LABORATORY INSPECTION CHECKLIST
Background information
Date
Inspector
Building
Room(s)
School & Department
PI
Name
Email and phone
Finding
Documentation and Training
Y N
N/A
CTI?
Inspector Accompanied by:
Code
Name
Email and phone
PI
Safety Officer
Lab Manager
Other (specify)
Finding
Details
Comments
Days
Group Safety Officer or
Lab Manager
Y
QC:
OK?
Y
a01
Missing or out-of-date Laboratory
Hazard Assessment Tool (LHAT).
a02
Missing or incorrect chemical
inventory.
a03
Safety Data Sheets (SDSs) and
other applicable hazard
information are not available, not
understood, or not read.
a04
a05
a06
Standard Operating Procedures
(SOPs) are not available.
Procedure to report an
occupational injury or illness is
not posted.
Personnel have not received
appropriate initial or refresher
training.
N
20
20
inventory.
20
services.
Hazardous material or class of
materials requiring SOP.
20
process requiring SOP.
20
20
and discussed with personnel.
1
01/21/2016 v01
N/A
Finding
Details
Comments
Y
QC:
OK?
Y
a07
Other documentation or training
deficiency.
b01
Defective building feature or
defective room fixtures and
fittings.
b02
Tripping or slipping hazard.
b03
Obstructed passageway,
entrance, exit, door, or locked
exit door.
b04
Improperly or defectively signed
emergency exit, incorrect or
missing directional signage, or
non-exit not signed "not an exit".
Room
Y N
Code
Days
Finding
CTI?
LABORATORY INSPECTION CHECKLIST
sheet not available.
Other (specify).
N
20
20
building.
-related, e.g. defective floor.
-related, e.g. extension cords,
pipes, spillage.
-related.
PI-related.
-related (e.g.
equipment in corridor)
5
5
20
20
Environment
b05
c01
Incorrect or missing room
number or door sign.
Poor housekeeping.
(e.g. laser warning)
.
“PPE must be worn” on door of
room where it need not necessarily
be worn).
Dirt/contamination.
Clutter.
Excessive storage of
combustibles.
Heavy items stored too high.
Combustibles stacked too close
to ceiling.
Other (specify).
2
20
01/21/2016 v01
Y N
N/A
Code
Water
Comments
QC:
OK?
Y
c02
Defective HVAC, too hot/cold,
or poor quality of incoming air.
c03
Suspected asbestos or ceramic
fiber hazard.
d02
Insufficient provision for handwashing.
Defective plumbing, faucet, or
sink.
N
20
FMS-related.
-related, e.g. furnace, heating
mantle.
Needs to be at least one sink in lab
with soap and paper towels.
Look for leaking taps, blocked
sinks, etc.
20
20
20
20
d03
d04
e01
Electrical
Details
Y
d01
e02
e03
Fire Equipment
Finding
Days
Finding
CTI?
LABORATORY INSPECTION CHECKLIST
f01
f02
Improvised tubing or equipment
poses a flooding risk.
Water damage, dampness,
condensation, active leak, mold,
fungus, or rot.
Defective or overloaded
electrical outlet and/or
inappropriate extension cord
usage.
Defective or obstructed electrical
circuit breaker box (including box
with no circuit directory).
Other electrical hazard, e.g.
exposed wiring, dangerous
improvised equipment, electrical
installation too close to water
Fire extinguisher requires
maintenance and/or testing log is
not up to date.
Fire extinguisher is absent,
incorrect type, not visible, not
accessible, not hung on the wall,
is obstructed, or needs
relocation.
recirculated flow.
-recirculating
water pipework not securely
fastened.
20
-current devices (e.g.
hotplates, furnaces) on extension
cords or overloading outlets.
5
20
-related.
-related.
20
5
extinguisher (flammable metals).
3
5
01/21/2016 v01
Y N
N/A
Code
Comments
QC:
OK?
Y
g01
Safety Equipment
Details
Y
f03
g02
g03
g04
h01
General Equipment
Finding
Days
Finding
CTI?
LABORATORY INSPECTION CHECKLIST
h02
Visibly defective or obstructed
smoke detector or sprinkler.
