facility Regular inspections by compliance committees IBC, RSC, CSC, ACEC, HE, OH&S (Please circle the relevant inspections undertaken) Dates of last inspection All online training (ELMO) completed by individuals and documented All staff made aware of their training requirements and maintain their own training register Documented for all procedures and equipment Documented for all Class Practicals (Teaching) Available for all Project Activities (Research) Documented for all Diagnostic/Clinic activities Risk assessments linked to SWP’s and/or SOPs All staff aware of the University ‘s and Faculty’s requirements for the purchase of chemicals and equipment All staff are aware of the reporting process in place and that all accidents and incidents must be reported Staff are aware of any discipline/activity specific vaccinations, and that they are required to maintain their own vaccination records Page 2 of 14 Version 5.1 – October 2014 TRIM 11/55012 Hardcopies of this document are considered uncontrolled, please refer to the Technical Services Website for the latest version. 2. Risk Management Component 2A Emergency evacuation procedures & checklist Compliance X N/A Additional Notes / Description Procedures in place and posted in a prominent position Emergency site plan displayed 2B Emergency contacts Up to date list prominently displayed Allocated Trained At least one evacuation performed annually and documented Qualified first aid officer allocated to site Installed Up to Date Complies with the standard, flow tested annually and documented Activated regularly and documented Appropriate signage visible Plumbed to potable water and appropriate signage displayed Complies with the standard, flow tested annually and documented Activated regularly and documented Appropriate signage visible Plumbed to potable water and appropriate signage displayed Testing & tagging of all electrical equipment in accordance with DFM policy or covered by a risk assessment In good condition 2C Building wardens 2D Evacuation drill 2E First aid 2F First aid kit 2G Emergency showers 2H Eye wash stations 2I In-service safety inspection 2J Extension leads 2K Power boards Excessive use prohibited 2L Double adapters Use prohibited 2M Personal Protective Equipment (PPE) Available and used: Present no trip hazard Lab Coats/Gowns Enclosed footwear Safety Glasses Face Shields Gloves Respirators PPE stored correctly 2N Exiting the facility Facility Inspection Audit Checklist Removal of gloves & gowns Signage – Wash hands before exiting Page 3 of 14 Version 5.1 – October 2014 TRIM 11/55012 Hardcopies of this document are considered uncontrolled, please refer to the Technical Services Website for the latest version. 3. Operational Facility Compliance/Fire Safety Component 3A Emergency Management 3B Emergency isolation switches 3C Service isolation points 3D Residual current device 3E Fire extinguishers 3F Fire blankets 3G Emergency lighting 3H Fire alarms 3I Smoke / heat detectors 3J Exit signs 3K Designated fire doors 3L General building condition 3M Water supply 3N Power points 3O Chemical Pits 3P Gantry/Overhead Crane Facility Inspection Audit Checklist Compliance X N/A Additional Notes / Description Manifest Storage Box provided on campus storage of chemical manifests Up to date chemical manifests stored in the manifest storage box Electricity Gas Identified and detailed on the site emergency plan Location known: Electricity Gas Water Detailed on site emergency plan Staff aware if RCD’s have been installed in the facility’s distribution boards Co2 Co2 Extinguisher located within 2 to 20m of the switchboard ABE/BE powder (near flammables cabinets) Identified (signage) Maintained Installed Identified (signage) Installed Operating Tested regularly Installed Operating Tested regularly Installed Operating Tested regularly Clear of all obstructions and equipment Operating Clearly visible Unobstructed Identified (signage) Gutters, drains unblocked Windows cleaned Screens on opening windows Potable hot & cold water (AS 3500) provided near the exit Back flow prevention in accordance with AS 3500 installed Adequate number available In good condition Circuit numbering on all Maintained Records kept maintained by DFM Annual compliance tested by an accredited authority Documented in maintenance logs Page 4 of 14 Version 5.1 – October 2014 TRIM 11/55012 Hardcopies of this document are considered uncontrolled, please refer to the Technical Services Website for the latest version. 