School ____________________________________________ Date _______________________

Inspector __________________________________

 

COMPLIANCE S U Q N/A

WISHA Requirements	Chemical Hygiene Plan
	Accident Prevention Plan
	Hazard Communication Plan
WDOE Requirements	Hazardous Waste Disposal
Staff Training	Chemical Hygiene
	First Aid
	Emergency Response
	Blood Borne Pathogens
	Chemical Spills

FACILITY S U Q N/A

Lab/Classroom	5 sq. ft. horizontal work surface/student
	24 students/class /Teacher
	Aisles wide enough to provide quick exit
	Surfaces non-porous & chemical resistant
	Lab organized & clean
	Aisles clear
	Work surfaces clear & clean
Signs	Signs showing location of safety equipment
	Signs showing restricted access areas
	Signs showing egress routes
	Posted safety rules
	Appropriate warning signs

S = Satisfactory

U = Unsatisfactory

Q = Questions Unanswered

N/A = Not Applicable

 

 

MECHANICAL S U Q N/A

Master Control in Room	Water
	Electricity
	Gas
Ventilation	Hood vented directly to outside
	Hood delivers 60-100 linear ft/minute
	Purge fan or cross ventilation
	No chemicals or equipment stored in Hood
	Continuous ventilation in storeroom
	Lab ventilation provides 4 air changes per hour
Lighting	Room is well lit
	Emergency light located in storeroom, prep room
Plumbing	No leaking faucets
	Sinks drain, no leaks
Electrical	Outlets properly grounded, or GFI
	No outlets close to faucets
	Extension cords 18 gauge or heavier
	No extension cords across, or in, aisles

 

 

EMERGENCY PREPAREDNESS S Q U N/A

Fire Equipment	ABC fire extinguishers in lab and prep room
	Extinguisher(s) easily visible
	Presence of dry sand (1-2 gal) for Class D fire
	Fire blanket, visible
	Smoke detector
	Functioning fire alarm
	Automatic sprinkler system
Evacuation Drills	Two exits -- unobstructed & unlocked
	Signs showing exit routes
Spill Plan	Written plan
	Spill kits

 

S = Satisfactory

U = Unsatisfactory

Q = Questions Unanswered

N/A = Not Applicable

 

PERSONAL PROTECTION EQUIPMENT S U Q N/A

Safety Shower	Accessible within 10 sec-unobstructed access
	Sufficient water pressure
	Functional shower head and valve
Eye Wash	Accessible within 10 sec -- unobstructed access
	Treats both eyes at the same time
	Proper water pressure
Lab Aprons or Coats	Available for all students
Gloves	Chemical resistant (nitrile, laytex)
	Thermal (heat resistant, non-asbestos)
	Disposable -- polyethylene
Splash Goggles	Require all students to wear for all lab work
	Meet ANSI Z.81. 1987 standard
	Sanitizer cabinet or antiseptic wash
Clothing in Lab	No sandals, shorts, or bare feet allowed

 

PREPARATION AREA S U Q N/A

Prep Room	Has large sink and counter space
	Hot water in prep area
	Doors open out
	Prep area organized & clean
	Adequate ventilation

S = Satisfactory

U = Unsatisfactory

Q = Questions Unanswered

N/A = Not Applicable

 

COMMUNICATION S Q U N/A

Telephone	With outside line, or 911 access
Intercom to Office

 

CHEMICAL STORAGE S Q U N/A

Chemicals	Inventory up-to date --- annually
	MSDS available for all chemicals, in lab area
	Chemicals stored in secure area
	All containers fully & correctly labeled
	All reagents stored by compatible families
	All reagents labeled with date of purchase
	Acids stored in corrosive cabinet
	Flammables stored in approved cabinet
	Poisons in locked cabinet at all times
	No chemicals stored on floor
Shelves and Cabinets	Secured to floor and wall
	3/4 " lips or doors
	No unsecured storage on tops of cabinets
Refrigerator	Marked: FOOD ONLY or SPECIMENS ONLY
	NO Flammables
Gas Cylinders	Supported and clamped to prevent movement
	Correct valves and gauges on tank OR capped
	Placed away from heat and open flames
Equipment	Drawers and shelves labeled
	Storage room organized, clean

CLEAN-UP AND DISPOSAL S Q U N/A

Clean Up	Corrosive spill kit
	Solvent spill kit
	Mercury spill kit
	Broken glass container
	Sink, with soap for student clean up
Prep Room	Solid lab waste system
	Liquid lab waste system

S = Satisfactory

U = Unsatisfactory

Q = Questions Unanswered

N/A = Not Applicable

 

RECOMMENDATIONS :

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Inspector's Signature _________________________ DATE ________________

REFERENCES:

WAC 246.366.140

WAC 296-63-4000, PART Q

29 CFR 1910.1200 Hazard Communication Standard

29 CFR 1916.1450, pt. Q, Chemical Hygiene Law

National Research Council, Prudent Practices In the Laboratory, National Academy Press. 1995.

Furr, Keith, Ed., Handbook of Laboratory Safety. 4th ED. CRC Press. 1995.

Fleming, et al, Eds. Laboratory Safety. 2nd Ed. ASM Press. 1995.

http://www.k12.wa.us/facilities/healthsafetyguide.asp