Sample Hygiene Checklists

Document Sample
Sample Hygiene Checklists Powered By Docstoc

                         CHEMICAL HYGIENE PLAN

                                        Prepared for

                                   (Organization Name)

Prepared by: _____________________________ Date: ____________________

This Chemical Hygiene Plan (CHP) is intended to:

              1.     Inform laboratory employees of the potential health and safety hazards
                     present in their workplace.

              2.     Inform laboratory employees of the precautions and preventive measures
                     that have been established by this organization to protect employees from
                     a workplace illness or injury.

              3.     Inform laboratory employees of the required safety rules and procedures
                     established by this organization to meet the requirements of 29 CFR
                     1910.1450 and 29 CFR 1910.1200.

The Chemical Hygiene Plan will be available for review upon request to all employees. Copies
of the plan will be located in the following areas:


This CHP will be reviewed annually by (insert name or position), and updated as necessary.
(insert name) is designated as the Chemical Hygiene Officer (See Sections VI and VII for


In addition to the specific laboratory standard operating procedures, the following general
requirements are mandatory at all times:
1. Routes of emergency egress shall be clearly indicated and unobstructed;
2. All fire extinguishers shall remain functional and accessible;
3. Access to the laboratory shall be restricted to authorized personnel only;
revised 5/13/03
4.  Working in the lab alone is prohibited;
5.  Safety glasses and a lab apron/coat are mandatory at all times in the laboratory;
6.  Avoid all skin exposures to hazardous chemicals;
7.  Other personal protective equipment shall be used as directed by the CHO;
8.  Safety instruction signs, warning signs and exit signs shall be utilized and maintained in
    legible condition;
9. Smoking, food, and beverages are prohibited in the laboratory at all times;
10. Good housekeeping procedures shall be conducted daily;
11. Counter tops and work benches shall be maintained clean, neat and orderly;
12. If an incidental spill occurs, clean it up immediately;
13. If a significant spill or leak occurs, the premises shall be vacated immediately or the
    emergency response plan shall be instituted;
14. Material Safety Data Sheets received shall be submitted to the CHO;
15. No manufacturer's label shall be removed or defaced from the original container;
16. Identifying labels shall be utilized on all successive containers;
17. Breakable containers shall be transported within a compatible, unbreakable, secondary
18. Equipment which is damaged or malfunctioning shall not be used, particularly chipped
19. Electrical equipment shall be maintained in good condition;
20. Compressed gas cylinders shall be secured in an upright position;
21. Pipetting by mouth suction is strictly prohibited;
22. Procedures which are new or unfamiliar shall be referred to the CHO;
23. Carcinogens shall only be utilized only at the direction of the CHO;
24. Continuous inventory records shall be maintained on all chemicals;
25. Chemical stock shall be rotated so that the shelf-life is not exceeded;
26. Incompatible chemicals shall be segregated from each other;
27. Chemical disposal shall be in accordance with all applicable laws and regulations;
28. Flammable liquids shall be stored in a flammable storage cabinet;
29. Laboratory hoods shall be utilized for all substances with an exposure level of 50 parts per
    million (ppm) or less, or unknown exposure limits or carcinogens;
30. Laboratory hoods shall maintain a capture velocity of 100 linear feet per minute at the face of
    the hood;
31. Hood usage and imcompatible chemicals shall be segregated;
32. Hoods shall not be utilized for storage purposes;
33. The CHO shall determine the adequacy of all lab hoods;
34. All personnel shall wash their hands prior to entering and leaving the laboratory;
35. Respirators shall be provided, maintained, used, and inspected in accordance with the
    Respiratory Protection Program;
36. SCBA's or escape packs shall be readily available for emergency situations; and
37. Inspections shall be conducted by the CHO at least monthly and documented.

