Environmental Health and Safety
Injury and Illness Prevention Program
Laboratory Safety Survey
| Building: ______________________________ |
| Room: ______________ Date: _____________ |
| P.I.: ___________________________________ |
| CHEMICAL SAFETY |
| _____ Fume Hood Certification Date: ____________ |
| _____ Excessive Storage in Fume Hood |
| _____ Excessive Chemical Storage in Fume Hood |
| ___________________________________________ |
| _____ Incompatible Chemical Storage: __________ |
| ___________________________________________ |
| _____ Excessive Acid Storage — >15 gallons |
| _____ Approved Eyewash Unavailable or Blocked |
| ____________________________________________ |
| _____ Emergency Shower Unavailable |
| _____ Improper Labeling of Bottles or Containers |
| _____ MSDS Not Available |
| _____ Chemical Inventory Not Available |
| _____ Improper Chemical Disposal |
| BIOLOGICAL SAFETY |
| _____ Biosafety Cabinet Certification Date: _______ |
| _____ Infectious Waste Improperly Stored |
| _____ Infectious Waste Improperly Labeled |
| _____ Animals Housed in Lab |
| _____ Approved needle/sharp container not available |
| _____ Biohazard Sign(s) Missing From Door |
| _____ Biological Samples Improperly Labeled |
| _____ Biological Samples Improperly Stored |
| FIRE SAFETY |
| _____ Excessive Flammable Storage — > 10 gallons |
| _____ Approved Flammable Storage Cabinet Not Available |
| _____ Flammables Not Stored in Approved Refrigerator/Freezer |
| _____ Proper Fire Extinguishers Missing or Blocked |
| _____ Exits/Corridors Blocked (36" aisles required) |
| _____ Emergency Information Missing From Door |
| _____ Electrical Panels Blocked |
| GENERAL SAFETY |
| _____ Label on Refrigerator Not Required |
| _____ Approved _____ Not Approved (Flammables) |
| _____ First Aid Kit Not Available |
| _____ Unsafe Electrical Hazards |
| _____ Extension Cords |
| _____ Octopus |
| _____ Plugs |
| _____ Eye Protection Not Enforced |
| _____ Gas Cylinders Improperly Secured |
| _____ Food or Drink Present in Lab |
| _____ Housekeeping: Good Fair Poor |
| _____ Seismic: Restraints High storage Anchoring |
| -------------------------------------------------------------------------------- |
Return this form to:
Environmental Health and Safety
San Diego State University
Chemical Sciences Laboratory 106
Mailcode: 1243
Phone: 619-594-6778
This page last updated March 10, 2008
Site contact: UCO Web Support