HAZARD IDENTIFICATION CHECKLIST
Research Laboratory Areas
Surveyor Name:____________________________________
Survey Date:_________________________
Work Unit:________________________________________
Room:______________________________
If “No” is selected, please correct the hazard and note the date.
Yes
1.
2.
LAB OPERATIONS
Safety on Site (SOS)/Injury Illness Prevention Program (IIPP),
Laboratory Safety Manual, Chemical Hygiene Plan (CHP),
Standard Operating Procedures (SOPs):
 Does staff know how to access the Chemical Hygiene
Plan and Lab Safety Manual online?
 Has staff reviewed the CHP and Lab Safety Manual?
 Does staff know where SOPs, training records, safety
meeting notes, etc. are located (may be electronically
available or stored in SOS binder)
 Does staff know where the Safety Data Sheets (SDS) are
maintained and are they readily accessible?
 Does staff know how to access the IIPP/SOS page
online?
 Has corrective action been taken for hazards identified
during previous inspections?
Did all staff receive laboratory safety training, and do you have
documentation that it was completed?
Did all staff access the UCLC to take the Safety Training SelfAssessment (STSA) and complete all required safety trainings
(e.g., lab safety, formaldehyde, hazardous waste, etc.)?
Do you/staff remember the topics covered (e.g., you took Lab
Core Safety and Supplemental Trainings that covered some
topics of the topics below)?
For example, hazards discussed, understood and documented;
protective equipment; discussion of particularly hazardous
substances, including select carcinogens, chemicals with a high
degree of acute toxicity, or reproductive toxins; and what are
considered particularly hazardous substances (i.e., ethidium
bromide, osmium tetroxide, methylene chloride, benzene and
formaldehyde)?
3.
4.
Have SOPs been developed for the lab specific processes /
experiments?
Do the SOPs take into consideration chemicals considered
to be particularly hazardous substances (e.g., select
Last updated 10/4/2011
No
n/a
Date Corrected
HAZARD IDENTIFICATION CHECKLIST
Yes
carcinogens, chemicals with high degree of acute toxicity,
reproductive toxins, etc.)?
5.
Are lab-specific Standard Operating Procedures (SOPs) for
hazardous operations and for handling Particularly Hazardous
Substances available with signatures? (containers labeled with
words like carcinogenic, reproductive hazard, highly toxic,
explosive, pyrophoric/air reactive, or water reactive)
6.
If using pyrophorics,
 Does staff know how to access Safe Procedures
for Handling for Pyrophoric Liquid Reagents and
Pyrophoric SOP (available online and in lab).
 Has staff reviewed the pyrophoric safe handling
procedures and SOP?
 Has staff reviewed the pyrophorics safety video
(available online)?
 Do staff wear FR or Nomex lab coats?
INJURY & ILLNESS PREVENTION
7. Does staff know how to report an incident/injury/safety
concern?
8. Has staff identified remedial and preventative actions for
activities where you have experienced near
misses/incidents/injuries?
9. Does the protective equipment you’re using provide adequate
protection for the hazard? (e.g., does the lab coat fit properly,
respirators being used for spill clean up, as appropriate)?
EMERGENCY/HAZARD SIGNAGE
Is
current
signage present and accurate? Post if missing.
10.
 In Case of Emergency door placard (ENI)
 UCI or UCIMC Emergency Procedures Flipchart (all blue or
multi-colored)
 UC Irvine Injuries & Medical Treatment (8/2009)
 How to Access Required Safety Information (03/12/2010)
 Hazardous Waste Guidelines Flyer (Ver. 3.0)
 Hazard Communication Signs & Labels (BSL2, Biohazard,
Radiation, Carcinogen, Poison, Oxidizer, Flammables, Corrosive,
Hot)
11. Has staff reviewed the UCI Emergency Procedures Flipchart?
PHYSICAL ENVIRONMENT
Are
tippable
items >42” high seismically secured?
12.
