SOS Hazard Identification Checklist LABS

HAZARD IDENTIFICATION CHECKLIST Research Laboratory Areas

Surveyor Name:______Survey Date:______Work Unit:______Room:______

If “No” is selected, please correct the hazard and note the date. Yes No n/a Date Corrected

LAB OPERATIONS 1. Safety on Site (SOS)/Injury Illness Prevention Program (IIPP), Laboratory Safety Manual, Chemical Hygiene Plan (CHP), Standard Operating Procedures (SOPs):  Does staff know how to access the Chemical Hygiene Plan and Lab Safety Manual online?  Has staff reviewed the CHP and Lab Safety Manual?  Does staff know where SOPs, training records, safety meeting notes, etc. are located Last updated 10/4/2011 HAZARD IDENTIFICATION CHECKLIST Yes No n/a Date Corrected (may be electronic ally available or stored in SOS binder)  Does staff know where the Safety Data Sheets (SDS) are maintaine d and are they readily accessibl e?  Does staff know how to access the IIPP/SOS page online?  Has corrective action been taken for hazards identified during previous inspectio ns? 2. Did all staff receive laboratory safety training, and do you have documentation that it was completed?

Did all staff access the UCLC HAZARD IDENTIFICATION CHECKLIST Yes No n/a Date Corrected to take the Safety Training Self- Assessment (STSA) and complete all required safety trainings (e.g., lab safety, formaldehyde, hazardous waste, etc.)?