Note: Section F of Appendix A of 1910.1450 lists additional safety recommendations from the
book "Prudent Practices for Handling Hazardous Chemicals in Laboratories," National Academy
Press, 1981. These additional procedures should also be included as part of your chemical
hygiene plan or as an appendix to to the plan if these hazards are present in your work place.

revised 5/13/03
       A.     Corrosive agents
       B.     Electrically powered laboratory apparatus
       C.     Fires, explosions
       D.     Low temperature procedures
       E.     Pressurized and vacuum operations
       F.     Compressed gases
       G.     Chemical Storage
       H.     Decontamination


       A.     The following operations must be performed in Laboratory Fume Hoods:

       B.     The following operations must be performed in Biological Safety Cabinets:

       C.     The following operations must be performed in Glove Boxes:

       D.     Respirators will be used in accordance with the respiratory protection program
              developed (insert organization’s name), and with the COMM/OSHA
              Respiratory Protection Standard 29 CFR 1910.134. This program is available for
              employee review at (insert location).

       E.     Appropriate personnel protective apparel and equipment compatible with the
              necessary degree of protection for substances handled will be provided and used
              in accordance with the COMM/OSHA Personanl Protective Equipment Standard
              29 CFR 1910. 332. (insert position title or name of the individual) will advise
              employees on the proper use of gloves, gowns, eye protection, barrier creams, etc.
              Permeability charts are available for employee review at (insert location).

       F.     Employees will be instructed on the location and proper use of eye wash stations
              and safety showers. (insert position title or name of the individual) is
              responsible for this instruction.

       G.     Employees will be trained (insert how often, e.g., annually) on the use of fire
              extinguishers and other fire protection systems. (insert position title or name of
              the individual) is responsible for this instruction.


       A.     Fume hoods will be inspected every         months by (insert position title or
              name of the individual). The adequacy of face velocity will be determined by
              (insert method). Reports of hood inspections will be available for employee
              review at (insert location).

revised 5/13/03
       B.     Biological Safety Cabinets: will be inspected and filters replaced every
              month by (insert position title or name of the individual).

              (Repeat the above for each additional major category of protective equipment,
              such as ventilation systems for storage cabinets. safety showers and eyewash
              stations, etc., indicating how often they are inspected, by whom, what is
              measured, and where the inspection records and checklists are filed.)


       A.     All employees covered by this CHP will be provided with information and
              their work area. This training will be given at the time of initial assignment and
              prior to new assignments involving different exposure situations.

              Refresher training will be given (insert how often).

       B.     Information

              Employees will be informed of:

              1.     The contents of 1910.1450 and its appendices. A copy of the standard will
                     be available to employees for review at (insert location).

              2.     The availability and location of the written Chemical Hygiene Plan.

              3.     The Permissible Exposure Limits (PELs) for the substances regulated by
                     OSHA or the Threshold Limit Values (TLVs) established by ACGIH for
                     other hazardous chemicals where there is no applicable OSHA standard.

              4.     Signs and symptoms associated with exposures to hazardous chemicals
                     used in the laboratory.

              5.     Location and availability of known reference material on the hazards, safe
                     handling, storage, and disposal of hazardous chemicals found in the
                     laboratory including, but not limited to, material safety data sheets
                     received from chemical suppliers.

       C.     Training

              Employee training will include:

                     release of a hazardous chemical. These may include monitoring

revised 5/13/03
                     conducted by the employer, continuous monitoring devices, visual
                     appearance or odor of hazardous chemicals when being released, etc.

              2.     The physical and health hazards of chemicals in the work area.

              3.     The measures employees can take to protect themselves from these
                     hazards. Measures should include specific procedures the employer has
                     implemented to protect employees from exposure to hazardous chemicals
                     such as, standard operating procedures, work practices, emergency
                     procedures, and personal protective equipment to be used.

       The training will be conducted by (insert position title or name of the individual). The
       training sessions will consist of (insert training methods, e.g. videotape, slide tape,
       lecture, hands-on exercises, etc.). (See attached outline of a suggested training

       D.     Each employee will be required to sign the training completion form documenting
              that he/she has received training.


