Clarkson University Laboratory Safety Checklist The health and safety of our students and employees in the workplace is of utmost importance. New faculty, staff and students working in Clarkson University’s laboratories need to be educated on the potential safety hazards in their work environment. Please discuss the following safety-related issues with your supervisor and review and sign this form. Once the form is completed, please send to Erica Arnold, Environmental Health & Safety Manager (Office: 2207 Price Hall; Box #: 5542; Email: earnold@clarkson.edu). Name (print) ______________________ Advisor or Lab PI: __________________________ Lab location: ___________________ (Building & Room #): ____________________ Training General laboratory safety training from EH&S (date complete: ) ☐ Radiation safety training on Moodle - required for all users of radioactive material ☐ and/or radiation producing devices (date complete: ) Bloodborne pathogen training from EH&S – required for any research involving ☐ potential exposure to bloodborne pathogens (date completed: ) Laser safety training online – required for all users of Class 3B or Class 4 lasers (date ☐ completed: ) Human subjects CITI training online – required for all research involving human ☐ subjects (date completed: ) Safety Procedures I have been shown the location of the Clarkson University Chemical Hygiene Plan. ☐ Lab specific safety information and procedures have been reviewed with me, including ☐ the lab’s chemical inventory list and hazardous chemicals in the lab. Chemical Safety I have been familiarized with this lab’s chemical storage locations. ☐ I have been shown how to access safety data sheet (SDS) information - hard copy ☐ binder location and Clarkson University’s MSDSonline. I have been educated about appropriate lab attire and the location and use of ☐ personal protective equipment (lab coat, safety glasses, gloves, etc.). I have been educated on the location and safe use of the chemical fume hood and ☐ other safety equipment. Biological Safety I have been educated about appropriate lab attire and the location and use of ☐ personal protective equipment (lab coat, safety glasses, gloves, etc.). I have been educated on the location and safe use of the biological safety cabinet ☐ (required for BSL2, 3 and 4) and other safety equipment. I have been educated on what to use and how to properly disinfect work surfaces, ☐ biological safety cabinet and liquid biological waste. Clarkson University Laboratory Safety Checklist Waste Management I have been trained on how to store, handle, tag and request pick-ups of this lab’s ☐ waste stream(s) including chemical waste, biological waste, medical waste, radioactive waste, fluorescent light bulbs, batteries and other recyclable items. Emergency Response: Spills, Exposures, Fire I have been shown the location of the lab’s chemical spill kit and have been ☐ familiarized on how and when to use it. I have been shown the location of the lab’s biological spill kit and have been ☐ familiarized on how and when to use it. I have been shown the location of my closest eyewash stations and showers and have ☐ been familiarized in their use. I have been shown the location of my closest fire extinguishers and fire alarm pull ☐ stations and have been familiarized in their use. I am familiar with at least two evacuation routes out of the building and the lab’s post☐ evacuation assembly area. Signature of Trainee ________________________________ Date ____________ Signature of Supervisor ______________________________ Date ____________