Guidelines for care & Use of Dry Solvent Stills [Example]

1. Laboratory Inspection Form
WFU Chem. Dept., Salem Hall, Labroom #_________
1. Are safety devices unobstructed or otherwise operating normally with no overcrowding or interference
from lab operations nearby?
Yes________ No________ Actions necessary for resolution of problem ____________________
________________________________________________________________________________
Identify specific safety devices obstructed or blocked:
Safety shower _____________________________ Eyewash Fountains__________________
Fire Blanket in Hallway _____________________ CO2 Fire Extinguishers_______________
Class D Fire Extinguisher, if applicable ________
2. Are electrical outlets operating correctly? List those that are loose, damaged, or otherwise being used
in a manner which causes electrical hazards.
Yes________ No________ Actions necessary for resolution of problem ____________________
________________________________________________________________________________
3. Are lab bench worktops orderly and uncluttered? What about shelves, cabinets, drawers, sinks, and
benchtops in hoods? List anything that needs special attention.
Yes________ No________ Actions necessary for resolution of problem ____________________
________________________________________________________________________________
4. Are safety glasses worn by all personnel? Has everyone been assigned some form of safety eyeglasses
and a pair of goggles?
Yes________ No________ Actions necessary for resolution of problem ____________________
________________________________________________________________________________
5. Are chemicals stored and organized in a generally rational fashion within the room? Are totally
incompatible chemicals kept separated from each other on shelves or cabinets?
Yes________ No________ Actions necessary for resolution of problem ____________________
________________________________________________________________________________
6. Is ventilation within the room appropriate? Are Phoenix Control monitors and hoods functioning as
intended, without excessive false alarms, blinking warning lights, damaged sash doors, etc.?
Yes________ No________ Actions necessary for resolution of problem ____________________
________________________________________________________________________________
7. Are carcinogens labeled and stored in Designated Storage Areas? Are Hoods used as Designated Work
Areas? (In other words, are very harmful chemicals handled inside hoods generally? ) Has every effort
been made to prevent contact with and exposure to Particularly Hazardous Chemicals?
Yes________ No________ Actions necessary for resolution of problem ____________________
________________________________________________________________________________
8. Are instruments or mechanical devices functioning well? Is oil changed often in vacuum pumps? Are
damaged rubber or Tygon tubes feeding water to condensers checked and replaced when needed? Are
they properly clamped? Is everything placed at a safe distance away from chemicals and outlets?
Yes________ No________ Actions necessary for resolution of problem ____________________
________________________________________________________________________________
Form completed by ___________________________ Date ______________________
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