Appendix H - LABORATORY INSPECTION CHECKLIST

Laboratory No.                   Bldg.                            Inspected by__________________________Date______________
             
Areas of Inspection                                                                             Comments and Recommendations
1.   Bench tops                                                     ____                                                                                   
2.   Areas under sinks                                                ____                                                                                  
3.   Cabinets, drawers, shelves (chemicals storage)____                                                                                  
4.   Hoods                                                          ____                                                                                    
5.   Aisles                                                                    ____                                                                                    
6.   Window ledges                                            ____                                                                                  
7.   Walls, floors                                          _____                                                                                  
8.   Chairs, stools, upholstery, casters              _____                                                                                  
9.   Safety glasses, face shields, protective clothing_____                                                                                  
10.  Fire Extinguishers                                           _____                                                                                  
11.  Compressed gas cylinders                         ______                                                                                
12.  Broken glassware:  destroy? repair?              _______                                                                              
13.  No Smoking sign                                           _____                                                                                 
14.  Tubing: condition? proper use?       _____                                                                                 
15.  Guards on moving equipment                    ___                                                                                 
16.  Interlocks                                                        ___                                                                                _
17.  Condition of laboratory equipment           ___                                                                                  
18.  Refrigerators                                         ______                                                                                 
19.  Electric cords, other wiring                       _____                                                                                  
20.  Eye wash fountains                                                                                                                    _____
21.  Storage of peroxide-forming chemicals    _____                                                                                  
22.  Labels on containers                                                                                                                 _____
23.  Evaluation of amount of chemicals in laboratory                                                                                   _
24.  Evaluation of amount of supplies and equipment     ____________________________________________
25.  Laboratory desks, bookshelves                                                                                                  _____
26.  Office Housekeeping                                                                                                                      _____
27.  Other                                                                                                                                                       _____ 
 
Actions taken and other recommendations:
1.   ___________________________________________________________________________________ 
2.   ___________________________________________________________________________________
3.   ___________________________________________________________________________________
4.    ___________________________________________________________________________________
5.    ___________________________________________________________________________________  
6.    ___________________________________________________________________________________
7.    ___________________________________________________________________________________
8.    ___________________________________________________________________________________
9.    ___________________________________________________________________________________
10.                                                                                                                                                                   
11.                                                                                                                                                                   
12.                                                                                                                                                                  
13.                                                                                                                                                                  
14.                                                                                                                                                                  
15.                                                                                                                                                                   
16.                                                                                                                                                                   
17.                                                                                                                                                                   
18.                                                                                                                                                                   
19.                                                                                                                                                                   
20.                                                                                                                                                                   
21.                                                                                                                                                                  
22.                                                                                                                                                                   
23.                                                                                                                                                                   
24.                                                                                                                                                                   
25.