Ucsd Lab Self-Audit Form printable pdf download

Ucsd Lab Self-Audit Form

UCSD LAB SELF-AUDIT FORM

PI :

Inspector (if different than PI):

Building:

Date:

Does

OK?

Rooms:

Not

Comments (If NO is marked, please indicate the

Apply

corrective action taken)

1. Signage

N/A Yes No

Comments:

Room Haz Com sheets posted and updated (bio, carcinogen, rad, other)

Abbreviation sheet posted in lab

Emergency Response Guide posted in lab

2. Documentation & Training

(Location of Training Records:

)

N/A Yes No

Comments:

Access to BLINK safety resources

Chemical Hygiene Plan (access / read)

New Lab Worker Checklist

UC Lab Safety Fundamentals Training

Annual Laboratory Hazards Training

Bloodborne Pathogen (BBP) initial training / Refresher / Viral Vectors Training

Records uploaded in CHUA (Personnel / LHAT / HCPs / PPE / Training)

3. Work Practices

N/A Yes No

Comments:

Clean areas & trash can posted

Refrigerator/freezers posted, no food, drink, flammable materials storage

Flood anticipation (tubing clamped, appropriate PSI, equipment elevated off of

floor)

Single-pass water & water conservation

Sink Available for hand washing (soap and towels available)

Proper disposal of non-hazardous piercing objects (broken glass & pipettes) in

appropriate container and labeled "Non-Hazardous" & waste generator number

No Exposed Sharps (razor blades and needles stored safely)

Lab in good repair (e.g. Housekeeping, walls intact, ceiling tiles)

4. Lab Emergencies/Preparation

N/A Yes No

Comments:

All lab personnel know evacuation procedures, routes and assembly location

All lab personnel know response for injuries and exposures

Is there an approved eyewash/emergency shower within 10 sec. / 55 ft. of the

lab?

Eyewash/emergency shower area clear of obstructions (36" around it)

Date of last EW/ES test within the last month (Date of last test:___________)

First-aid kit present and stocked?

Page 1 of 4

Rev. 5/2014

Ucsd Lab Self-Audit Form

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