Rowan University Laboratory Safety Program Laboratory and Research Hazard Assessment Building: _____________________ Room Number: ___________________ Department: ________________________ Initial/Annual? ________ Date of Completion:________________ P.I./Lab Manager:____________________ This form must be completed by the PI, Lab Manager, or their designee prior to initiating a new research project and at least once each calendar year. The Activity Hazard Assessment identifies hazards to employees and specifies personal protective equipment (PPE) to protect employees during work activities. The person conducting the assessment must verify that it is complete and that training has been conducted. This assessment consists of: 1. An Activity Hazard Assessment. 2. Site-specific training conducted by the PI or their designee reviewing: When PPE is necessary, what PPE is required, how to properly don, doff, adjust and wear PPE, limitations of PPE, proper care, maintenance, useful life, and disposal of PPE. EH&S personnel are available to assist you with completing your activity hazard assessment or reviewing it after completion. Consult EH&S for specific questions regarding PPE requirements. Email your EH&S representative at ehs@rowan.edu 3. Obtain and provide all identified PPE needed to protect lab staff from exposure to hazards. 4. Obtain the SDS for all substances in use in the Laboratory. These SDSs must be located near the entrance to the laboratory. 5. ‘Certify’ the hazard assessment for the laboratory. Activity Performed Yes No Chemical Hazards Activity in lab Potential Hazard PPE Working with small volumes (<4 liters) of corrosive liquids Eye or skin damage Working with corrosive or acutely toxic liquids or other materials which creates a splash hazard Poisoning, increased potential for eye and skin damage Working with small volumes (<4 liters) of organic solvents or flammable organic compounds Skin or eye damage, potential poisoning through skin contact Safety glasses or goggles. Light Chemical-resistant gloves. Lab coat Safety goggles. Chemicalresistant gloves. Lab coat and chemical-resistant apron Safety glasses or goggles. Chemical-resistant gloves. Lab coat. Working with large volumes (>4 liters) of organic solvents, small to large volumes of very dangerous solvents, or work which creates a splash hazard. Major skin or eye damage, potential poisoning through skin contact. Fire. Safety glasses or goggles. Chemical-resistant gloves. Lab coat. Working with toxic or hazardous chemicals (solid, liquid, or gas). Skin or eye damage, potential poisoning through skin contact Safety glasses (goggles for large quantities). Chemicalresistant gloves. Lab coat. Laboratory Hazard Assessment Page 1 of 7 Rowan University Laboratory Safety Program Activity Performed Yes No Chemical Hazards Activity in lab Potential Hazard PPE Working with an apparatus with contents under pressure or vacuum. Eye or skin damage. Safety glasses or goggles, face shield for high risk activities Working with Acutely Toxic Chemicals. Spills, splashes, ingestion inhalation, absorption. Chemicals pose a high level of immediate health risk Chemical-resistant gloves. Lab coat, chemical-resistant apron for high risk activities. Safety glasses or goggles, gloves, lab coat, long pants and closed toe shoes Working with pyrophoric liquids Severe skin and eye damage. Fire Working with air or water reactive chemicals Severe skin and eye damage. Fire. Working with potentially explosive chemicals Splash, detonation, flying debris, skin and eye damage. Fire. Working with low and high temperatures Burns, splashes. Fire. Minor chemical spill cleanup Skin or eye damage, respiratory damage. Working with Known or Suspect Human Carcinogens Spills, splashes, ingestion inhalation, absorption. High hazard cancercausing agents Spills, splashes, ingestion, inhalation, absorption. Agents that affect reproductive capabilities, cause mutation and adversely affect fetal development Inhalation, exposure, dermal exposure Safety glasses or splash goggles with face shield. Chemical- resistant gloves. Flame resistant lab coat (e.g. Nomex). Work in inert atmosphere, when possible. Safety glasses or