Emergency phone numbers


Appendix XI. Incident/Accident Reports



Download 0.71 Mb.
Page20/21
Date28.11.2016
Size0.71 Mb.
1   ...   13   14   15   16   17   18   19   20   21

Appendix XI. Incident/Accident Reports



Keep copies of written report (use this form) for all incidents/accidents that occurred in the laboratory.

Appendix XII. Laboratory Inspections



Keep copies of self-audit reports using the form on the next page and copies of written reports with corrective actions of periodic inspections conducted by EH&S.


USC EH&S LABORATORY INSPECTION FORM

PRINCIPAL INVESTIGATOR:

Date:

DEPARTMENT:

CORRECTIVE ACTION DUE: CLOSED:

LAB REP AND E-MAIL:

BLDG & ROOM(S): Report sent:

Auditor:

LAB TELEPHONE #: Follow-up:

#

ITEM

Y

N

N/A

Root Cause/ Comments

#

ITEM

Y

N

N/A

Root Cause/ Comments

Documentation

Compressed Gases

1

Chemical Hygiene Plan

 

 

 

 

43

Gas cylinders regulator or cap

 

 

 

 

2

SOP for particularly hazardous materials

 

 

 

 

44

Gas cylinder label

 

 

 

 

3

Lab safety manual(s)

 

 

 

 

45

Gas connections leak test

 

 

 

 

4

Training (EHS, CHP, Lab-sp, PHm)

 

 

 

 

46

Gas cylinder transport

 

 

 

 

5

Annual Haz Waste training

 

 

 

 

47

Gas cylinder hydrostatic test

 

 

 

 

6

Chemical inventory

 

 

 

 

Fire Safety

6a

Inventory 12.0 Databased Installed

 

 

 

 

 

 

 

 

 

 

7

SDS for each chemical

 

 

 

 

48

Hazard Information Board

 

 

 

 

Chemical Fume Hood

 

49

Emergency procedures

 

 

 

 

8

Fume hood air flow, certification

 

 

 

 

50

Walkways and exits

 

 

 

 

9

Fume hood (clutter)

 

 

 

 

51

Sprinkler heads

 

 

 

 

10

Fume hood sash condition

 

 

 

 

52

Fire extinguisher

 

 

 

 

11

Fume hood airfoil

 

 

 

 

53

Fire extinguisher monthly checks

 

 

 

 

12

Fume hood light

 

 

 

 

54

Flammables in flammable cabinets

 

 

 

 

13

Fume hood alarm

 

 

 

 

55

50-gal drums flammables grounded

 

 

 

 

14

Fume hood side panels

 

 

 

 

56

Pumps for transfer of flammables

 

 

 

 

15

Fume hood sash height

 

 

 

 

Electrical Safety

Safety Equipment

 

57

Circuit breaker panel clearance

 

 

 

 

16

Eyewash, safety shower

 

 

 

 

58

Circuit panel, receptacle boxes cover

 

 

 

 

17

Path to eyewash and safety shower

 

 

 

 

59

GFCI near sinks and wet areas

 

 

 

 

18

Eyewash weekly checks

 

 

 

 

60

Lab appliances on wall outlets

 

 

 

 

19

Safety shower biannual checks

 

 

 

 

Waste Management

20

Fully stocked first aid kit

 

 

 

 

61

Chem. waste container cap

 

 

 

 

21

Fully stocked spill kit

 

 

 

 

62

Chem. waste container compatible

 

 

 

 

Personal Protective Equipment

 

63

Chemical waste container label

 

 

 

 

22

Appropriate gloves

 

 

 

 

64

Outdated/unused chemicals disposed

 

 

 

 

23

Safety glasses, goggles, face shields

 

 

 

 

65

Broken glass

 

 

 

 

24

Splash apron

 

 

 

 

66

Other wastes (oil, universal waste)

 

 

 

 

25

Lab coats

 

 

 

 

Prudent Work Practices

26

Long pants, full coverage shoes

 

 

 

 

67

Food and drink designated areas

 

 

 

 

27

Ear protection

 

 

 

 

68

Appliances designattion and label

 

 

 

 

28

Respirator wearers fit tested

 

 

 

 

69

PHm designated areas

 

 

 

 

29

Prescr. glasses not contact lense

 

 

 

 

70

Designated "office work" station

 

 

 

 

Chemical Storage

 

71

Unattended operations

 

 

 

 

30

Chemical storage secured, height

 

 

 

 

72

Work benches and walkways (clutter)

 

 

 

 

31

Original container labels

 

 

 

 

73

Chemical spills

 

 

 

 

32

Secondary container label

 

 

 

 

74

Mechanical pipetting devices

 

 

 

 

33

Chemical container cap, seal

 

 

 

 

75

PPEs removed, hands washed

 

 

 

 

34

Chemical segregation

 

 

 

 

DEA-Controlled Substances

35

Peroxide formers, reactives dated

 

 

 

 

76

Permit (DHEC, DEA)

 

 

 

 

36

Flammables in explosion-proof refs

 

 

 

 

77

DEA-controlled substances storage

 

 

 

 

Particularly Hazardous Materials

 

78

DEA-controlled substances inventory

 

 

 

 

37

Calcium gluconate and HF spill kit

 

 

 

 

79

DEA-controlled substances log

 

 

 

 

38

Mercury spill kit/Hg thermometers

 

 

 

 

80

DEA-controlled substances expiration

 

 

 

 

39

Flammable, toxic gas monitors

 

 

 

 

Other

Compressed Gases

 

81

Slips, trips, fall, ergonomic

 

 

 

 

40

Gas cylinders location

 

 

 

 

82

Biohazard agents used?

 

 

 

 

41

Gas cylinders strapped/chained

 

 

 

 

(List if yes)

42

Gas cylinders segregation

 

 

 

 

 



Share with your friends:
1   ...   13   14   15   16   17   18   19   20   21


The database is protected by copyright ©dentisty.org 2019
send message

    Main page