Building:____________ Room#:____________ Lab #:______________
Lab Manager:______________PI:_______________Department:______________
Performed By:______________________
Inspection Date:_____________________
A. Container Condition
1. Containers In Approved Areas Y N NA Comments:
a. Flammable Storage Cabinet Y N NA Comments:
2. Containers Properly Segregated According To Compatilbility Y N NA Comments:
3. Adequate Aisle Space Maintained Y N NA Comments:
4. Containers In Good Condition Y N NA Comments:
(no holes, excessive expansion, rust build-up etc.)
5. Containers Properly Closed Y N NA Comments:
6. Containers Properly Labeled With Labels Visible Y N NA Comments:
7. Container Contents Identified
Y N NA Comments:
B. Chemicals
1. Smallest Amount Needed For Adequate Usage Y N NA Comments:
2. Flammables Do Not Exceed 1 Gallon Y N NA Comments:
3. Incompatible Chemicals Segregated
Y N NA Comments:
C. Environment
1. Suitable Temperature For Chemicals Being Stored Y N NA Comments:
2. Generally Good Housekeeping
Y N NA Comments:
D. Spill Control
1. Check Area For Spillage Y N NA Comments:
2. Area Clear Of Obstructions Y N NA Comments:
3. Spill Containment Area Has No Leaks Y N NA Comments:
4. Check Level Of Spill Control Sump Y N NA Comments:
5. Spill Control Materials Available Y N NA Comments:
6. Unbreakable Secondary Containers In Use Y N NA Comments:
7. Chemical Storage In Hood Y N NA Comments:
8. Corrosives Suitably Contained
Y N NA Comments:
E. Facility Control/ Emergency Preparedness
1. Area Warning Signs Present, Unobstructed, and legible Y N NA Comments:
a. Suitable Signage On Doors Y N NA Comments:
b. No Eating Or Drinking Signs Within Area Y N NA Comments:
c. Safety Glasses Signs Within Area Y N NA Comments:
2. Controlled Access Measures In Tact Y N NA Comments:
3. Fire Control Equipment Up To Date Y N NA Comments:
a. Last Date Of Inspection________________________
4. Drums With Flammable Contents Are Grounded Properly Y N NA Comments:
5. Eye Wash And Safety Shower Operational Y N NA Comments:
a. Eye Wash Last Date Of Inspection_______________
b. Safety Shower Last Date Of Inspection___________
6. Contingency Plan Posted Y N NA Comments:
7. Hoods In Good Operating Condition Y N NA Comments:
8. MSDS File Available Y N NA Comments:
9. Emergency Numbers On Or Near Phone Y N NA Comments:
10. Appropriate Waste Receptacles
Y N NA Comments: