Promoting Chemical Laboratory Safety and Security in Developing Countries (2010) / Chapter Skim
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Appendix G: Compliance Forms
Appendix G: Compliance Forms
Pages 105-120
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From page 105... ...
G Compliance Forms 0
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From page 106... ...
0 APPENDIX G SAMPLE INSPECTION CHECKLIST insPEction chEcklist Department, Group, or Laboratory: _________________________________________ Inspector:______________________________________________________________ Date: _________________________________________________________________ Building and room: ______________________________________________________ Laboratory supervisor: ___________________________________________________ lABoRAtoRY EnViRonMEnt Work areas illuminated Y N NA Storage of combustible materials minimized Y N NA Aisles and passageways clear and unobstructed Y N NA Trash removed promptly Y N NA No evidence of food or drink in active laboratory areas Y N NA Wet surfaces covered with nonslip materials Y N NA Exits illuminated and unobstructed Y N NA COMMENTS: Other elements that the checklist can include EMERGEncY EQUiPMEnt AnD PlAnninG Fire extinguishers mounted and unobstructed Y N NA Fire extinguishers fully charged with tamper indicators in place Y N NA Fire extinguisher inspection up to date Y N NA Eyewash unit and safety shower within 10 seconds of hazard Y N NA Eyewash unit and safety shower inspection up to date Y N NA Fire alarm pull stations unobstructed Y N NA Spill control materials available and adequate for potential spills Y N NA COMMENTS: [ 89 ]
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From page 107... ...
0 APPENDIX G SAMPLE INSPECTION CHECKLIST PERSONAL PROTECTIVE EQUIPMENT Personnel wearing appropriate eye and face protection Y N NA Personnel wearing appropriate gloves Y N NA Shoes appropriate to the hazard Y N NA Clothing appropriate to the hazards posed in the laboratory Y N NA COMMENTS: SIGNS, L ABELS, PLANS, AND POSTINGS Emergency action plan available Y N NA Material-safety data sheets accessible Y N NA Chemical-hygiene plan available Y N NA Contact sheet posted and up to date Y N NA Telephones labeled with emergency number Y N NA Building evacuation routes posted Y N NA Ice-making machines labeled "Not for human consumption" Y N NA Chemical refrigerators labeled "No food" Y N NA Food refrigerators labeled "Food only -- no chemicals" Y N NA Lasers properly labeled Y N NA High-voltage equipment properly labeled Y N NA Emergency equipment labeled with highly visible signs Y N NA COMMENTS: ELECTRICAL HAZARDS Flexible cords in good condition Y N NA Cords not on surfaces where flammable liquids may pool Y N NA Cover plates in place for outlets and switches Y N NA Circuit-breaker panels unobstructed Y N NA Multiplug adapters have overload protection Y N NA No extension cords in use Y N NA Ground-fault circuit interrupters (GFCI) used for wet areas Y N NA Guards or covers in place for electrophoresis devices Y N NA COMMENTS: [ 90 ]
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From page 108... ...
below ceiling Y N NA Means available to reach items stored above shoulder level Y N NA Shelving adequate for loads imposed Y N NA Chemicals stored by compatibility and hazard class Y N NA Chemical containers clearly labeled with contents Y N NA Corrosive chemical stored below eye level Y N NA Materials with shelf-lives dated on receipt Y N NA Secondary containment used near sinks and drains Y N NA Waste containers sealed except during transfers Y N NA Waste containers labeled with contents, "Hazardous Waste" Y N NA Storage limited to less than 1 quart of acutely hazardous waste Y N NA Storage limited to less than 55 gallons hazardous waste Y N NA COMMENTS: COMPRESSED GASES AND CRYOGENICS Toxic, flammable, corrosive gases used in chemical-fume hood Y N NA Stored upright, secured from tipping Y N NA Regulator compatible with gas cylinder Y N NA Cylinder carts used for transport Y N NA Valve caps in place when not in use Y N NA Empty or unused cylinders returned to supplier Y N NA Gases and cryogenic liquids dispensed with good ventilation Y N NA Cryogenic dewars vented or have pressure-relief devices Y N NA Glass dewars shielded Y N NA COMMENTS: PRESSURE AND VACUUM SYSTEMS Vacuum glassware in good condition Y N NA Vacuum pressure-relief devices in place and inspected Y N NA Glass vessels shielded or enclosed Y N NA Temperature and pressure measuring devices in place where needed Y N NA COMMENTS: [ 91 ]
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From page 109... ...