Emergency eyewash / shower /
drench hose testing log not upto-date.
Emergency eyewash / shower /
drench hose is defective,
obstructed, non-code-compliant,
missing, too far from lab, or
improperly signed.
Chemical spill cleanup supplies
are not available.
First aid kit / HF burn kit is not
available, inaccessible,
inappropriate, out of date, or
incorrectly signed
Improperly guarded, defective,
dangerous, poorly-maintained,
contaminated, inappropriately
sited, or inappropriately used
equipment.
Hazardous equipment lacks
warning signs, "Out of Service"
sign, a usage log, instruction
manual, SOP, list of trained and
approved users, or a maintenance
schedule.
N
5
20
20
sec distant and/or more than one
intervening doorway).
20
no appropriate supplies.
20
missing.
Unguarded belt (IDLH).
Contaminated.
Other (specify).
20
Missing log book.
Missing instruction manual.
Missing SOP.
Missing training records or
approved user list.
Ultracentrifuge has no
maintenance schedule, rotorderating policy, rotor log.
Out-of-use equipment not
signed “do not use”.
Other (specify).
20
4
01/21/2016 v01
Y N
N/A
Code
Comments
QC:
OK?
Y
i01
Fridge/Freezer
Details
Y
h03
i02
i03
i04
j01
j02
Fume Hood/BSC
Finding
Days
Finding
CTI?
LABORATORY INSPECTION CHECKLIST
j03
j04
j05
j06
Unsafe discharge of vacuum pump
exhaust
Defective, excessively iced,
inappropriately sited, or
inappropriately used refrigerator
or freezer.
Unacceptably contaminated
refrigerator or freezer.
Glass container is in a freezer
without secondary containment.
Unlabeled or incorrectly labelled
refrigerator or freezer.
Uncontaminated outlet passing
to lab without coalescing filter.
Contaminated outlet passing to
lab.
Flammables in a non-explosionproof unit.
20
Check for noxious smell.
20
20
20
Missing “no food or drink” label.
Missing “no flammable
materials” label.
Defective fume hood / biosafety
cabinet
Fume hood / biosafety cabinet
(BSC) internal airflow obstructed
by overcrowding, shelf, or
equipment; or biosafety cabinet
external vent(s) obstructed.
Incorrect fume hood / biosafety
cabinet usage.
N
20
5
5
Sash wide open when working.
Sash not pulled down all the
way when not working.
Items too close to front.
Fume hood / biosafety cabinet /
biological glove box has not been
tested / certified within the last
12 months.
Fume hood / biosafety cabinet
signage absent or defective.
Other fume hood / biosafety
cabinet finding
5
20
20
20
5
01/21/2016 v01
Y N
N/A
Code
Details
Comments
Y
QC:
OK?
Y
k01
Hazardous Materials
Finding
Days
Finding
CTI?
LABORATORY INSPECTION CHECKLIST
k02
k03
k04
k05
Incorrect gas cylinder storage.
Hazardous materials container or
storage cabinet is defective,
corroded, contaminated, or
emitting an odor or irritant
vapors.
Corrosive or especially
hazardous materials stored above
eye level
Missing or unsatisfactory
secondary containment.
Unsafe storage of flammables.
k06
Flammable storage cabinet does
not have a self-closing door.
k07
Over-age or visibly-suspect timesensitive chemicals.
k08
k09
Gas cylinders not properly
restrained
Cylinders in storage missing end
caps.
Flammables and oxidizers not
separated.
Cylinders surrounded by
flammables/combustibles.
Cylinders of hazardous gases
not turned off after use.
Highly toxic gases outside
ventilated enclosures.
N
20
20
5
20
Cabinet signed “Non-approved
flammables cabinet — does not
qualify for MAQ increase.”
Peroxide formers.
Anhydrous HF cylinders.
Other (specify).
Highly toxic materials, regulated
precursor chemicals, or
controlled substances are stored
with poor physical security.
Deficient labelling of hazardous
materials container or storage
area.
20
20
5
20
20
6
01/21/2016 v01
Y N
N/A
Code
Comments
QC:
OK?