4. General Building Condition, Housekeeping and Maintenance Component 4A Compliance Bench tops Undamaged Sinks In good condition Taps and Plumbing No leaks Electrical connections In working order Walls Undamaged Floors Non-slip finish X N/A Additional Notes / Description Clean Undamaged Free of trip hazards Ceilings 4B Furniture 4C 4D Noise Ventilation & air flow Undamaged No signs of water leaks Ergonomic & easily cleaned – no fabric covers Levels acceptable Air flow adequate Air filters, vents clean and free of dust Adequate 4E Lighting 4F Pest control program 4G Computers 4H Bins 4I Open spaces 4J Shelving 4K Walkways & aisles Free from obstruction All working In place and documented Keyboard covers in place in lab areas Labelled according to use e.g. general waste, clinical, glass Under benches, cabinets & equipment accessible for cleaning Stable Not overloaded 4L Exits Free from obstruction 4M Gown hooks Adequate number supplied 4N Facility maintenance 4O Maintenance logs 4P Cleaning Facility Inspection Audit Checklist Location appropriate for area Decontamination of surfaces and equipment prior to maintenance Maintenance & service personnel advised of special hazards Signed clearance and induction forms available Maintenance for all areas recorded Maintenance for all equipment recorded BEIMS requests documented Cleaning schedule for all areas in place and documented Cleaning schedule for all equipment in place and documented Page 5 of 14 Version 5.1 – October 2014 TRIM 11/55012 Hardcopies of this document are considered uncontrolled, please refer to the Technical Services Website for the latest version. 5. Machinery and Equipment Component 5A Machinery and Specialist Equipment 5B Emergency stop switches 5C Obstruction 5D Guards 5E Electrical & Hoses 5F Pressure steam steriliser (autoclave) Compliance X N/A Additional Notes / Description Operating instructions (SWP’s/SOPs) available Safety signs adequate and clearly visible Training provided, records available Clearly labelled Switches easily accessible Machines & equipment free from obstruction All moving parts adequately guarded where required Connections in good order Easily accessible Compliance tested annually Copy of calibration report located near appliance 5G Pressure vessels (compressors) 5H Fume Cabinets Boiler inspected every two years by accredited authority where applicable Copy of boiler inspection certificate located near appliance Operating instructions (SWP/SOP) available Safety signage adequate and clearly visible Inspected Maintained (documentation) Annual Performance testing undertaken by accredited testing authority All documented in the Maintenance Logs CO2 fire extinguisher located nearby but not less than 1M from the cupboard Signage no more than 2.5L of flammable liquid in fume cupboard Storage of chemicals in fume cupboards prohibited 5I 5J Laminar Flows Biohazard Safety Cabinet Facility Inspection Audit Checklist Annual Performance testing by accredited testing authority All documented in the Maintenance Logs Annual Performance testing by accredited testing authority All documented in the Maintenance Logs Page 6 of 14 Version 5.1 – October 2014 TRIM 11/55012 Hardcopies of this document are considered uncontrolled, please refer to the Technical Services Website for the latest version. 6. Cold Storage Component 6A Refrigerators, Freezers – General (domestic, commercial) Compliance X N/A Additional Notes / Description Full Manifest of contents including values in place and up to date. Items not stored in food containers No food or drink signs No Flammables signs Biological Hazard signs DG Class signs 6B Refrigerators, Freezers Specialist , (Spark Free, -80, Ultra Low) Radiation signs Temperatures monitored and logged or external temperature monitoring in place Full Manifest of contents including values in place and up to date Items not stored in food containers Contents appropriate for specialist use Contents stored correctly for specialist use No food or drink signs Biological Hazard signs DG Class signs Maintenance program in place and documented Temperatures monitored and logged or external temperature monitoring in place 6C Cold rooms/Freezer rooms SWP in place Full Manifest of contents including values in place and up to date Items not stored in food containers No food or drink signs No Flammables signs Biological Hazard signs DG Class signs Temperatures monitored and logged or external temperature monitoring in place Facility Inspection Audit Checklist Page 7 of 14 Version 5.1 – October 2014 TRIM 11/55012 Hardcopies of this document are considered uncontrolled, please refer to the Technical Services Website for the latest version. 