Your PI Name Here Laboratory Site Safety Orientation – Department Name Previous name for this document is Lab Specific Training. Name updated to reflect nomenclature from the UC Lab Safety Training Policy issued October 31, 2013. Customize this document by editing all information in red. Some items in Green may or may not apply to your lab. Delete or update as necessary. After editing, change all letters to BLACK. Prepared by: name/date revised date. LAST NAME:_________________________ FIRST NAME:_______________________ UID:________________ Safety training is required prior to working in this lab. You must provide documentation to the safety coordinator. Date completed Training Frequency Type Lab Safety Fundamentals Classroom Training IIPP training-Bruin Safety IIPP training-Fire Safety IIPP training-Earthquake Safety IIPP training-Safe Lifting/Back Injury Prevention IIPP training-Hazard Communication Once Once Once Once Once Once classroom online online online online online UCLA Employee Safety Handbook Once Read docs & document training online LabBook-attach yourself to your PI’s group PPE/LHAT training Review Laboratory Safety Manual Lab Safety Refresher Training (take Lab Safety Fund classroom training first year) Laboratory specific training Review location of safety materials Evacuation procedures Review lab specific hazards Review SOP/JSA for hazardous / controlled substances List SOP/JSA for your lab Once Annual Annual Annual -Read docs Read docs online Once Annual Annual Annual Read docs Read docs In person Read docs Read docs Online safety training New Radiation Worker Qualification (NRWQ) Training Radiation Safety Training Bloodborne Pathogens (BBP) Bloodborne Pathogens Training Biological Safety Cabinet Biosafety A,B,Cs- Biosafety Level 2 (BSL2) Biosafety Level 2 – with Biosafety Level 3 practices (BSL2+) Medical Waste Management DLAM training for animal work Online barrier training Facility walk-through training Species-specific wet lab CITI online animal training Animal Research Committee (ARC) trainings Medical health questionnaire Monthly Once Annual Once Annual Every 3 yrs Every 3 yrs Every 3 yrs Every 3 yrs online classroom various classroom online classroom classroom classroom classroom Annual online Last updated: 12/9/2013 - Lab Site Safety Orientation Template Once and whenever protocol is updated Page 1 of 3 Date Completed DESCRIPTION Locate the Laboratory Safety Manual: building/room location Locate the Safety Data Sheet (SDS) Compendium: : building/room location SDS online access is located at http://jr.chemwatch.net/chemwatch.web/dashboard . Add a link to this on your desktop or add the URL to your favorites. Locate the Standard Operating Procedures (SOP)/Job Safety Analyses (JSA): building/room location In case of evacuation our group meets at: XXXXX In case of evacuation our group checks in with: XXXXX (usually PI or lab safety coord) Do not leave UCLA without checking in. Walk outside to the lab evacuation site. Take your keys/wallet/purse. Add the phone number of your PI and your lab safety coordinator into your cell phone. Add 911 into your cell phone Locate the eyewash: building/room location Locate the emergency shower: building/room location Locate the fire extinguisher: building/room location Locate the first aid kit: building/room location Locate the chemical spill kit: building/room location Locate the chemical waste: building/room location Locate the biohazardous waste: building/room location Locate the radioactive waste: building/room location Locate the Radiation Safety Journal: building/room location Locate the Biosafety Manual: building/room location Locate emergency supplies: building/room location It is highly recommended that the locations of various items be marked on a floor plan of your lab. Many of you have this document already and it is much easier for new lab workers to get oriented. It is a good idea to post a copy of this map on the wall of your lab. Online training at http://training.ucla.edu/ehs (Bruin safety program, fire safety, earthquake safety, safe lifting/back injury prevention, hazard communication, laboratory safety training, fire diamond, PPE). Print out the summary page showing Course Title and Training Dates upon completion. UCLA Employee Safety Handbook: http://map.ais.ucla.edu/portal/site/UCLA/menuitem.789d0eb6c76e7ef0d66b02ddf848344a/?vgnextoid=fbbdea567d3d1310VgnVCM100 000e1d76180RCRD Sign up to classroom training at http://map.ais.ucla.edu/go/1003938 Lab safety online refresher training may only be taken annually after completion of classroom training. http://training.ehs.ucla.edu/ LabBook: http://labbook.ucla.edu Online monthly safety training: http://labbooklucla.edu (link to online monthly safety training at upper right after login to LabBook) Department of Laboratory Animal Medicine (DLAM) training https://www.dlam2.ucla.edu/Pages/Default.aspx Animal Research Committee (ARC) trainings http://oaro.research.ucla.edu/ Medical Health Questionnaire: http://mhq.healthsciences.ucla.edu/ Annual training refers to once per calendar year rather than every 365 days. GENERAL LAB SAFETY RULES: 1. Make safety a priority whenever you work in the lab. 2. Do not work in the lab alone. 3. Before starting a new process, it is your responsibility to get safety training. Be aware and informed. Ask for assistance. Last updated: 12/9/2013 - Lab Site Safety Orientation Template Page 2 of 3 4. Absolutely NO FOOD, DRINK, GUM, COSMETICS, SMOKING is allowed in the laboratory at any time. Do not discard food items in the laboratory trash cans as it is automatically assumed that the items were consumed in the laboratory in the event of an inspection. 5. PPE is required - Always wear close-toed shoes and a laboratory coat. Your skin must be completely covered from the waist to the toes. Some procedures may warrant further PPE, as indicated by the material safety data sheet (MSDS), the standard operating procedure (SOP) or the job safety analysis (JSA) for the material being used, facility policies, regulatory requirements, or the EH&S Laboratory Hazard Assessment Tool. You must be completely covered from the waist to the toes at all times in the laboratory. 6. When walking through the corridors, you may only have one gloved hand. Use the ungloved hand to open doors, push elevator buttons, etc. Do not use gloved hand to answer phones. 7. Laboratory doors are to be kept closed and locked at all times. If you see anyone you do not recognize in your laboratory, you must confront the person and ask “Who are you and how may I help you?” 8. If there are any questions concerning safety, contact XXXX (lab safety coordinator), add PI name here, or Department Safety Coordinator- add name here. Emergency Information: Last Name:____________________ First Name:____________________ UID:_____________ Phone: (home-land line) (cell) Languages spoken: __________________ Do you wear contact lenses? NO YES List any disabilities that could affect your ability to evacuate the building in a timely manner (hearing, walking, etc)________________________________________ If any conditions are listed here, assign a buddy in your group to assist this person during all evacuations: _____________________________________ Emergency contact: Primary Secondary Name: Name: ________ Phone #s: Phone #s: Relationship: Relationship: __________________ I, ____________________________, have read, understand, and will comply with the information in the above laboratory site safety orientation and training document. Date: Signature: ___________________________ ___________________________ Last updated: 12/9/2013 - Lab Site Safety Orientation Template Page 3 of 3