JCPS MONTHLY SCIENCE LAB INSPECTION FORM
School Name _________________________________________________________________
SCIENCE LABORATORY (laboratory use of hazardous chemicals)
Room No. _______
Laboratory Type: Chemistry
SAFETY EQUIPMENT:
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Fume Hood (visual inspection)
Emergency Eye Wash
Emergency Shower
Exhaust fans
IB
IA
Biology
(Please indicate one)
Operable
Inoperable Last Checked
N/A
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*If inoperable, was a work order request submitted to the Plant Operator? Yes_____ No______
GENERAL SAFETY
YES
NO
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Are laboratory work and storage areas clean and orderly?
Is food or drink present in the laboratory?
Are floors dry and free of slip hazards?
(check)
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Are safety showers and eyewashes inspected and tested regularly?
Are safety shower and/or eyewash stations unobstructed?
Have all chemicals been removed from inside the fume hoods?
Are all gas shutoffs secure after use?
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Are all containers clearly labeled, including hazard identification?
Are chemicals being stored appropriately by hazard class?
Are waste containers properly marked concerning contents?
Are there any chemical containers that are leaking?
Do you have any chemical waste or excess chemicals requiring disposal?
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Is there appropriate PPE available (gloves, lab aprons, eye wear)?
Does PPE fit properly and worn by all?
Are students reminded to wear closed-toed footwear?
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Is there a hard copy of the JCPS Chemical Hygiene Plan available?
*(If No, please access the Safety & Environmental website to obtain)
Are SDS/MSDS readily available?
Has your annual Chemical Hygiene training been completed?
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SAFETY EQUIPMENT
CHEMICAL SAFETY
PERSONAL PROTECTIVE EQUIPMENT (PPE)
SAFETY INFORMATION
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Teacher Inspector _____________________________________________ Date ____________
(PLEASE PRINT)
Please forward to the following: 1) Fred Bright – Safety Inspector ([email protected])
2) Your Science Chairperson(s)