New Employee/Student Lab Safety Orientation Check List This document is a Microsoft Word Table and is intended to be customized for each lab/location. When applied to multiple locations in a single building, all room numbers must be included. Date: New Employee/Student Name (Print) Job Title (when applicable) Building: Room: Department: PI: Item # These items were discussed Outside of lab 1. 2. 3. Location of nearest building exit/stair well Location of nearest fire alarm pull station In the event of a building evacuation our group’s rally point is located:________________________________ Inside Lab 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. Emergency exits, location and must be kept clear Eyewashes (how many?) ____locations and must be kept clear Showers (how many ?) ____locations and must be kept clear Fire extinguishers (how many?)____ types and locations Safety Glasses must be worn at all times and where to find them Lab Coats, must be worn, where to hang, and laundry policy Gloves must be worn, what types, and were to find them Spill kit(s) location:______________ and how to use Waste accumulation area is located _________ Waste accumulation rules- labeled/secondary containment/capped Waste pick ups are called in by ___________________ (who?) Natural gas shut off valve is located___________(when applicable) Sharps disposal Fume hood operation, alarms Fume hood emergency setting (when applicable) Room emergency exhaust (when applicable) 20. 21. 22. 23. 24. 25. Emergency procedures (refer to poster on wall and review with new employee) Ignition Sources within 24” of the floor include__________ Electrical boxes/kill switch for power located______________ Chemical Storage: flammable cabinet, acid, base storage Specific hazards in this lab (examples) 26. 27. 28. 29. 30. 31. 32. 33. 34. HF- hazards, handling instructions, PPE, calcium gluconate is located______________ Nano materials, hazards, handling instructions, PPE Lasers Training Required to Work in This Room 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. Must be completed by ____________________ Right to Know Basic Lab Safety Waste Handling Fire Safety Fire Extinguisher Training New Employee/Student Signature Date Person Giving the Orientation Name (print) Name (sign) Date Job Title PI retain original for your records.