              Certain laboratory procedures that present a serious chemical hazard require prior
              approval by (insert name of position or individual) before work can begin. For
              this facility. These procedures include:

              A.     Work with select carcinogens

              B.     Work with reproductive hazards

              C.     Work with neurotoxins

              D.     Work with unknown chemicals

              E.     Work using new procedures

              F.     Work with excessively large quantities of hazardous chemicals

              G.     Other

              These chemicals include:

              (insert a list of the acutely hazardous chemicals, for example benzene,
              cyanide, dinitrobenzene, ethylene oxide, mercury, etc. used in your

revised 5/13/03
       Note: If your laboratory does no utilize these classes of chemicals, then include a
       sentence that states "Our laboratory does not at this time use any chemicals that are
       sufficiently hazardous to require prior approval before they are used”.


       (insert physician's or clinic’s name) shall provide medical consultation to all affected
       employees. Medical attention, including follow-up examinations that the examining
       physician deems is necessary, will be provided under the following circumstances:

       A.     Whenever an employee develops signs and symptoms associated with a hazardous
              chemical to which they may have been exposed, the employee shall be provided
              an opportunity to receive appropriate medical examination. The employee shall
              contact the chemical hygiene officer to initiate the medical program.

       B.     Where exposure monitoring reveals an exposure level routinely above the OSHA
              action level (or in the absence of an action level, exposure above the OSHA
              permissible exposure level (PEL)) for OSHA regulated substances for which there
              are medical monitoring and medical surveillance requirements, medical
              surveillance shall be established for that employee.

              Currently our laboratory uses:

              1.      (e.g. benzene)
              2.      (e.g. formaldehyde)
              3.      (list other substances covered which have a separate OSHA standard with
                      medical surveillance requirements)

              Note: If none of these substances is used, indicate that no substances for which
              OSHA has medical monitoring requirements are being used.

              employee shall be provided an opportunity for a medical consultation. This
              consultation will be for the purpose of determining the need for a medical

       D.     All medical examinations and consultations will be performed by
              (insert physician's name) or at (insert clinic/hospital name).

       Note: All aspects of these examinations and consultations must to be performed by a
       licensed physician, or under the direct supervision of a licensed physician. These
       examinations must be provided without cost to the employee, without loss of pay and at a
       reasonable time and place.

       E.     (Insert name of position or individual, e.g., chemical hygiene officer) will
              provide the following information to the physician:

revised 5/13/03
              1.     Identity of the hazardous chemical to which the employee may have been

              2.     A description of the conditions of the exposure including exposure date if

              3.     A description of signs and symptoms of exposure that the employee is
                     experiencing (if any).

       F.     The physician's written opinion for an examination or consultation should

              1.     Recommendations for future medical follow-up.

              2.     Results of examination and associated tests.

              3.     Any medical condition, revealed in the course of the examination, which
                     may place the employee at increased risk as the result of exposure to
                     hazardous chemicals in the workplace.

              4.      A statement that the physician has informed the employee about the
              results of the consultation or medical examination and any medical conditions
                      that may require additional examination or treatment.

       G.     The medical results returned to (insert organization’s name) by the physician
              shall not include specific findings and diagnoses that are unrelated to occupational


       A.     (Insert name of position or individual) is designated as the Chemical Hygiene
              Officer for (insert your organization’s name). Note: Proper qualifications for
              this individual are very important and should include a background in chemistry
              and safety.

       B.     The Chemical Hygiene Officer (CHO) will be responsible for:
              a) Working with administrators and other employees to develop and implement
                 appropriate chemical hygiene policies and practices.
              b) Monitoring procurement, use, and disposal of chemicals used in the lab.
              c) Seeing that appropriate audits are maintained.
              d) Helping project directors develop precautions and adequate facilities.
              e) Knowing the current legal requirements concerning regulated substances.
              f) Seeking ways to improve the chemical hygiene program.

