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SafJoaquin Delta Collep <br /> Environmental Health & Safety Management Office <br /> Laboratory Safety Inspection Checklist SOMA 2nd Floor <br /> Conducted By: M102 mbvm -ria <br /> Date of <br /> Inspection: <br /> Location: `1 <br /> Principal Investtii-.gator/Supervisor: 5�( � <br /> cuLrOG,.h D c� _ Ra Int.d/LP---Z-- <br /> ;General Lab<;Hosekeeging A= M S 1 NA - Comments _ <br /> Laboratory surfaces appear to be <br /> cleaned,disinfected, or decontaminated X ❑ ❑ ❑ ❑ <br /> atter work is performed. <br /> General laboratory, storage areas, and k <br /> benchtops appear uncluttered and g ❑ ❑ ❑ ❑ k <br /> orderly. <br /> No slip,trip or fall hazards are present. <br /> Aisles and exits are free from obstruction <br /> Electrical panels are free from <br /> obstruction/not blocked by carts, ❑ ❑ ❑ ❑ <br /> boxes,or other materials. <br /> Trash bags& glass containers are ❑ ® ® ❑ <br /> removed when full. <br /> Handwashing stations are stocked ❑ ® ® ❑ i <br /> with soap and paper towels <br /> Corrective Action: <br /> Completed by:_ k7 I W2 2ZfLt2an Date: a� <br /> Per � <br /> sonal Protectluequ a► At 'PE A M. ._,. 1 _A._ ; __ __r Com�x►erits <br /> Protective gloves are available,matched ❑ ❑ ❑ ❑ <br /> to hazards, and in use. <br /> Eye protection is available and in use. ❑ ❑ ❑ ❑ hl,2 have EDy/U bur rgre(u rare( rttM r�` <br /> Lab coats,aprons,etc., are available ❑ ❑ ❑ ❑ <br /> and in use when necessary. <br /> Lab personnel are wearing appropriate <br /> attire(no open toed shoes, etc.) l� ❑ ❑ ❑ ❑ ' <br /> i <br /> PPE is not being worn outside of the lab ❑ ® ® ❑ i <br /> to reduce risk of contamination. k <br /> Corrective Action: <br /> Completed by: Date: )a �2 o I/) q <br /> s <br /> w <br /> 1 <br /> A=Acceptable/Meeting Requirements M=Minor Deficiency S= Significant Deficiency <br /> NO=Not observed NA=Not applicable or not required <br />