goggles. Chemical-resistant gloves. Lab coat, flame resistant lab coat for high risk activities (e.g. Nomex). Chemical-resistant apron for high risk activities. Safety glasses face shield, and blast shield. Heavy gloves. Flame-resistant lab coat (e.g. Nomex). Safety glasses. Lab coat. Thermal insulated gloves, when needed. Safety goggles. Chemicalresistant gloves. Lab coat. Chemical-resistant apron and boot/shoe covers for high risk activities. Respirator as needed. Consider keeping Silver Shield gloves in the lab spill kit. Safety glasses or goggles, chemical-resistant gloves, Working with Reproductive Toxins Working with engineered nanomaterials Laboratory Hazard Assessment lab coat, long pants and closed toe shoes. Hoods, glove boxes and other suitable containment device. Safety glasses or goggles, chemical-resistant gloves Goggles, gloves, lab coat. Page 2 of 7 Rowan University Laboratory Safety Program Activity Performed Yes No Biological Hazards Activity in lab No PPE Working with human blood, body fluids, tissues, or bloodborne pathogens (BBP). Working with preserved animal and/or human specimens Exposure to infectious material. Safety glasses or goggles, latex or nitrile gloves, lab coat or gown. Exposure to infectious material or preservatives. Safety goggles, latex or nitrile gloves, lab coat or gown Working with agents or recombinant DNA classified as Biosafety Level 1 (BSL-1). Eye or skin irritation Safety goggles, latex or nitrile gloves, lab coat or gown Manipulation of cell lines, viruses, bacteria, or other organisms classified as Biosafety Level 2 (BSL2). Exposure to infectious material, particularly through broken skin or mucous membranes Safety glasses or goggles for protection from splash or other eye hazard, light latex or nitrile gloves, lab coat or gown. Manipulation of infectious materials classified as Biosafety Level 2 facility with BSL-3 practices (BSL-2+). Exposure to infectious materials with high risk of exposure by contact or mucous membranes. Manipulation of infectious materials classified as Biosafety Level 3 (BSL-3).-Contact EHS prior to considering this work to determine if appropriate facilities can be constructed Exposure to infectious materials with high risk of exposure, particularly through the inhalation route. Working with live animals (Animal Biosafety Level 1, ABL-1). Animal bites, scratches, eye or skin exposure, inhalation, allergies. Safety glasses or goggles for protection from splash or other eye hazard, light latex or nitrile gloves (double), lab coat or disposable gown (preferred), surgical mask. Safety glasses or goggles for protection from splash or other eye hazard, light latex or nitrile gloves (double), full disposable gown or Tyvek suite (preferred), respirator, shoe cover or dedicated shoe. latex, nitrile or vinyl gloves for broken skin or skin rash, lab coat or gown. Higher BSL levels require hair cover, shoe covers, surgical mask. Consider need for wire mesh glove. Activity Performed Yes Potential Hazard Physical Hazards Activity in lab Potential Hazard Working with cryogenic liquids Major skin, tissue, or eye damage. Removing freezer vials from liquid nitrogen. Vials may explode upon rapid warming. Cuts to face/neck and frostbite to hands Working with very cold equipment or dry ice. Frostbite, hypothermia Laboratory Hazard Assessment PPE Safety glasses or goggles for large volumes, impermeable insulated gloves, lab coat. Face shield. Safety glasses, insulated gloves (possibly warm clothing), lab coat. Safety glasses or goggles for large volumes, insulated gloves (Impermeable insulated gloves for liquids), lab coat. Page 3 of 7 Rowan University Laboratory Safety Program Activity Performed Yes No Physical Hazards Activity in lab Working with hot liquids, equipment, open flames (autoclave, Bunsen burner, water bath, oil bath). Burns resulting in skin or eye damage. Glassware washing Working with loud equipment, noises, sounds, alarms, etc. Lacerations. Potential ear damage and hearing loss Working with a centrifuge Imbalanced rotor can lead to broken vials, cuts, exposure Working with a sonicator Ear damage, exposure Working with sharps Cuts, exposure. Activity Performed Yes No No PPE Safety