       C.     Laboratory supervisors will be reponsible for:

revised 5/13/03
              a) Ensuring that workers know and follow the chemical hygiene rules, that
                 protective equipment is available and in working order, and that appropriate
                 training has been provided.
              b) Providing regular, formal chemical hygiene and housekeeping inspections
                 including routine inspections of emergency equipment.
              c) Knowing the current legal requirements concerning regulated substances.
              d) Determining the required levels of protective apparel and equipment.
              e) Ensuring that facilities and training for use of any material being ordered are

       D.     Laboratory worker is responsible for:
              a) Planning and conducting each operation in accordance with the institutional
                 chemical hygiene procedures.
              b) Developing good personal chemical hygiene habits.

       E.     The Chemical Safety Committee ( if applicable) will be responsible for:
              a) Providing continuing support for institutional chemical hygiene
              b) Ensuring that OSHA standards are met and that the chemical hygiene program
                 is being followed.
              c) Ensuring health and safety in the laboratory is maintained.
              d) Discussing/updating the chemcial hygiene program whenever the standard is
                 updated or new chemicals are introduced in the workplace.


       When any select carcinogens, reproductive toxins and chemicals with high acute toxicity
       are used, the following provisions will be employed where appropriate:

       A.     Establishment of a designated area.

       B.     Use of containment devices such as fume hoods or glove boxes.

       C.     Procedures for safe removal of contaminated waste.

       D.     Decontamination procedures.

       Appendix ___ of the standard outlines the standard operating procedures that must be
       followed when working with these chemicals.

       Note: According to the standard, a "select carcinogen" means any substance which
       meets one of the following criteria:

       A.     The substance is regulated by OSHA as a carcinogen.

revised 5/13/03
       B.      The substance is listed under the category, "known to be carcinogens," in the
               Annual Report on Carcinogens, published by the National Toxicology Program
               (NTP - latest edition).

       C.      The substance is listed under Group I ("carcinogenic to humans") by the
               International Agency for Research on Cancer Monographs (IARC-latest edition).

       D.      The substance is listed in either Group 2A or 2B by IARC, or under the category,
               "reasonably anticipated to be carcinogens" by NTP].

       Special procedures to follow in this laboratory for the use of these chemicals are found in
       Appendix       of this CHP.


       The CHO shall be responsible for maintaining all relevant records in accordance with the
       1. Training records shall be maintained for 3 years from the date of the training;
       2. Monitoring records shall be maintained for 30 years from the monitoring date; and
       3. Medical surveillance records shall be maintained for the duration of employment plus
           30 years.

            ______________________________________                         __________________
                     Chemical Hygiene Officer                                    Date


       Two additional COMM/OSHA standards interface with the chemical hygiene plan:

               1.     20 CFR 1910.38 - Employee Emergency Plans and Fire Prevention Plans

               2.     1910.120 (p) and (q) - Hazardous Waste Operations and Emergency
                      Response (developed in response to SARA Title III).

       Please review these two standards and develop appropriate emergency procedures for
       your facility is covered by one or both of these standards.

       Appendix       is our facility’s emergency action plan under 1910.38
       Appendix       is our facility’s emergency response plan under 1910.120

Note: This chemical hygiene plan was prepared by Michael F. Waxman, Ph.D. Department of
Engineering, Professional Development College of Engineering, University of Wisconsin

revised 5/13/03
Madison, Wisconsin and adapted and issued (with permission) by the Bureau of State Risk
Management. This sample written program is available on computer disk.

Please note that this is a generic chemical hygiene plan that can be tailored for use in your
facility. The CHP must be specific to your particular workplace and include the necessary work
hazardous chemicals used in their work area. Hazardous chemicals as defined by the standard
include not only chemicals regulated in 29 CFR 1910, subpart Z, but also any chemical meeting
the definition of a hazardous chemical with respect to health hazards as defined in the
COMM/OSHA Hazard Communication Standard, 29 CFR 1910.1200(c).

revised 5/13/03
       I.     Occupational Exposure to Hazardous Chemicals in Laboratories Standard
              (29 CFR 1910.1450)

              A.     Content of the standard and appendices.
              B.     Location and explanation of the chemical hygiene plan.
              C.     Location of reference materials and material safety data sheets (MSDS).
              D.     Details of access to medical consultation and management system.