Do you/staff remember the topics covered (e.g., you took Lab Core Safety and Supplemental Trainings that covered some topics of the topics below)? For example, hazards discussed, understood and documented; protective equipment; discussion of particularly hazardous substances, including select carcinogens, chemicals with a high degree of acute toxicity, or reproductive toxins; and what are considered particularly hazardous substances (i.e., ethidium bromide, osmium tetroxide, methylene chloride, benzene and formaldehyde)? HAZARD IDENTIFICATION CHECKLIST Yes No n/a Date Corrected 3. Have SOPs been developed for the lab specific processes / experiments? 4. Do the SOPs take into consideration chemicals considered to be particularly hazardous substances (e.g., select carcinogens, chemicals with high degree of acute toxicity, reproductive toxins, etc.)? 5. Are lab-specific Standard Operating Procedures (SOPs) for hazardous operations and for handling Particularly Hazardous Substances available with signatures? (containers labeled with words like carcinogenic, reproductive hazard, highly toxic, explosive, pyrophoric/air reactive, or water reactive) 6. If using pyrophorics,  Does staff know HAZARD IDENTIFICATION CHECKLIST Yes No n/a Date Corrected how to access Safe Procedu res for Handlin g for Pyropho ric Liquid Reagent s and Pyropho ric SOP (availab le online and in lab).  Has staff reviewe d the pyropho ric safe handlin g procedu res and SOP?  Has staff reviewe d the pyropho rics safety video (availab le online)?  Do staff wear FR or Nomex lab coats? INJURY & ILLNESS PREVENTION 7. Does staff know HAZARD IDENTIFICATION CHECKLIST Yes No n/a Date Corrected how to report an incident/injury/sa fety concern? 8. Has staff identified remedial and preventative actions for activities where you have experienced near misses/incidents/i njuries? 9. Does the protective equipment you’re using provide adequate protection for the hazard? (e.g., does the lab coat fit properly, respirators being used for spill clean up, as appropriate)? EMERGENCY/HAZARD SIGNAGE 10. Is current signage present and accurate? Post if missing.  In Case of Emergency door placard (ENI)  UCI or UCIMC Emergency Procedures Flipchart (all blue or multi- colored)  UC Irvine Injuries & Medical Treatment (8/2009)  How to Access Required Safety HAZARD IDENTIFICATION CHECKLIST Yes No n/a Date Corrected Information (03/12/2010)  Hazardous Waste Guidelines Flyer (Ver. 3.0)  Hazard Communicatio n Signs & Labels (BSL2, Biohazard, Radiation, Carcinogen, Poison, Oxidizer, Flammables, Corrosive, Hot) 11. Has staff reviewed the UCI Emergency Procedures Flipchart? PHYSICAL ENVIRONMENT 12. Are tippable items >42” high seismically secured? 13. Are heavy/hard items secured/limited in height? 14. Are cabinet doors secured? 15. Are storage shelves provided with lips or are cords taut? 16. Is storage kept at least 18” below sprinkler heads and ceiling throughout room or area? 17. Are aisles clear and unobstructed (36” lab aisles, 44” main aisles)? 18. Is housekeeping up-to-standards? Free of: HAZARD IDENTIFICATION CHECKLIST Yes No n/a Date Corrected  trip hazards  spilled chemical s (residual s)  paper clutter on work surfaces and walls  stacked broken equipmen t  old, tattered, stained bench pads 19. Is floor in good repair to allow adequate cleaning? 20. Are tools/equipment (i.e. step stools or ladders) available to assist with reaching items above shoulder height? 21. Chairs and other furniture used in laboratory work are covered with a non-fabric material that is easily decontaminated? 22. Are ceiling tiles/panels in reasonable condition (not substantially damaged, moldy, or missing)? 23. Is lab under negative pressure relative to HAZARD IDENTIFICATION CHECKLIST Yes No n/a Date Corrected corridor? FIRE/LIFE SAFETY 24. Does staff know evacuation assembly location? 25. Does staff know how to respond to emergencies? 26. Does staff know where 1st Aid supplies are located? 27. Are exit corridors and doors free from obstruction created by improper storage or arrangement of furniture? 28. Do fire doors and doors to hazardous areas self-close and latch properly? 29. Are fire extinguishers provided within 50 feet of the lab, fully charged, pin and security seal in place and up- to-date maintenance tag? 30. Are trash receptacles and paper located away heat sources? 31. Are fire alarm bells/horns/strobe s free of obstruction that would hamper the operation or reduce the sound? 32. Is emergency equipment (safety showers, fire alarm pull stations and fire HAZARD IDENTIFICATION CHECKLIST Yes No n/a Date Corrected extinguishers) physically and visually accessible? 33. Refrigerators used are appropriate for the location and items stored? (No domestics w/in 8 feet of flammables, Flammable Material Storage refrigeration for flammables) ELECTRICAL/MECHANICAL SAFETY 34. Are electrical cords and plugs in good repair (not cracked, broken, or frayed)? 35. Are wall outlets & switches in good repair (not broken, covers in place, etc.)? 36. Is the area free of multi-plug outlet adapters? 37. Are extension cords being used only on a temporary basis? 38. Does lab avoid daisy chaining power strips? 39. Are there fixed or portable Ground Fault Circuit Interrupters (GFCI) devices used in areas that are within 6 feet of a water source? 40. Are belts, pulleys, sprockets and chains, shafting, or other rotating HAZARD IDENTIFICATION CHECKLIST Yes No n/a Date Corrected parts of mechanical equipment properly guarded (guard openings must be less than ½ inches)? 