BIOLOGICAL SAFETY CABINET RECORD SHEET
(Analyst performing and documenting checks must be competent in the protocol for the operation of the BSC.)
Division:
Month:
SAFETY CHECKS MUST BE COMPLETED EACH DAY OF USE. Records are to be retained for two years.
Biological Safety Cabinet?
Location of Cabinet?
Yearly certification up-to-date?
(Class ll or Fume Hood)
(yes or no)
Note: If certification is not current, the BSC cannot be used. Contact safety officer immediately.
Document all appropriate indicators before use with an “A” acceptable, “UA” unacceptable, or “NA” non-applicable.
Note: If “UA” is documented, appropriate corrective action must be done and documented before use of the BSC.
Other
Initials
Date
Visual
Sound
Airflow *Smoke Test
**UV
Pressure Gauge
Wizard
Stick
Detections
Readings
of
Alarm
Alarm
Reading
Cleanings
Analyst
VISUAL ALARM……..Air flow indicator green / SOUND ALARM……..Short “beep” at start / AIRFLOW……………….Paper indicator
Corrective Action Log
Note: Include maintenance or repair done by professional company and BCL staff below
Date
Problem
Date
Problem
Resolution
Initials
Resolution
Initials
Replacement Part Information
*Denotes monthly checks
**Denotes weekly checks of UV light and appropriate cleaning of the UV light.
ADPH/BCL/QM/08-2012