       II.    Physical Hazards

              A.     Combustible liquids
              B.     Compressed gases
              C.     Explosive liquids and solids
              E.     Organic peroxides
              F.     Pyrophoric chemicals
              G.     Unstable (reactive) chemicals
              H.     Water-reactive materials

       III.   Health Hazards

              A.     Local
                     1. Irritants
                     2. Corrosives

              B.     Systematic
                     1. Toxics
                           a. Acute toxicity vs chronic toxicity
                           b. Nervous system effects
                           c. Respiratory system effects
                           d. Reproductive system effects
                     2. Sensitizers
                     3. Carcinogens

       IV.    Route of Exposure

              A.     Inhalation
              B.     Skin absorption
              C.     Ingestion
              D.     Injection

       V.     Physical State and Amount of Absorption

              A.     Gases/vapors
              B.     Particulates
                     1.      Dust
revised 5/13/03
                    2.       Mist
                    3.       Fume

       VI.    Methods to Reduce Exposure

              A.    Work practices
              B.    Personal hygiene
              C.    Personal protective equipment
              D.    Environmental controls
              E.    Administrative controls

       VII.   Dose-Response Relationship

              A.    Age
              B.    Gender
              C.    Body size
              D.    Health status
              E.    Personal habits
              F.    Other exposures

       VIII. Duration of Exposure

       IX.    Exposure Limits Including PELs and TLVs

              A.    Definition
              B.    Interpretation
              C.    Use of collected data

       X.     Air Sampling

              A.    Personal sampling required by OSHA
              B.    Area monitoring
              C.    Employee reports of illness
              D.    Confined space work
              E.    Emergency response
              F.    Other

       XI.    Employee Concerns

              A.    Symptoms -exposures
              B.    Requirements for documentation
              C.    Referrals
              D.    Refusal to work

revised 5/13/03
       XII.   Specific Standard Operating Procedures



revised 5/13/03

       NAME: _____________________ DATE: _______________________
       DEPARTMENT: ____________________________________________
       TRAINER: _________________________________________________

       EMPLOYEE NAME    __________________________________________
       EMPLOYEE NAME    __________________________________________
       EMPLOYEE NAME    __________________________________________
       EMPLOYEE NAME    __________________________________________
       EMPLOYEE NAME    __________________________________________
       EMPLOYEE NAME    __________________________________________
       EMPLOYEE NAME    __________________________________________
       EMPLOYEE NAME    __________________________________________
       EMPLOYEE NAME    __________________________________________
       EMPLOYEE NAME    __________________________________________
       EMPLOYEE NAME    __________________________________________
       EMPLOYEE NAME    __________________________________________
       EMPLOYEE NAME    __________________________________________
       EMPLOYEE NAME    __________________________________________
       EMPLOYEE NAME    __________________________________________
       EMPLOYEE NAME    __________________________________________
       EMPLOYEE NAME    __________________________________________
       EMPLOYEE NAME    __________________________________________
       EMPLOYEE NAME    __________________________________________
       EMPLOYEE NAME    __________________________________________
       EMPLOYEE NAME    __________________________________________
       EMPLOYEE NAME    __________________________________________
       EMPLOYEE NAME    __________________________________________

revised 5/13/03
                         LABORATORY AUDIT FORM

Building & Room # _________________________ Date: _________________

I.     Housekeeping:

Yes    No
              Is the lab in a disorderly condition?
              Is there evidence of chemical spills?
              Are floors in need of a cleaning?
              Are bench tops cluttered with unused equipment or lab ware?
              Are the emergency shower/eyewash stations blocked?
              Is there evidence of eating or drinking in the lab?
              Are tripping hazards present?