7. Biological Safety Component 7A Facility security & access and Signage 7B Ventilation & air flow 7C 7D 7E Compliance Register of all organisms SDS or Specifications Sheet for Organisms SDS’s or specifications sheet available where applicable All cultures clearly labelled in accordance with regulations Are all spore dispersing organisms sealed during storage Procedures producing aerosol production carried out in a biological safety cabinet or other equipment designed to contain aerosols 7F Specialist Storage Requirements 7G Aerosol production 7H Infectious material containers X N/A Additional Notes / Description All necessary signage in place for PC2 and OGTR facility in accordance with regulations Lab doors closed when work is in progress Recirculation permitted but not to outside PC2 facility Register Cultures Clearly labelled Stored appropriately 7I Disposal of infectious waste 7J 7K Decontamination of work surfaces Sharps 7L Spills 7M Spills Kit In accordance with documented procedures Use of appropriate chemical solution Sharps procedures adopted & adhered to Procedures in place Available Staff trained in its use. 7N Writing areas 7O Labels 7P Food Products 7Q Wash basins Facility Inspection Audit Checklist Provision of separate area for writing materials (PC2 only) Use self adhesive labels only Used in Laboratories labelled not for human consumption Taps hands free (where required) Page 8 of 14 Version 5.1 – October 2014 TRIM 11/55012 Hardcopies of this document are considered uncontrolled, please refer to the Technical Services Website for the latest version. 8. Anatomy Facilities 8A Registers 8B Cleaning and Decontamination Schedules 8C Safe Work Procedures Detailed register of all cadaveric specimens currently in the facility including locations Detailed register for all monitoring and treatment of specimens in the facility A register of contamination events and treatment outcomes for the facility Schedules in place which outline the daily, weekly, monthly and annual cleaning and decontamination activities for the facility Documented SWP’s/SOP’s in place for: Containment of cadaveric material Storage and movement of cadaveric material within a facility Movement of cadaveric material from the facility Vat preparation, maintenance and drainage Dissections Spills 8D Record Keeping 8E Formaldehyde Facility Inspection Audit Checklist Daily shut down procedures Detailed records maintained for student inductions and student use of cadaveric material Exposure monitoring in place and recorded Page 9 of 14 Version 5.1 – October 2014 TRIM 11/55012 Hardcopies of this document are considered uncontrolled, please refer to the Technical Services Website for the latest version. 9. Chemicals Component 9A Inventory/Manifest Chemicals Compliance X Additional Notes / Description N/A Hard copy Inventory available for all chemicals stored in facility which clearly identifies all hazardous chemicals. Inventory entered on ChemFFX 9B Chemical Risk Assessment 9C SDS 9D Labelling Chemical Risk Assessment completed prior to purchase of all hazardous chemicals and dangerous goods Available for all hazardous chemicals used & stored in the facility Current (in date) manufacturer’s SDS available for all hazardous chemicals All chemical containers clearly labelled & complying with Hazardous Chemicals Regulation 9E Storage Teaching x n/a Research x n/a Chemicals stored in compatible containers in accordance with the standard AS 2243.10 Chemicals not stored above a height of 1.5m (including when stored above a bench) Chemicals not stored in food containers No excessive amounts of solvents stored Dangerous Goods Storage Cabinets in place where required Dangerous Goods Storage Cabinets signed and not overloaded Dangerous Goods Storage Cabinets in good condition - no corrosion, doors close correctly Procedure in place for decanting, transferring and transporting chemicals 9F Handling 9G Chemical compatibility Compatibility of chemicals checked prior to storage 9H Protective equipment Appropriate PPE worn when handling chemicals 9I Toxic chemicals and carcinogens Procedures in place for handling special chemicals 9J Waste All chemical waste disposed of as per Statutory Requirements 9K Spill Kits Available Staff trained in their use Facility Inspection Audit Checklist Page 10 of 14 Version 5.1 – October 2014 TRIM 11/55012 Hardcopies of this document are considered uncontrolled, please refer to the