Pre-Purchase Checklist for Materials (e.g. Specimen or Sample) This checklist is to be used for the initial purchase of Materials, not commercial products, listed in Point 1. Operational Area Date __ / ___ / (School/ Department/ Research Group/ Project/ Area) Completed by Authorised by (Line-manager/ Lab Management) Description of chemical Location of storage and use Quantity requested (Identify building, laboratory and storage locations, may be multiple locations) Supplier ___________________________________ ___________________________________ Quantity to be approved by Laboratory Management as the total storage capacity of each Operational Areas must to be assessed prior to purchase Complete this section prior to the material order being placed Checklist 1 LEGISLATION and SDS Is the material a: restricted carcinogen/poison/substance (refer to Schedule 5.4 and 5.5 of the OSH Regulations 1996)? scheduled substance in the Standard for Uniform Scheduling of Medicines and Poisons? ozone depleting substance as defined by the Ozone Protection and Synthetic Greenhouse Gas Management Act 1989? hazardous substance? dangerous good? nano-material? biological material? quarantine material? radioactive material? Is the material a: sample taken from the environment, outside of Australia? sample taken from the environment, from the Eastern States of Australia? sample of/from a living creature taken from the wild in Western Australia? sample taken from a person or an animal? Version 2.0 Additional Notes Yes ☐ No ☐ If yes, contact HSEM on ext: 4900 Yes ☐ No ☐ If yes, contact the Hazardous Substances Advisor on ext: 1724 Yes ☐ No ☐ If yes, contact the Portfolio Manager Sustainability on ext: 7952 Yes ☐ Yes ☐ Yes ☐ Yes ☐ Yes ☐ Yes ☐ No ☐ No ☐ No ☐ No ☐ No ☐ No ☐ If yes, contact HSEM on ext: 4900 If yes, contact HSEM on ext: 4900 If yes, contact HSEM on ext: 4900 If yes, contact Biological Safety Advisor ext 1383 If yes, contact Biological Safety Advisor ext 1383 If yes, contact Radiation Safety Advisor ext 1708 Yes ☐ Yes ☐ Yes ☐ Yes ☐ No ☐ No ☐ No ☐ No ☐ If you answered yes, to any of these questions contact the Biological Safety Advisor ext 1383 Refer to the Biosafety Awareness Statement to learn how to comply with legislation and permit requirements. Health, Safety and Emergency Management Complete this section prior to the material order being placed Checklist 2 Additional Notes Have you obtained and reviewed formal written information from the supplier regarding any risks associated with this material? FACILITIES and EMERGENCY MANAGEMENT Would the material be hazardous to the environment or landfill? (e.g. emissions into the atmosphere, dust, contaminated animal carcasses, glassware, sharps, PCB’s, rock samples or asbestos) If Yes, are there appropriate procedures in place to prevent contamination to the environment or landfill? 3 Is the area the material is to be handled appropriate for the use of that material? (e.g. restricted access, adequate ventilation, biosafety cabinet, laminar flow). Are there appropriate emergency procedures and equipment in place to manage any incident associated with the material? (e.g. safety showers, eye wash, spill kits, fire extinguishers, first aid) RISK ASSESSMENT and SAFE WORK PROCEDURES Have the required risk assessments for the use of the material been undertaken and approved? (this will include, elimination, substitution, isolation, engineering, administration and PPE requirements) Is area monitoring or health surveillance required? 4 5 TRAINING Is any particular training on the handling and storage of the material required? (e.g. Radioactive Material, Biological Substances or Hazardous Substances and Dangerous Goods). DISPOSAL Is a waste storage, disposal criteria and disposal procedure in place to manage the waste material? Yes ☐ No ☐ If yes, contact Biological Safety Advisor ext 1383 Yes ☐ No ☐ If yes, contact the Portfolio Manager Sustainability on ext: 7952 Yes ☐ No ☐ If yes, contact the Portfolio Manager Sustainability on ext: 7952 Yes ☐ No ☐ If no, contact the Laboratory Manager Yes ☐ No ☐ If no, contact the Laboratory Manager Yes ☐ No ☐ If no, complete the risk assessments and forward to your Manager/Supervisor for approval Yes ☐ No ☐ If yes, provide details Yes ☐ No ☐ If yes, provide course details and booking or evidence of completion Yes ☐ No ☐ If no, contact the Laboratory Manager Manager/Supervisor Acknowledgement: All hazards have been identified and adequately controlled and all appropriate documentation is in place prior to purchase of the material/s. Name: Signature: Role: Date: Comments: Record Keeping: It is the responsibility of the Faculty to store all relevant records regarding the purchase of all material/s. Version 2.0 Health, Safety and Emergency Management