41. Do all electrical panels have a 3 foot clearance? 42. Are unneeded electrical items disposed of through Peter’s Exchange? BIOLOGICAL SAFETY 43. Does lab have a current IBC approval? When: Bacteria; virus; rDNA; human/primate blood/blood products/cell lines/tissue/fluids; yeasts; fungus; parasites; prions; rickettsias; transgenic plants/animals; Select Agents; human gene therapy? 44. Has applicable staff taken Bloodborne Pathogens training within last 12 months? 45. Is lab using correct color biowaste bag? (Red for BSL2, BSL3 -no orange bags; white OK for BSL1 only) 46. Are bio-waste containers:  L abeled with word HAZARD IDENTIFICATION CHECKLIST Yes No n/a Date Corrected “Biohazar d” and the biohazard symbol OR the words "Biohazar dous Waste"?  L ids secured- in-place w/o obstructio ns? 47. Is red bag waste disposed through EH&S? (EVS at UCIMC). 48. Do biosafety cabinets have:  A H EP A Va cu - Gu ar d to pr ote ct ho us e va cu u m?  S e c o n d HAZARD IDENTIFICATION CHECKLIST Yes No n/a Date Corrected a r y c o n t a i n m e n t f o r w a s t e f l a s k s w h e n l o c a t e d o n t h e f l o HAZARD IDENTIFICATION CHECKLIST Yes No n/a Date Corrected o r ? 49. Are biological safety cabinets certified annually or posted "Caution: not certified for > BSL2 work"? SHARPS MANAGEMENT 50. Bio-sharps Management: needles, razor blades and Pasteur pipettes disposed properly (rigid, plastic sharps container; For pipettes, Safe-Keepers are acceptable)? 51. Are non- biohazardous sharp items, (broken glass and pointed plastic items) disposed of in a broken glass container? CONTROLLED SUBSTANCES (CS) & SELECT AGENTS (SA) 52. Is the inventory usage log maintaine d? CS SA 53. Is there adequate storage security? CS SA 54. Does staff know how to dispose material in accordanc e with UCI HAZARD IDENTIFICATION CHECKLIST Yes No n/a Date Corrected procedure s? CS SA CHEMICAL SAFETY 55. Is staff keeping CiBRTrac chemical inventories current within campus guidelines? (For Chemistry Department, the system is ChemInnovation) 56. Does staff know how to access the campus Chemical Hygiene Plan? 57. Are hazardous chemical container labels readable with regard to chemical name and hazards? 58. Are chemical containers in good condition (no leaking, cracked caps, rusting or crystals around neck)? 59. Are chemical containers kept closed when not in use? 60. Are containers of liquid hazardous chemicals over 1 gallon capacity stored below 5 feet high? 61. Are no more than 5 gallons of flammable liquids stored outside of approved flammable HAZARD IDENTIFICATION CHECKLIST Yes No n/a Date Corrected cabinets? 62. Are flammables and combustible materials located away from heat and ignition sources? (~3 feet). 63. Have you evaluated the compatibility and combinations of the chemicals being stored (e.g., flammable storage cabinets)? If chemicals are incompatible or hazardous if combined, have they been properly segregated and maintained to prevent accidental contact (e.g., secondary containment)? 64. Have you considered how the hazards are being stored (i.e., storage area rated for the chemical at issue)? 65. Are incompatible chemical/wastes separated by distance or partition? 66. Are corrosive liquids, including wastes, stored below shoulder level? 67. Are all storage areas properly maintained (i.e., no broken pieces, in disrepair, or unclean)? HAZARD IDENTIFICATION CHECKLIST Yes No n/a Date Corrected 68. Peroxide forming chemicals: lab demonstrates good grasp of dating containers, testing for peroxides, and/or disposing when expired. 69. Is the operation of eyewash/safety checked monthly? 70. Is staff instructed in incidental spill response? 71. Do centrifuges have covers that are utilized during use? 72. Is lab using fume hood correctly?  back of the fume hood clear of obstructio ns, equipmen t  work contained past the front of the hood by 6”  sash position does not exceed approved working height and is down when not in use 73. Are cryogenic liquids used and stored in well- ventilated areas? HAZARD IDENTIFICATION CHECKLIST Yes No n/a Date Corrected HAZARDOUS CHEMICAL WASTE 74. Are wastes appropriately labeled? 75. Are wastes in secondary containment? 76. Are wastes liquids sent to EH&S within 6 months? PERSONAL PROTECTIVE EQUIPMENT (PPE) and HYGIENE 77. Is PPE provided (includes safety glasses, goggles, gloves, aprons, face shields)? 78. Does staff wear closed-toe shoes and lab coats? 79. Is PPE stored in a clean and sanitary location? 80. Is staff conscientious removing PPE prior to exiting lab, handling telephones, etc? 81. Have respirator/dust mask users been evaluated by EHS for respirator use? 82. Is eating, drinking, and cosmetic use occurring only in areas signed as “Clean Areas” and adequately separated from hazardous materials use and storage? 83. Are refrigerators, microwaves and freezers labeled regarding the storage of hazardous HAZARD IDENTIFICATION CHECKLIST Yes No n/a Date Corrected materials or food items? COMPRESSED GASES 84. Are all gas cylinders secured? 85. Are valve protection caps kept on cylinders when stored? 86. Are toxic gases stored in a ventilated cabinet/fume hood? 87. Are oxygen cylinders stored separately from flammable gases and liquids (5' fire wall or 20' distance)? SHIPPING DANGEROUS GOODS (DG) 88. Staff who package DG for shipping are current on training to correctly package, label, and document hazardous materials shipments leaving UC Irvine? Comments/Other:

Signature of Surveyor:______