Question		Answers			Reference
Do staff work after 10:00 PM?		Yes	No		Email
Do staff work weekends and holidays?		Yes	No		11
Do personnel work alone?		Yes	No		11
Is there a notification procedure for individuals who work alone?		Yes	No		Email

Question		Answers			Reference
Room sign present?		Yes	No		22
Work plan posted? (see Appendix E for a copy)		Yes	No		4

Question		Answers			Reference
Fire Extinguisher Present in lab?		Yes	No		Email
Eyewash present in lab?		Yes	No		Email
Shower present in lab OR within 25 feet?		Yes	No		Email
Shower inspected within last year ?		Yes	No		Email

Question		Answers			Reference
Eye or face protection in use?		Yes	No		13
Lab coats worn?		Yes	No		14
Appropriate clothing (long pants, no shorts etc.) worn under lab coats?		Yes	No		14
Food or drink present in the lab?		Yes	No		11

Question		Answers			Reference
Flammable liquids (See SOP: Flammable Liquids)
> 10 gallons of flammable liquids stored outside of a flammable liquids storage cabinet?		Yes	No		17
Total quantity of flammables in lab > 25 gallons		Yes	No		16
NFPA approved flammable liquids storage cabinet present with vent ports open?		Yes	No		17
Are only flammable liquids stored in the cabinet (skip if a flammable liquids storage cabinet is not available)?		Yes	No		16
Corrosive materials (See SOP: Corrosive Materials)
Segregated from non-corrosives?		Yes	No		55
Acids stored on plastic trays?		Yes	No		55
Damage to cabinets (rust, charring)?		Yes	No		Email
Chemical reactions occurring (discolored reagents, white haze on bottles)?		Yes	No		Email
Labels damaged or not present?		Yes	No		Email
Compressed Gases (See SOP: Compressed Gases)
Cylinders secured so they can't fall?		Yes	No		53
Lecture bottles stored with regulators in place?		Yes	No		Email
More than 10 lecture spheres stored?		Yes	No		Email
Reactives (solids and liquids) (See SOPs: Reactive Solids and Reactive Liquids)
Dated?		Yes	No		71, 83
Stored in original containers?		Yes	No		Email
Evidence of container damage or corrosion?		Yes	No		Email
Segregated from other storage?		Yes	No		Email
Old containers (>2 years)?		Yes	No		Email
Acutely Toxic Chemicals, Reproductive Hazards, Carcinogens (See SOPs: Acutely Toxic Chemicals, Reproductive Hazards and Carcinogens)
Are the chemicals stored in designated area		Yes	No		15
Are the chemicals handled in designated area?		Yes	No		11
Do you have old containers (>5 years)?		Yes	No		Email
Evidence of container damage or corrosion?		Yes	No		Email
General Chemical Storage (See Section VI: Chemical Storage and Transportation)
Containers dated?		Yes	No		16
Overstocking evident (multiple containers of a single reagent is present)?		Yes	No		16
Storage shelves and cabinets secured (Will not tip over)?		Yes	No		16
Insufficient storage space (are containers stacked on top of each other)?		Yes	No		16
Solids and liquids segregated?		Yes	No		16
Chemical reactions occurring (discolored reagents, white haze on bottles)?		Yes	No		16
Refrigerators/Freezers (See Section VI: Chemical Storage and Transportation)
Labeled "No food or flammable storage?"		Yes	No		Email
Flammable liquids stored in refrigerator?		Yes	No		Email

Question		Answers			Reference
Waste containers properly marked concerning contents?		Yes	No		Email
Orphaned chemicals present?		Yes	No		Email
Unknown or unlabeled chemicals stored?		Yes	No		Email

Question		Answers			Reference
Glove box vented?		Yes	No		Email
Biosafety cabinet certified within last year?		Yes	No		Email