Environmental Health and Safety 2809 Daley Drive Ames, Iowa 50011-3660 Phone: 515 294-5359 Fax: 515-294-9357

www.ehs.iastate.edu

LABORATORY SAFETY SURVEY

DEPARTMENT: BUILDING: ROOM(S): PRINCIPAL INVESTIGATOR: SUPERVISOR/CONTACT: INSPECTED BY:

DATE: YES NO NA

A. SAFETY PRACTICES 1. Work practices observed during the Laboratory Safety Survey were performed safely. 2. Current safety training records available. 3. Laboratory Safety Surveys being performed & documented annually as required in the Laboratory Safety Manual. 4. Access to the laboratory is locked or restricted at all times. Comments: B. EMERGENCY EQUIPMENT 1. Appropriate signage posted on hallway doors. 2. Room fire extinguishers appropriate, mounted, charged, unobstructed and checked annually. 3. Spill control kits available. 4. Appropriate first-aid kit available. 5. Eyewash stations are available and documented to be in good working condition monthly by lab personnel. 6. Safety shower available within 10 seconds of laboratory using hazardous chemicals. 7. Areas within 3 of eyewash and safety shower are unobstructed. Comments: C. CHEMICAL/BIOLOGICAL SAFETY 1. Current Laboratory Safety Manual/Biosafety Manual available in lab or online, as appropriate. 2. Chemical/Biological inventories current and copies sent to EH&S annually. 3. MSDSs for Chemical/Biological hazardous materials are available. 4. Standard operating procedures (SOPs) developed for use of Chemical/Biological hazardous materials. 5. Containers appropriately labeled, with names spelled out (no abbreviations, formulas or shorthand). 6. Containers securely closed when not in use. 7. Incompatible chemicals stored separately and all chemicals are stored by hazard category. 8. Secondary containment is being used for liquid chemicals in storage cabinets. 9. Appropriate shelving for liquid chemicals, specifically acids. 10.Chemicals with exposure limits <50 ppm used only in fume hoods. 11.Flammable liquids over 1 gallon are in approved containers. 12.Flammable liquids totaling more than ten gallons are stored in flammable liquid safety cabinets. 13.Peroxide formers bear a yellow Peroxide Warning Label and are properly dated. 14.Peroxide formers disposed of by expiration date or tested for peroxide concentration. 15.Gas cylinders secured, away from heat sources and capped when not in use. 16.Hazardous gases (fire & health rating 3 or 4) in ventilated cabinet. 17.Fume hoods and biosafety cabinets certified annually, properly used and not used for routine storage. 18.Refrigeration equipment labeled to indicate the suitability for storing flammable liquids. 19.Vacuum equipment trapped or filtered. 20. Containment procedures in place for equipment containing mercury. 21. Hazard Inventory Form ( http://www.ehs.iastate.edu/forms/hazardinventory.pdf ) submitted to EH&S. Comments: D. HAZARDOUS WASTE MANAGEMENT PRACTICES 1. Lab personnel are familiar with EH&S waste collection procedures. 2. Personnel utilizing the waste satellite accumulation area have annually completed Management of Unwanted Material for Laboratory Personnel.

YES NO NA

YES NO NA

YES NO NA

H:\H&S\Lab Inspections\Misc. Lab Inspection Documents\Laboratory Safety Survey Electronic Form 2007.doc Revised 10/01/07

Page 1 of 2

D. HAZARDOUS WASTE MANAGEMENT PRACTICES cont. YES NO 3. Waste materials are collected in a designated satellite accumulation area identified with green EH&S signage. 4. Waste satellite accumulation areas are located at or near the point of generation. 5. Waste containers are appropriately labeled (no abbreviations, formulas, or shorthand). 6. Waste containers are closed except when in use. Comments: YES NO E. GENERAL SAFETY 1. Sink hoses from public water supply are above sink rim unless backflow device is installed on faucet. 2. Suitable personal protective equipment available, in good condition, properly stored and not worn outside of the lab. 3. Respirator users fit tested and trained. 4. Hand washing soap and towels are available at laboratory sink. 5. Areas are clean, uncluttered and all garbage is disposed of safely. 6. Exits and aisles are unobstructed. 7. Heavy objects and chemicals stored below five feet. 8. Ladders and step stools appropriate and in good condition. 9. Food, beverages, tobacco products and cosmetics are absent from working areas. 10. Appropriate safety signs posted. 11. Laboratory equipment moving parts guarded (i.e., fan belts). 12. Fire doors are kept closed unless held open by alarm deactivating magnets. 13. Illumination is adequate for all activities, avoiding reflections and glare that could affect vision. 14. Emergency Action Plan posted. Comments: YES NO F. ELECTRICAL SAFETY 1. Electrical equipment correctly grounded with three pronged plugs. 2. Electrical cords in safe condition (no cuts, cracks or taped repairs). 3. Extension cords absent. 4. Multi-plug power strips are UL approved and breakered. 5. No multi-plug power strips used in tandem. 6. Circuit breaker panels and emergency shutoffs unobstructed (30 clear space) and unlocked. 7. High wattage equipment (i.e., refrigerators, copiers, etc.) plugged directly into wall outlets. Comments: YES NO G. SAFETY ITEMS REQUIRING FP&M ACTION Note: Initiate a request for services at www.fpm.iastate.edu/forms/servicerequest (contact EH&S for assistance). 1. Building area mechanic has tested the safety shower in the past year. 2. Circuit breaker panels labeled. 3. Electrical outlets grounded with three-pronged receptacle. 4. Electrical outlets, switches, and covers in good repair. 5. Ground fault circuit interrupt outlets are labeled and operating correctly. 6. Outlets within 6 of water source are GFCI protected. 7. Fire separation appropriate (i.e., door, door closure, wireglass, etc.). 8. Fume hoods are in good repair and functioning properly. Comments: YES NO H. ADDITIONAL BIOSAFETY PRACTICES 1. Laboratory work conforms to the requirements of the Biosafety Manual. 2. Work surfaces decontaminated at least once a day and after a spill of viable material. 3. Autoclave performance checks completed monthly by validation spore test. 4. Laboratory and furniture constructed so they can be easily cleaned and decontaminated. 5. Only animals or plants associated with current study in a BSL-2 laboratory. 6. Biological safety cabinets are used for processes generating aerosols & handling large quantities of infectious materials. 7. Access to Select Biological Agents is restricted. 8. An "X" made with autoclave tape covers biohazard symbols on red bags to indicate materials have been decontaminated. Comments: OTHER SAFETY ISSUES If you use BSL-3 organisms, please contact EH&S Biosafety group at 294-5359 for requirements. If you use radioactive materials, lasers, etc., contact Radiation Safety at 294-7667 for requirements.
H:\H&S\Lab Inspections\Misc. Lab Inspection Documents\Laboratory Safety Survey Electronic Form 2007.doc Revised 10/01/07 Page 2 of 2

NA

NA

NA

NA

NA