Ucsd Lab Self-Audit Form Page 2

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UCSD LAB SELF-AUDIT FORM
Lab Chemical Spill supplies or kit available
Tippable items >42" high seismically secured
Heavy / Hard items secured / stored on lower shelves / cabinet doors closed /
shelf lips
Lab air negative to hallway
5. Fire/Life Safety
N/A Yes No
Comments:
Exit / aisles / corridors free from obstructions
Lab doors/fire doors kept closed
Fire extinguisher: present (within 75') / serviced yearly / accessible / visually
checked monthly (Annual Service Date___________________________)
Fire Alarm bells / horns / strobes unobstructed
Storage clearance from ceiling:18" with sprinklers, 24" without sprinklers
6. Electrical / Mechanical Safety
N/A Yes No
Comments:
Electrical panel accessible
Plugs, cords and receptacles in good condition (no electrical tape, cracks, bare
wires)
Appropriate extension cord use (no permanent wiring, in series, through walls,
trip hazard)
Movable parts guarded on equipment
7. Environmental rooms
N/A Yes No
Comments:
Clean and clutter free
Correct storage (no mold / limited cardboard use, no flammable materials, no
gas cylinders)
N/A Yes No
8. Personal Protective Equipment (PPE)
Comments:
Appropriate footwear and clothing worn in lab at all times
Lab coat assigned, worn in laboratory
Gloves available & appropriate
Eye protection assigned, available, & used
Face shield / splash googles available if required
9. Chemical Safety
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9a. Chem Safety Basics
N/A Yes No
Comments:
All lab personnel know how to access SDS's (online or Hard Copy)
Storage cabinets labeled / clean / uncluttered
Containers: labeled / good condition / stored securely / closed when not in use /
no visible contamination / appropriate location
Chemicals separated by hazard class (acids, bases, oxidizers, flammables)
Page 2 of 4
Rev. 5/2014

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