13. Are heavy/hard items secured/limited in height?
14. Are cabinet doors secured?
15. Are storage shelves provided with lips or are cords taut?
16. Is storage kept at least 18” below sprinkler heads and ceiling
throughout room or area?
17. Are aisles clear and unobstructed (36” lab aisles, 44” main
No
n/a
Date Corrected
HAZARD IDENTIFICATION CHECKLIST
Yes
aisles)?
18. Is housekeeping up-to-standards? Free of:
 trip hazards
 spilled chemicals (residuals)
 paper clutter on work surfaces and walls
 stacked broken equipment
 old, tattered, stained bench pads
19. Is floor in good repair to allow adequate cleaning?
20. Are tools/equipment (i.e. step stools or ladders) available to
21.
22.
23.
assist with reaching items above shoulder height?
Chairs and other furniture used in laboratory work are covered
with a non-fabric material that is easily decontaminated?
Are ceiling tiles/panels in reasonable condition (not substantially
damaged, moldy, or missing)?
Is lab under negative pressure relative to corridor?
FIRE/LIFE SAFETY
Does staff know evacuation assembly location?
24.
25. Does staff know how to respond to emergencies?
26. Does staff know where 1st Aid supplies are located?
27. Are exit corridors and doors free from obstruction created by
improper storage or arrangement of furniture?
28. Do fire doors and doors to hazardous areas self-close and latch
properly?
29. Are fire extinguishers provided within 50 feet of the lab, fully
charged, pin and security seal in place and up-to-date
maintenance tag?
30. Are trash receptacles and paper located away heat sources?
31. Are fire alarm bells/horns/strobes free of obstruction that would
32.
33.
34.
35.
hamper the operation or reduce the sound?
Is emergency equipment (safety showers, fire alarm pull stations
and fire extinguishers) physically and visually accessible?
Refrigerators used are appropriate for the location and items
stored? (No domestics w/in 8 feet of flammables, Flammable
Material Storage refrigeration for flammables)
ELECTRICAL/MECHANICAL SAFETY
Are electrical cords and plugs in good repair (not cracked,
broken, or frayed)?
Are wall outlets & switches in good repair (not broken, covers in
place, etc.)?
Is the area free of multi-plug outlet adapters?
36.
37. Are extension cords being used only on a temporary basis?
38. Does lab avoid daisy chaining power strips?
39. Are there fixed or portable Ground Fault Circuit Interrupters
(GFCI) devices used in areas that are within 6 feet of a water
No
n/a
Date Corrected
HAZARD IDENTIFICATION CHECKLIST
Yes
No
source?
40. Are belts, pulleys, sprockets and chains, shafting, or other
rotating parts of mechanical equipment properly guarded (guard
openings must be less than ½ inches)?
41. Do all electrical panels have a 3 foot clearance?
42. Are unneeded electrical items disposed of through Peter’s
43.
44.
45.
46.
Exchange?
BIOLOGICAL SAFETY
Does lab have a current IBC approval?
When: Bacteria; virus; rDNA;
human/primate blood/blood products/cell lines/tissue/fluids;
yeasts; fungus; parasites; prions; rickettsias; transgenic
plants/animals;
Select Agents; human gene therapy?
Has applicable staff taken Bloodborne Pathogens training within
last 12 months?
Is lab using correct color biowaste bag? (Red for BSL2, BSL3 no orange bags; white OK for BSL1 only)
Are bio-waste containers:

Labeled with word “Biohazard” and the biohazard
symbol OR the words "Biohazardous Waste"?
 Lids secured-in-place w/o obstructions?
47. Is red bag waste disposed through EH&S? (EVS at UCIMC).
48. Do biosafety cabinets have:


A HEPA Vacu-Guard to protect house vacuum?
Secondary containment for waste flasks when
located on the floor?
Are
biological
safety cabinets certified annually or posted
49.
"Caution: not certified for > BSL2 work"?
SHARPS MANAGEMENT
50. Bio-sharps Management: needles, razor blades and Pasteur
pipettes disposed properly (rigid, plastic sharps container; For
pipettes, Safe-Keepers are acceptable)?