Technical Services Website for the latest version. L Chemical spill 9M Safety carriers Used for carrying chemicals in glass / plastic containers of 2L or more 9N Gas Cylinders Restrained (using chain and/or bracket) –rope not acceptable Emergency procedure in place Secure/cage locked (outside) Stored/segregated correctly Signage 9O Liquid Nitrogen Storage Correct PPE available Used In accordance with documented procedures Container size appropriate for the size of the room Volume of air displaced Facility Inspection Audit Checklist Page 11 of 14 Version 5.1 – October 2014 TRIM 11/55012 Hardcopies of this document are considered uncontrolled, please refer to the Technical Services Website for the latest version. 10. Drugs and Scheduled Substances Component 10A Inventory/Manifest – Scheduled Drugs General Requirements 10B Schedule 4 Drugs 10C Schedule 4D Drugs – (Sodium Pentobarbital) 10D Schedule 8 Drugs – Drugs of Addiction Compliance X N/A Additional Notes / Description Hard copy Inventory for all Scheduled Drugs stored in the facility. Drug Inventory entered on relevant record keeping software eg. ChemFFX, Clinic operational software Scheduled 4 drugs stored away from general use areas and in lockage storage units Records of usage maintained Scheduled 4D Drugs not stored with Scheduled 4 Drugs Stored in a locked cupboard away from public access Detailed records of purchase, usage and disposal maintained Staff aware of the purchase, use and reporting requirements of possessing Schedule 8 Drugs – Drugs of Addiction. Authorisation from the PSB required Stored in a Drug Safe with restricted access 10E Regulations 10F Faculty Procedures Facility Inspection Audit Checklist Scheduled 8 Drugs stored separately to other scheduled substances (except S4D) Accurate registers of use maintained and stored with Schedule 8 Drugs Staff are aware that the use of out of date drugs is prohibited Staff are aware that it is illegal to be gifted out of date drugs Staff are aware that the use of real medication is not permitted in the areas where simulated medications can be substituted such as nursing and paramedic Simulated medication used in an area must be labelled with the appropriate wording to indicate it is for simulation purposes only Page 12 of 14 Version 5.1 – October 2014 TRIM 11/55012 Hardcopies of this document are considered uncontrolled, please refer to the Technical Services Website for the latest version. 11. Environmental Component 11A Waste management 11B Documented procedures 11C Storage of waste 11D Disposal of waste Compliance X N/A Additional Notes / Description X N/A Additional Notes / Description Types of waste generated in the facility identified and documented SWP’s/SOPs in place for processing the various waste streams relevant to the facility Waste segregated in accordance with documented procedures List of waste storage areas List of waste pick up sites 12. Other (list items) Component Facility Inspection Audit Checklist Compliance Page 13 of 14 Version 5.1 – October 2014 TRIM 11/55012 Hardcopies of this document are considered uncontrolled, please refer to the Technical Services Website for the latest version. Reference Documents Australian Standards Available online, access available through the Technical Services Website AS 1319 Safety signs for the occupational environment AS/NZS 2243.1 Safety in laboratories - General AS/NZS 2243.2 Safety in laboratories - Chemical aspects AS/NZS 2243.3 Safety in laboratories – Microbiological safety and containment AS/NZS 2243.6 Safety in laboratories – Mechanical aspects AS 2243.7 Safety in laboratories – Electrical aspects AS/NZS 2243.8 Safety in laboratories – Fume cupboards AS/NZS 2243.10 Safety in laboratories – Storage of chemicals AS/NZS 2647 Biological safety cabinets – Installation and use AS/NZS 3838 The storage and handling of mixed classes of dangerous goods in packages and intermediate bulk containers. AS/NZS 2982 Laboratory design and construction AS 1940 The storage and handling of flammable and combustible liquids AS 3780 The storage and handling of corrosive substances AS 4452 The storage and handling of toxic substances AS 4332 The storage and handling of gases in cylinders AS 4267 Pressure regulators for use with industrial gas cylinders AS/ NZS 3816 Management of clinical and related wastes Facility Inspection Audit Checklist Page 14 of 14 Version 5.1 – October 2014 TRIM 11/55012 Hardcopies of this document are considered uncontrolled, please refer to the Technical Services Website for the latest version.