from the sash Y N NA COMMENTS: SECURITY Doors to lab operate, close and lock properly Y N NA Windows operate, close, and lock properly Y N NA Alarm systems operating properly Y N NA Keys and access cards kept in secure area out of sight Y N NA COMMENTS: TRAINING AND AWARENESS Workers have attended all appropriate training Y N NA Training has been documented Y N NA Laboratory personnel know… What to do in event of an emergency, such as fire or injury Y N NA How to clean up chemical spills Y N NA Location and contents of the chemical hygiene plan Y N NA Chemical hygiene officer or safety manager Y N NA What MSDSs are and where to find them and other safety info Y N NA What type of personal protective equipment to use and when to use it Y N NA What to do with chemical waste Y N NA What are the most hazardous materials they use and what precautions to take Y N NA Where and how to use safety showers and eyewash units Y N NA To question unfamiliar visitors in the lab Y N NA How and when to report injuries, illnesses, or incidents Y N NA COMMENTS: [ 92 ]
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From page 110... ...
Reported Inquiry Date/Time / Specific Location (building, floor, room, column) Injury Severity Observation/Near Miss First Aid Work Restrictions Lost Time Restrictions Allergen Exposure Bitten By Car/Truck/Motorized Vehicle Caught In/Between Contact with Chemical Contact with Hot Surface accident type Environmental Exposure Ergonomic Needle Stick Pushing/Pulling Slip/Trip/Fall Struck Against Struck By Twist/Turn Other Device type Device Brand Contaminated Sharp Involved Needle Stick [ 93 ]
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From page 111... ...
APPENDIX G INCIDENT REPORT FORM Allergic Agent _________________________________________________________________________ Chemicals or Biohazards Involved__________________________________________________________ Equipment Involved / ID Number__________________________________________________________ DescriBe PossiBle causes Equipment ____________________________________________________________________________ Tools / PPE____________________________________________________________________________ Environment __________________________________________________________________________ Procedure______________________________________________________________________________ Personnel______________________________________________________________________________ Other ________________________________________________________________________________ causal Factors ______________________________________________________________________________________________ _____________________________________________________________________________________________ _________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ recoMMeNDatioNs corrective actions/Preventative actions Person responsible Due Date [ 94 ]
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From page 112... ...
Every lesson includes reflective questions that aim to encourage participants to consider the following concerns: Could this happen in our laboratory? Does this happen here?
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Encourage participants to work independently or as a group to devise concrete strategies for dealing with the issues presented in the lessons. Strategies should include immediate steps and future steps.
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From page 114... ...
• dentify barriers to the safe and consistent use of PPE in laboratories I • enerate action steps that laboratory managers can use to encour G age the use of PPE among laboratory workers and visitors • dentify methods for convincing supervisors and other institutional I leaders of the importance of PPE and its regular use • ecognize that there are many ways to encourage the adoption of R safe practices in a laboratory Reasons for not wearing the goggles in this lesson could include • cost and/or unavailability of goggles; • a lack of habit; • lack of initial understanding of the importance of wearing protec a tive equipment or of the hazards posed by the work; • a sense of invincibility; • a lack of confidence or respect in the new laboratory manager; • a cultural acceptance of risk and destiny; • eeling of resistance since the new laboratory manager is an outsider; f • orkers wanting to rebel against the changes to traditional practices; w • ossible anticipation of physical discomfort from wearing the goggles; p • laboratory manager's supervisor's attitude; and • eeling of unattractiveness or detracting from their physical appearance. f There may also be many reasons why the women in the lab are even less likely to use the goggles than the men.
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From page 115... ...
p Segment 2 As an attempt to rectify the situation, the laboratory manager hands out the remaining goggles to those who had neglected to pick them up and reminds the staff of the importance of using safety goggles while working in the lab. The manager is reassured by the fact that everyone agreed with him.
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From page 116... ...
Strategies to Barriers address barrier Advantages Disadvantages goggles are remind demonstrates does not uncomfortable personnel of the a consistent address the to wear need for goggles culture of safety specific problem to preent eye in the lab of discomfort injuries 4. What kind of help would the manager need?
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From page 117... ...
4. Are safety goggles required in your laboratory at all times?
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For Participants Segment 1 A recent graduate of a well-respected institution is hired as a laboratory manager for a small chemical company. Soon after starting work, the manager notices that many laboratory personnel do not have safety goggles.
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From page 119... ...
4. Are safety goggles required in your laboratory at all times?
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From page 120... ...
7. To better promote a culture of safety, what support will laboratory managers need?
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