II.    Chemical Use and storage

Yes    No
              Have employees received Right to Know training for the chemicals in use?
              Are chemicals stored according to hazard class?
              Are secondary containers labeled with identity & hazard class information?
              Are copies of the MSDSs readily available for the chemicals in use?
              Are outdated chemicals kept beyond their usefulness?
              Are refrigerators/freezers properly labeled/used for the storage of flammables
              Are shelves/cabinets for chemical storage in good condition?
              Are flammables stored in the flammable storage cabinet.
              Are acids and bases stored properly
              Are volatile chemicals with PELs < 100 ppm restricted to use in the hood?
              Are compressed gas cylinders properly secured and labeled?


List the type and the number of gallons of flammable solvents stored outside of a flammable
solvent cabinet:

       Acetone (1A) _________________ Ethyl Ether (1A)________________________

revised 5/13/03
       Hexane (1A) ____________________ Pentane (1A)________________________
       Methanol (1A) ___________________ Toluene (1B)________________________

Note any instances of incompatible storage:

III.   Hazardous wastes

       A.     Hazardous Waste generated in this area:

 Waste Description                                                Generation Rate (units)

Yes    No
              Have all process been evaluated for proper waste disposal procedures?
              Do procedures indicate a proper route of disposal for all product?
              Are wastes transferred to the proper containers?
              Are waste containers properly labeled as to their contents and hazards?
              Are containers of wastes properly stored in the satellite area?


IV.    Personal Protective equipment

       Are staff using/wearing the following personal protective equipment?

Yes    No
              Lab Coat?
              Safety Glasses
              Safety Goggles when necessary
              Gloves compatible with the chemicals in use?
              Are lab coats/gloves removed before leaving the lab?


revised 5/13/03
V.     HOODS

Yes    No
              Are hoods cluttered with material or equipment?
              Are hoods being used to store chemicals that are not in use?
              Have the hoods been recently calibrated (face velocity)?
              Are the hoods being used properly by staff.?
              Are the slots/baffles blocked by equipment or chemicals?
              Are equipment/processes placed 6 inches behind the face of the hood?


VI.    Emergency Procedures

Yes    No
              Have staff been trained in emergency procedures?
              Are emergency procedures posted?
              Are emergency response phone numbers displayed near the phone
              Are exits marked?
              Are spill cleanup procedures and kits available for all materials in use:
              Yes No
                                Broken Glass/sharps
                                Other (list)
              Are emergency
              shower/eyewash stations readily available?
              Are appropriate fire extinguishers readily available?
              Has the fire extinguisher been recently maintained
              Is there a first aid kit available in the room
              Is there a fire blanket in the area?


VII.   Equipment

Yes    No
              Is equipment used within its designed purpose?
revised 5/13/03
              Is apparatus properly secured/supported?
              Are fail safes in use when possible?
              Are all water/glassware connections secured?
              Do electrical plugs or cords show evidence of:
Yes    No
              frayed cords
              overloaded cords (warm to the touch)
              altered or damaged plugs (ground removed)
              extension cords in use


VIII. Standard Operating Procedures

Yes    No
              Are SOPs available for the process(s) being conducted in the lab?
              Are the SOPs reviewed or updated with new information?
              Are the staff following the SOPs as written?



       Source(s) of infectious waste: _________________________________________

Yes    No
              Used needles are bent, not broken?
              All sharps are placed in labeled puncture-resistant containers?
              Are hands washed after glove removal/hand contact with infectious agents
              Is PPE removed before leaving the work area.
              Is aerosolation, splashing or spraying kept to a minimum-
              Is eating, smoking or drinking prohibited in the labs.
              Is the appropriate PPE available and in use?
              Is the area posted with a BIOHAZARD symbol & name of the infectious agent,
              Are warning labels affixed to containers of infectious waste?
              Have staff received training to work with infectious waste?
              Are work surfaces decontaminated after procedures, spills and at the end of the

revised 5/13/03
How is the infectious waste disposed of: _______________________________________


Source: U W Superior

revised 5/13/03

Hood Location: Bldg. & Room _________________ Hood Number____________
List any dedicated uses of the hood: ____________________________________

