Lab Safety Audit Form

General Work Environment
Work areas illuminated	YES	NO	N/A
Storage of flam. materials minimized	YES	NO	N/A
Trash removed	YES	NO	N/A
Heavy items on lower shelves	YES	NO	N/A
Stool available for high items	YES	NO	N/A
No storage within 18 inches of ceiling	YES	NO	N/A
Exit signs present and working	YES	NO	N/A
Exits not blocked	YES	NO	N/A
Highly toxic materials secure	YES	NO	N/A
Emergency Facilities
Fire extinguishers present	YES	NO	N/A
Fire extinguishers charged and inspected	YES	NO	N/A
Fire blankets present	YES	NO	N/A
Fire alarms unobstructed	YES	NO	N/A
Satefy showers flushed and working	YES	NO	N/A
All eye wash fountains flushed and working	YES	NO	N/A
Spill kit present and stocked	YES	NO	N/A
Information Access
CHP available	YES	NO	N/A
Site-specific SOP available	YES	NO	N/A
MSDS or SDS available	YES	NO	N/A
Door posting safety glasses	YES	NO	N/A
Door posting hazardous materials	YES	NO	N/A
Door posting pressure	YES	NO	N/A
Door posting no food	YES	NO	N/A
Door posting emergency phone #s	YES	NO	N/A
Door posting other	YES	NO	N/A
Personal Protective Equipment
Satefy glasses worn at all times	YES	NO	N/A
Goggles or face shields available	YES	NO	N/A
Proper gloves worn or available	YES	NO	N/A
Lab coats available	YES	NO	N/A
Proper other clothing, hair, jewelry	YES	NO	N/A
Electrical Safety
Cords in good shape	YES	NO	N/A
Cover plates installed	YES	NO	N/A
Circuit breaker panels unobstructed	YES	NO	N/A
Machine covers installed	YES	NO	N/A
No exposed electrical conductors	YES	NO	N/A
Ground fault circuit interrupters installed	YES	NO	N/A
GFCI working	YES	NO	N/A
Chemical Storage
Shelving adequate for loads	YES	NO	N/A
Proper refrigeration units and labels	YES	NO	N/A
Approved flammable cabinets and labels	YES	NO	N/A
Toxic gases in vented cabinets	YES	NO	N/A
Proper containers with labels	YES	NO	N/A
Fume hood storage minimized	YES	NO	N/A
Incompatible chemicals segregated	YES	NO	N/A
Corrosives stored below eye level	YES	NO	N/A
Storage quantities minimized	YES	NO	N/A
Secondary containment for transport	YES	NO	N/A
Chemicals with shelf lives dated	YES	NO	N/A
Fume hoods used for hazardous chemicals	YES	NO	N/A
Gases used in well-ventilated areas	YES	NO	N/A
Gas cylinders secured with chain or strap	YES	NO	N/A
Proper regulator used	YES	NO	N/A
Protective valve covers used	YES	NO	N/A
Cylinder carts used for transport	YES	NO	N/A
Empty cylinders returned promptly	YES	NO	N/A
Cryogen containers vented	YES	NO	N/A
Cryogen dewars shielded	YES	NO	N/A
PPE used when dispensing cryogens	YES	NO	N/A
Waste containers appropriate and labeled	YES	NO	N/A
Separate bins for broken glass	YES	NO	N/A
Separate bins for sharps	YES	NO	N/A
Full waste containers removed from lab	YES	NO	N/A
Training and Awareness Interview
All employees received CHP training	YES	NO	N/A
All employess have fire extinguisher training	YES	NO	N/A
What to do in case of fire?	YES	NO	N/A
Where is CHP and SDS?	YES	NO	N/A
How to treat spill?	YES	NO	N/A
PPE use?	YES	NO	N/A
Hood use?	YES	NO	N/A
What to do with waste?	YES	NO	N/A
What is most hazardous chemical used?	YES	NO	N/A
How to use eye wash fountain?	YES	NO	N/A
What are symptoms of chemical exposure?	YES	NO	N/A
Ventilation
Mechanical inspection	YES	NO	N/A
Baffles working	YES	NO	N/A
Baffles unobstructed	YES	NO	N/A
Emergency flow button	YES	NO	N/A
Mute button working	YES	NO	N/A
Flow results	YES	NO	N/A
Any repairs required?	YES	NO	N/A
Hood lockout?	YES	NO	N/A
Repairs completed?	YES	NO	N/A
Summary of Findings
Any work order repairs needed?	YES	NO	N/A
Any behavioral changes needed?	YES	NO	N/A
Copy sent to PI or Dean?	YES	NO	N/A
Other	YES	NO	N/A