Laboratory Hazards Record SHE group risk rating Low  Medium  High  Not permitted  User name: LAB No: Beamline: Diamond Local Contact: Date of work: ERA No Hazards declaration [delete as appropriate] Flammable Toxic Warning Compressed Corrosive Radioactivity Hot surfaces Bio hazard gases

Oxidisers Environmental Carcinogen Mutagen Sensitiser Teratogen Cryogens Lasers hazard

Substance / Agent Form Quantity SDS available

Activity: [brief description of the work and duration] How can people be harmed, consider all steps of the process: Inhalation Injection Sensitisation Skin contact Eye contact Ingestion Control measures [tick relevant boxes] Fume cupboard / BSC Labelled Containers Safe Storage / Gas monitoring Disposal Glove Box/Bag Sharps bin Isolate area / process Other [Specify] Personal Protective Equipment Safety Lab Safety Kevlar Lab coat Chemical gauntlets Other [specify] glasses gloves Footwear gloves Emergency Fire extinguisher Spill kit First aider Lone worker alarm Other measures available [specify] Supervision arrangements I confirm that the persons carrying out these activities have the knowledge, skill and experience to do so safely Principal Investigator / Sign Date Team leader

I have received and understood the training and information provided to ensure my safety whilst working in the lab. User “I have read and understood the requirements of the relevant safety handbook and other documentation as required by diamond for lab access” Sign Date

To the best of my knowledge, the persons carrying out these activities : Lab manager  Are competent to do so;  Have been provided with suitable information, instruction, training and PPE Understand the relevant DLS procedures Sign: Date: Emergency contact details