                             CURRENT PHYSICAL CONDITION
Yes    No
              Is the hood used for storage of equipment or chemicals?
              Are the slots blocked by objects?
              Are processes/equipment located within 6 inches of the sash or rear slots?
              Is the bench area inside the hood suffering from poor housekeeping?
              Is large equipment in use in the hood that is blocking air flow?
              Are open chemical containers (not in use) present?
              Do any large heated processes/equipment affect the air flow in the hood?
              Is the hood monitor inoperative or inaccurate?
              Does the sash move with any difficulty?
              Is the sash glass cracked, fogged, or in need of repairs?
              Is the light/fixture in need of repairs?
              Are hood fixtures (gas, water, air, etc.) corroded, dirty or in need of repair?


Any of the above conditions answered with a "yes" should be corrected immediately.

                             SUMMARY OF INSPECTION

Are repairs needed to the system? If so, list: ____________________________________
               Repair                                      Date Required

Does the hood monitor readout correspond with the measured face velocity? __________

Does the face velocity meet health and safety requirements? _______________________

Has the face velocity changed ± 10% since the last evaluation? _____________________

If so, explain _____________________________________________________________

revised 5/13/03

revised 5/13/03
                      FACE VELOCITY MEASUREMENTS

Hood Location: Bldg. and Room ______________ Hood Number _________________

Date of Evaluation __________________ Date of Last Evaluation _________________

Name of Evaluator ________________________________________________________

Instrument: ____________________________ S/N _______ Calib. date: ___________

Indicate the position of any fixed equipment in the hood:

                                           Full Face

1.     Divide the hood face (sash wide open) into a grid with 9-12 equal sections.
2.     Measure the air velocity in the center of each grid. Record in the grid diagram labeled as
       "full face".
3.     Determine the mean face velocity and report in the space below.
4.     Use smoke tubes to determine air flow direction at the hood face and air flow patterns
       within the hood. Record unusual flow patterns in the grid diagram.

revised 5/13/03
                                   Operating Sash Height
If it is necessary to operate the hood with the sash at a lower height to achieve the required face
velocity of 100 lfpm, adjust the sash to the appropriate height and repeat steps 1-4 above.
Record the face velocities on the grid marked "operating height". Indicate the operating point on
the hood face.

           Full Face                                                      Operating Height

 RESULTS:                                         "Full Face"                   "Operating
 Hood Face dimensions (W X H):
 Grid dimensions (W X H)
 Mean Face Velocity (fpm):
 Record the Hood Monitor Set Point:

 Was a hood performance report posted on the hood? Yes/No


revised 5/13/03
LABORATORY SAFETY CHECK-LIST                 ______________________________________________
                                                                  (Installation, Address and Date)

                                  Yes   No                                              Yes      No
1. Fire Extinguisher Access                   37. Secondary Containers
2. Fire Extinguisher Inspection               38. Broken Glassware
3. Exit Pathways                              39. Waste Disposal Containers
4. Exit Signs & Lighting                      40. Electrical Grounding
5. Exit Doors                                 41. Elec. Panel Access
6. First Aid Supplies                         42. Elec. Labeling & I.D.
7. Fire Blanket                               43. Elec. Cord Strain Relief
8. Fire Alarms                                44. Elec. Wiring / Device Defects
9. SCBA's / Escape Packs                      45. Elec. Classification Hazards
10. Respirator Use & Storage                  46. Elec. Fail Safe Conditions
11. Emergency Equipment                       47. Elec. Extension Cords
12. Housekeeping / Sanitation                 48. Training Deficiencies
13. Tripping Hazards                          49. Procedural Deficiencies
14. Spills & Leaks                            50. Defective Equipment Tags
15. Material Storage                          51. Personal/Area Monitoring
16. Flammable Storage Cabinets                52. Signs & Posters
17. Compressed Gas Cylinders                  53. WOHS 902
18. Material Labeling                         54. OSHA 200 (February)
19. Container Labeling                        55.Emergency Phone Nos.
20. MSDS's
21. Stair Condition                           CORRECTIVE ACTIONS & DATES:
22. Stair Handrails
23. Ladder Inspections
24. Platform Guardrails
25. Eye Wash Stations
26. Drench Showers
27. Safety Glasses
28. Safety Goggles
29. Face Shields
30. Lab Coats / Aprons
31. Appropriate Gloves
32. Warning & Safety Signs
33. General Ventilation
34. Fume Hood Ventilation
35. Chemical Segregation
36. Stock Rotation

revised 5/13/03

activities such as exposure monitoring and medical surveillance.