51. Are non-biohazardous sharp items, (broken glass and pointed
plastic items) disposed of in a broken glass container?
CONTROLLED SUBSTANCES (CS) & SELECT AGENTS (SA)
SA
52. Is the inventory usage log maintained? CS
CS
SA
53. Is there adequate storage security?
54. Does staff know how to dispose material in accordance
with UCI procedures?
CS
SA
CHEMICAL SAFETY
55. Is staff keeping CiBRTrac chemical inventories current within
campus guidelines? (For Chemistry Department, the system is
ChemInnovation)
n/a
Date Corrected
HAZARD IDENTIFICATION CHECKLIST
Yes
No
56. Does staff know how to access the campus Chemical Hygiene
57.
58.
59.
60.
61.
62.
63.
64.
65.
66.
67.
68.
Plan?
Are hazardous chemical container labels readable with regard to
chemical name and hazards?
Are chemical containers in good condition (no leaking, cracked
caps, rusting or crystals around neck)?
Are chemical containers kept closed when not in use?
Are containers of liquid hazardous chemicals over 1 gallon
capacity stored below 5 feet high?
Are no more than 5 gallons of flammable liquids stored
outside of approved flammable cabinets?
Are flammables and combustible materials located away from
heat and ignition sources? (~3 feet).
Have you evaluated the compatibility and combinations of the
chemicals being stored (e.g., flammable storage cabinets)? If
chemicals are incompatible or hazardous if combined, have they
been properly segregated and maintained to prevent accidental
contact (e.g., secondary containment)?
Have you considered how the hazards are being stored (i.e.,
storage area rated for the chemical at issue)?
Are incompatible chemical/wastes separated by distance or
partition?
Are corrosive liquids, including wastes, stored below shoulder
level?
Are all storage areas properly maintained (i.e., no broken pieces,
in disrepair, or unclean)?
Peroxide forming chemicals: lab demonstrates good grasp of
dating containers, testing for peroxides, and/or disposing when
expired.
Is the operation of eyewash/safety checked monthly?
69.
70. Is staff instructed in incidental spill response?
71. Do centrifuges have covers that are utilized during use?
72. Is lab using fume hood correctly?
 back of the fume hood clear of obstructions, equipment
 work contained past the front of the hood by 6”
 sash position does not exceed approved working height
and is down when not in use
73. Are cryogenic liquids used and stored in well-ventilated areas?
HAZARDOUS CHEMICAL WASTE
74. Are wastes appropriately labeled?
75. Are wastes in secondary containment?
76. Are wastes liquids sent to EH&S within 6 months?
PERSONAL PROTECTIVE EQUIPMENT (PPE) and HYGIENE
77. Is PPE provided (includes safety glasses, goggles, gloves,
n/a
Date Corrected
HAZARD IDENTIFICATION CHECKLIST
Yes
No
n/a
Date Corrected
aprons, face shields)?
78. Does staff wear closed-toe shoes and lab coats?
79. Is PPE stored in a clean and sanitary location?
80. Is staff conscientious removing PPE prior to exiting lab,
handling telephones, etc?
81. Have respirator/dust mask users been evaluated by EHS for
respirator use?
82. Is eating, drinking, and cosmetic use occurring only in areas
signed as “Clean Areas” and adequately separated from
hazardous materials use and storage?
83. Are refrigerators, microwaves and freezers labeled regarding the
storage of hazardous materials or food items?
COMPRESSED GASES
84.
85.
86.
87.
Are all gas cylinders secured?
Are valve protection caps kept on cylinders when stored?
Are toxic gases stored in a ventilated cabinet/fume hood?
Are oxygen cylinders stored separately from flammable gases
and liquids (5' fire wall or 20' distance)?
SHIPPING DANGEROUS GOODS (DG)
88. Staff who package DG for shipping are current on training to
correctly package, label, and document hazardous materials
shipments leaving UC Irvine?
Comments/Other:
Signature of Surveyor:_________________________________________________________________