Y
l01
l02
l03
l04
l05
Waste
Details
Y
k010
l06
l07
l08
l09
l010
l011
l012
Sharps/Bro
ken Glass
Finding
Days
Finding
CTI?
LABORATORY INSPECTION CHECKLIST
m01
m02
Other unsafe hazardous materials
storage practice.
Incorrect separation of waste
streams.
Piranha solution or other
hydrogen peroxide-containing
material in non-vented container,
or mixed with other waste
Contaminated material in regular
trash.
Regular trash in hazardous waste
container.
Inappropriate, damaged, uncapped, or externally
contaminated waste container.
Missing or unsatisfactory
secondary containment.
Free-flowing liquids
inappropriately mixed with solid
chemical or biohazardous waste.
Overfull container or over-large
items in small container.
Solid waste bags are emitting an
odor.
Items placed on top of waste
containers.
Incorrect labelling of hazardous
waste.
Accumulation start date on the
chemical waste label is more than
nine months old.
Broken glass and/or sharps
container is missing.
Unattended broken glass or
exposed sharps.
Incompatible chemicals stored
together.
N
20
20
Lab has written procedure for
hydrogen peroxide disposal.
5
20
20
Un-capped container.
20
20
More than 5 mL free-flowing
liquid in a biohazard waste
container.
20
20
20
20
20
20
20
0
7
01/21/2016 v01
Y N
N/A
Code
m05
m06
m07
m08
n01
Mercury
Comments
QC:
OK?
Y
m04
n02
n03
p01
PPE
Details
Y
m03
p02
p03
p04
Practice
s
Finding
Days
Finding
CTI?
LABORATORY INSPECTION CHECKLIST
q01
Sharps are being transported
improperly.
Evidence of needle recapping was
found.
Incorrect sharps disposal.
Incorrect broken glass disposal.
Broken glass container appears to
contain contaminated material, or
is emitting an odor.
Broken glass and/or sharps
container is missing hazardous
waste label if it is being used for
contaminated items.
Inappropriate mercury
thermometer usage or storage.
Mercury-containing bottle or
device has no or insufficient
secondary containment.
Mercury bubbler discharges into
lab air.
PPE is not available, not worn, or
is not correctly matched to the
hazards.
Personnel exit the lab without
removing personal protective
equipment/clothing (PPE).
Incorrect glove usage.
N
0
0
0
20
20
20
Hg thermometer in oven, or
heating bath.
20
20
20
0
20
Re-use of disposable gloves.
Respirator usage outside of the
EH&S respirator program.
Evidence of food/drink was found
in work area containing
hazardous materials.
5
20
0
8
01/21/2016 v01
Y N
N/A
Code
Comments
QC:
OK?
Y
q03
q04
q05
Seismic
Safety
Details
Y
q02
Miscellaneous
Finding
Days
Finding
CTI?
LABORATORY INSPECTION CHECKLIST
r1
s01
s02
s03
Personnel were observed
touching potentially hazardous
material with bare skin or leaving
work area without washing
hands.
Carcinogenic, cumulatively toxic,
sensitizing, or highly toxic
materials in chemical inventory,
but no evidence of
engineering/administrative
controls to prevent
dispensing/weighing in open lab.
Material posing inhalation hazard
is used outside of fume hood, or
work requiring respiratory
protection is being done in a nonapproved area where the
respiratory hazard may spread to
unprotected persons
Bottle carriers not available or
hazardous materials observed to
be transported in unsafe manner.
Tall and/or hazardous items not
properly restrained.
Lack of signage or labelling
(specify).
Other hazardous condition or
unsafe practice.
Congratulations! No safety issues
were found during the safety
assessment of your area.
N
20
5
0
Question personnel. If glass bottles
are ever carried from the lab, a
bottle carrier must be available.
Enter improperly restrained gas
cylinders (and Dewars) under k01,
not here.
Only use this code as a last resort.
20
Only use this code as a last resort.
20
9
20
20
01/21/2016 v01
LABORATORY INSPECTION CHECKLIST
QC Inspection by:
Accompanied by:
Quality Control
Date:
Comments
10
01/21/2016 v01