ࡱ>   bjbj 7R8<ON33III$$$FNHNHNHNHNHNHNO=RHNT$$TTHNII]NLLLTIIFNLTFNLLH$LIzLd4J*2NsN0N^JS^`STLL&SM $>b,L$$$$HNHN$$$NTTTTS$$$$$$$$$ : Inspection Date_______________ Responsible Party______________________________________ Inspection Team (Print legibly) Signature ___________________ _________________________________ ___________________ _________________________________ ___________________ _________________________________Department________________________________ Building___________________________________ Room #:  Room #: YesNoCOMMENTSYesNoCOMMENTSGeneral Area appears neat and free of clutter. Storage is maintained at least 24 below ceiling level. Floors are free of debris, spilled liquids, tripping hazards. A spill clean-up kit is available. Signs are posted that say Food and Drink are Not Allowed in the Laboratory. Signs are posted that proper attire must be worn in the laboratory (no shorts, skirts, or open-toed shoes).  __ __ __ __ __ __ __ __ __ __ __ __ ________________ ________________ ________________ ________________ ________________ ________________  __ __ __ __ __ __ __ __ __ __ __ __ ________________ ________________ ________________ ________________ ________________ ________________Safety Shower/Eye Wash Last checked on __________. Available and in good working order. Area around is clear.  __ __ __ __ __ __ ________________ ________________ ________________  __ __ __ __ __ __ ________________ ________________ ________________Fire Extinguisher Last checked on ___________. Area around is clear, free of debris and unobstructed.  __ __ __ __ ________________ ________________  __ __ __ __ ________________ ________________Plugs All appliances have three-pronged grounded plugs that are UL approved. Extension cords -used properly (i.e. not as permanent wiring). Wiring or cords are out of pathways avoiding trip hazards, or in areas that could cause other safety issues or cord damage. Any power strips in use have a fuse. Grounding pins are in tact. __ __ __ __ __ __ __ __ __ __ ________________ ________________ ________________ ________________ ________________ __ __ __ __ __ __ __ __ __ __ ________________ ________________ ________________ ________________ ________________ Inspection Date_______________ Responsible Party________________________________________________ Inspection Team (Print legibly) Signature ___________________ _________________________________ ___________________ _________________________________ ___________________ _________________________________Department________________________________ Building___________________________________ Room #: Room #: YesNoCOMMENTSYesNoCOMMENTSChemicals & Chemical Containers All containers are inventoried (have 51 barcode). All containers are clearly labeled with chemical name, hazards, etc. (call EH&S for requirements) All containers are capped and properly stored if not in use. Lab containers such as beakers, test tubes, etc. are dated, initialed and labeled with contents. __ __ __ __ __ __ __ __ ________________ ________________ ________________ ________________ __ __ __ __ __ __ __ __ ________________ ________________ ________________ ________________Chemical Storage Shelves for chemical storage are sturdy, well-braced, and have a lip or edge to prevent spilling. Acids and bases are stored in separate cabinets. No flammable solvents, corrosives, or reactives are stored above eye level. Flammable materials are stored in a UL approved flammable storage cabinet. Materials that may become hazardous with prolonged storage (e.g., ethers, peroxides) are dated when they are first opened. (Check refrigerators) __ __ __ __ __ __ __ __ __ __ ________________ ________________ ________________ ________________ ________________ __ __ __ __ __ __ __ __ __ __ ________________ ________________ ________________ ________________ ________________Refrigerators Labeled Not for Food and Drink. Combustible materials are not stored above refrigerators or freezers. All liquids chemicals are stored in plastic trays or other secondary containment. __ __ __ __ __ __ ________________ ________________ ________________ __ __ __ __ __ __ ________________ ________________ ________________ Inspection Date_______________ Responsible Party_______________________________________ Inspection Team (Print legibly) Signature __________________ _________________________________ __________________ _________________________________ __________________ _________________________________Department________________________________ Building___________________________________ Room #: Room #: YesNoCOMMENTSYesNoCOMMENTSGas Cylinders All cylinders are capped if not in use All gas cylinders are secured All hoses, gas connections, etc. are in good condition. __ __ __ __ __ __ ________________ ________________ ________________ __ __ __ __ __ __ ________________ ________________ ________________Fume Hoods Clear from front to back for good air flow. Hazardous material is kept 6 behind the plane of the sash. Sash is kept down except when working in the hood. Storage of chemicals & apparatus is kept to a bare minimum.  __ __ __ __ __ __ __ __ ________________ ________________ ________________ ________________ __ __ __ __ __ __ __ __ ________________ ________________ ________________ ________________MSDSs, Chemical Hygiene Plan, & Emergency Info. Material Safety Data Sheets are readily available for all chemicals in the area. Chemical Hygiene Plan is visible and accessible. Current emergency phone list is posted (if a phone is available). __ __ __ __ __ __ ________________ ________________ ________________ __ __ __ __ __ __ ________________ ________________ ________________PPE Was the following PPE available? 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