Assistant Secretary means the Assistant Secretary of Labor for Occupational Safety and
Health, U.S. Department of Labor, or designee.

implementation of the provisions of the Chemical Hygiene Plan.

   Chemical Hygiene Plan means a written program developed and implemented by the
   employer which sets forth procedures, equipment, personal protective equipment and
   work practices that are capable of protecting employees from the health hazards
   presented by hazardous chemicals used in that particular workplace.

   Combustible liquid means any liquid having a flashpoint at or above 100 deg. F (37.8
   percent or more of the total volume of the mixture.

   Compressed gas means:


   psi at 130 deg. F (54.4 deg C) regardless of the pressure at 70 deg. F (21.1 deg. C); or

   (iii) A liquid having a vapor pressure exceeding 40 psi at 100 deg. F (37.8 C) as
   determined by ASTM D-323-72.

   Designated area means an area which may be used for work with "select carcinogens,"
   reproductive toxins or substances which have a high degree of acute toxicity. A
   designated area may be the entire laboratory, an area of a laboratory or a device such as a
   laboratory hood.

   hazardous chemical into the workplace.
   to hazardous chemicals in the course of his or her assignments.


revised 5/13/03

   Flammable means a chemical that falls into one of the following categories:

   (i) Aerosol, flammable means an aerosol that, when tested by the method described in 16
   CFR 1500.45, yields a flame protection exceeding 18 inches at full valve opening, or a
   flashback (a flame extending back to the valve) at any degree of valve opening;

   (ii) Gas, flammable means:

   (A) A gas that, at ambient temperature and pressure, forms a flammable mixture with air
   at a concentration of 13 percent by volume or less; or

   (B) A gas that, at ambient temperature and pressure, forms a range of flammable mixtures

   (iii) Liquid, flammable means any liquid having a flashpoint below 100 deg F (37.8 deg.
   C), except any mixture having components with flashpoints of 100 deg. C) or higher, the

   (iv) Solid, flammable means a solid, other than a blasting agent or explosive as defined in

   sufficient concentration to ignite when tested.

   Hazardous chemical means a chemical for which there is statistically significant
   the lungs, skin, eyes, or mucous membranes.

   non-production basis.

   manipulated by one person.

revised 5/13/03
   with a movable sash or fixed partial enclosed on the remaining side; constructed and
   and arms.

   which all of the following conditions are met:


   (ii) Multiple chemical procedures or chemicals are used;

   simulate a production process; and

   minimize the potential for employee exposure to hazardous chemicals.

   licensed physician for the purpose of determining what medical examinations or
   chemical may have taken place.

   Organic peroxide means an organic compound that contains the bivalent -O-O- structure

   Oxidizer means a chemical other than a blasting agent or explosive as defined in §

   Physical hazard means a chemical for which there is scientifically valid evidence tat it is
   oxidizer pyrophoric, unstable (reactive) or water-reactive.

   Protective laboratory practices and equipment means those laboratory procedures,
   exposure to hazardous chemicals.

   Reproductive toxins means chemicals which affect the reproductive chemicals which
   affect the reproductive capabilities including chromosomal damage (mutations) and
   effects on fetuses (teratogenesis).

revised 5/13/03



   research on Cancer Monographs (IARC)(latest editions); or





   Unstable (reactive) means a chemical which is the pure state, or as produced or
   reactive under conditions of shocks, pressure or temperature.

   Water-reactive means a chemical that reacts with water to release a gas that is either
   flammable or presents a health hazard.

revised 5/13/03

Shared By:
Description: Sample Hygiene Checklists document sample