
LABORATORY SAFETY PLAN
Division of Science and Mathematics
University of Minnesota, Morris
Updated August, 2012
ATTACHMENT 1
Safety Committee of the Division of Science and Mathematics (2012-2013)ATTACHMENT 2
ATTACHMENT 3
ATTACHMENT 4
ATTACHMENT 5
ATTACHMENT 6
ATTACHMENT 7
REQUIRED APPROVALS FORM
ATTACHMENT 8
ATTACHMENT 9
| UNIVERSITY OF MINNESOTA, MORRIS |
| Division of Science and Mathematics |
| MINNESOTA EMPLOYEE RIGHT TO KNOW ACT |
| and LABORATORY SAFETY |
| TRAINING RECORD |
| Employee Name_________________________________________________________ | ||
| Check one: | ||
| Faculty___________ | Student Employee___________ | Staff___________ |
| Name of Discipline (if applicable)__________________________________________ | ||
| Place a check mark by each training unit that you attended and enter the date: | ||
| Training Unit | Date | |
| __________ | General Session and MERTKA | _________________ |
| __________ | Laboratory Safety Plan | _________________ |
| __________ | Chemical Hazard Training | _________________ |
| Chemical Hazards | ||
| Toxicological Principles | ||
| Hazardous Waste | ||
| __________ | Discipline Training Program | _________________ |
CERTIFICATION | ||
| The training record provided above is correct as of this date. | ||
| Employee Signature___________________________________ | Date_____________ | |
| Safety Officer Signature_________________________________ | Date_____________ | |
ATTACHMENT 10
| Building & Room Number:_______________ | Date of Audit:______________________ |
| Department:___________________________ | |
| Auditors(s):________________________ | |
| Lab Supervisor:________________________ |
| 1. Safety Equipment | Working | Accessible | Last checked |
| a. fume hoods | _________________ | _________________ | _________________ |
| b. biological hoods | _________________ | _________________ | _________________ |
| c. eye washes | _________________ | _________________ | _________________ |
| d. showers | _________________ | _________________ | _________________ |
| e. fire extinguisher(s) | A B C D | _________________ | _________________ |
| 2. House-keeping | Y | N |
| a. food, beverages and appliances absent from the laboratory? | _____ | _____ |
| b. food absent from chemical refrigerators and vice versa? | _____ | _____ |
| c. bench tops clean and unobstructed? | _____ | _____ |
| d. emergency numbers posted by telephone? | _____ | _____ |
| e. laboratory doors closed? | _____ | _____ |
| f. floors, aisles and exits unobstructed? | _____ | _____ |
| g outside hallways uncluttered? | _____ | _____ |
| 3. Chemical Storage | Y | N |
| a. all containers appropriately labeled? | _____ | _____ |
| b. no flammables in unapproved refrigerators? | _____ | _____ |
| c. liquid chemicals equipped with secondary containment? | _____ | _____ |
| d. flammable liquids within allowable quantities? | _____ | _____ |
| e. chemicals stored appropriately (incompatibles separated)? | _____ | _____ |
| f. gas cylinders secured and stored appropriately? | _____ | _____ |
| g. empty and full cylinders separated? | _____ | _____ |
| 4. Waste Management | Y | N |
| a. chemical wastes tightly capped? | _____ | _____ |
| b. incompatible chemicals separated? | _____ | _____ |
| c. liquid chemicals equipped with secondary containment? | _____ | _____ |
| d. chemical wastes labeled appropriately? | _____ | _____ |
| e. weekly chemical waste inspections documented (where required)? | _____ | _____ |
| f. sharps disposed in proper containers? | _____ | _____ |
| g. special bags used for autoclaving waste? | _____ | _____ |
| h. red waste bags used for infectious waste? | _____ | _____ |
| 4. Waste Management (cont.) | Y | N |
| i. broken glass disposed in labeled container? | _____ | _____ |
| j. radioactive materials disposed in approved containers? | _____ | _____ |
| 5. Mechanical Equipment | Y | N |
| a. guards in place (fans, centrifuges, drive belts)? | _____ | _____ |
| b. belts/pulleys in good condition? | _____ | _____ |
| 6. Electrical Equipment | Y | N |
| a. grounded? | _____ | _____ |
| b. fitted with overload protection device? | _____ | _____ |
| c. outlets located outside of hoods? | _____ | _____ |
| d. motors intrinsically safe (where appropriate)? | _____ | _____ |
| e. cords in good condition? | _____ | _____ |
| f. current carrying parts not exposed? | _____ | _____ |
| g. GFIs on outlets within 6 feet of a sink? | _____ | _____ |
| 7. Paper Work | Y | N |
| a. training records available? | _____ | _____ |
| b. training records current? | _____ | _____ |
| c. training records complete (for all employees)? | _____ | _____ |
| d. Incident Report forms available (for work-related illnesses and injuries)? | _____ | _____ |
| e. MSDSs accessible? | _____ | _____ |
| f. Chemical Hygiene Plan accessible? | _____ | _____ |
| g. written laboratory-specific SOPs available? | _____ | _____ |
| h. staff knows the laboratory safety officer? | _____ | _____ |
| i. Hazardous Chemical Waste Management Guidebook accessible? | _____ | _____ |
| j. Radiation Protection Manual accessible? | _____ | _____ |
| Comments |