glasses or goggles for large volumes, impermeable insulated gloves, lab coat. Face shield. Heavy rubber gloves, lab coat. Earplugs or ear muffs as necessary – May need to be included in the University’s Hearing Conservation Program. Safety glasses or goggles, lab coat, latex, vinyl, or nitrile gloves Safety glasses or goggles, lab coat, latex, vinyl, or nitrile gloves, ear plugs Safety glasses or goggles, lab coat, latex, vinyl, or nitrile gloves. Radiologic Hazards Activity in lab Potential Hazard PPE Working with solid radioactive materials or waste. (Sealed or unsealed) Working with radioactive materials in hazardous chemicals (corrosives, flammables, liquids, powders, etc.). Cell damage, potential spread of radioactive materials. Cell damage or spread of contamination plus hazards for the specific chemical Working with ultraviolet radiation. Conjunctivitis, corneal damage, skin redness UV face-shield and goggles, lab coat. Working with infrared emitting equipment (e.g. glass blowing). Cataracts, burns to cornea. Appropriate shaded goggles, lab coat. Activity Performed Yes Potential Hazard Safety glasses, impermeable gloves, lab coat. Safety glasses (or goggles for splash hazard), light chemicalresistant gloves, lab coat Laser Hazards Activity in lab Operating open-beam laser – Class 3B Laboratory Hazard Assessment Potential Hazard Eye (burn/damage). PPE Appropriate protective eyewear, wavelength and optical density based on individual beam parameters. Page 4 of 7 Rowan University Laboratory Safety Program Activity Performed Yes Laser Hazards No Activity in lab Potential Hazard PPE Operating open-beam laser – Class 4 Eye (burn/damage). Appropriate protective eyewear, wavelength and optical density based on individual beam parameters. Appropriate skin protection (covered arms/legs) Handling dye laser materials, such as powdered dyes, chemicals, and solvents. Skin or eye damage Gloves, safety glasses, lab coat Unique or Lab Specific Activities If your lab conducts additional or unique activities not listed above, identify the potential hazards and appropriate PPE and add these activities to the Unique or Lab-Specific Activities section below. If a lab activity is similar to, but somewhat different than, one of the common activities listed; include it in this section as well. Contact the EHS Department for additional assistance. Activity in lab Potential Hazard PPE Glove Selections for Specific Chemical Hazards Determine chemical handling activities that require a specific type of glove material to protect from chemical exposure. Not all glove materials offer equal protection. For this section, select more commonly used chemicals (corrosives, organic solvents, toxic chemicals) or particularly hazardous chemicals (carcinogens, mutagens, reproductive hazards, etc.) List the chemical, the work activity and the specific glove type. Chemical Laboratory Hazard Assessment Activity Glove Type(s) Page 5 of 7 Rowan University Laboratory Safety Program Example: formaldehyde Tissue processing with potential for skin contact with liquid formaldehyde solution Nitrile, neoprene or butyl rubber; light gloves may be used for activities with incidental contact; a heavier glove is recommended for moderate or greater contact. Forward a copy of the completed assessment to ehs@rowan.edu Laboratory Hazard Assessment Page 6 of 7 Rowan University Laboratory Safety Program Hazard Assessment Certification All information must be completed below. This ‘certifies’ that you have conducted the hazard assessment. Maintain a copy of the signed hazard assessment (this document) in the lab safety records. Department Lab Location(s) [building and room numbers] Principal Investigator Name and title of person conducting assessment Name: Title: Date assessment completed: The following employees have reviewed the Activity Hazard Assessment specific to this lab and have received the following training: 1. When PPE is necessary 2. What PPE is required 3. How to properly don, doff, adjust, and wear PPE 4. Limitations of PPE 5. Proper care, maintenance, useful life, and disposal of PPE Worker Name Laboratory Hazard Assessment Banner ID Training Date Trainer Worker Signature Page 7 of 7