Laboratory and Workspace Clearance Checklist - Environmental ...
Laboratory and Workspace Clearance Checklist - Environmental ...
Laboratory and Workspace Clearance Checklist - Environmental ...
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LABORATORY/WORKSPACE CLOSEOUT CHECKLISTUniversity of Oregon • <strong>Environmental</strong> Health <strong>and</strong> Safety<strong>Laboratory</strong> InformationArea to be closed out: Building Room(s) SpaceDate laboratory/space will be vacated:Principal Investigator (please print):Department:<strong>Checklist</strong>CHEMICALSIdentify all chemicals for disposalLabel all containers with full chemical name(s)Submit Surplus Chemicals to Re-Use FacilityClean all laboratory surfaces, including hoods, refrigerators <strong>and</strong> freezersConfirm that all hazardous waste <strong>and</strong> surplus chemicals have been removedIf chemicals are in the inventory system, update records to include disposal information or reflecttransfer to another laboratoryTransfer responsibility to:OK N/A InitialsCONTROLLED SUBSTANCESContact EHSGAS CYLINDERSReturn to supplier or Science Stores, if appropriateIdentify contents of cylinder(s) even if “empty”Submit Surplus Chemicals to Re-Use Facility if appropriateTransfer responsibility to:ANIMAL <strong>and</strong> HUMAN TISSUEDispose of tissue, call EHS for advice, if neededDispose of any chemical preservatives through EHSClean all refrigerators/freezersClean all equipment with appropriate disinfectantTransfer responsibility to:MICROORGANISMS <strong>and</strong> CULTURESPlace waste in biohazard bagAutoclave waste, overbag <strong>and</strong> dispose to sanitary garbageClean all equipment with appropriate disinfectantTransfer responsibility to:RADIOACTIVE MATERIALSPackage all surplus <strong>and</strong> waste radionuclides in approved <strong>and</strong> labeled waste containersComplete radioactive waste cards <strong>and</strong> attach to containersIdentify any mixed hazards. Call EHS, if necessaryCall EHS to arrange for pickupPerform contamination survey, decontaminate <strong>and</strong> re-survey if necessarySchedule closeout survey with EHSArrange for a responsible person to be presentRevised January 20, 2010
Remove all rad signs, stickers, postings, etc.With EHS approval, transfer inventory to:Prepare rad materials for shipment to new location. Notify EHS two weeks prior to desiredshipment date.Return dosimeters <strong>and</strong> holders (if the authorization is being terminated)Reassign radiation workers, if necessaryReturn keys, if issuedEQUIPMENT <strong>and</strong> LAB FURNITUREClean or decontaminate any equipment or furniture to be left in labCall EHS for disposal information regarding contaminated equipment or furnitureIdentify any equipment containing PCBs to EHSSHARED STORAGE AREASCheck all shared areas for hazardous materialsLabel all materials in shared storageArrange for disposal to EHS or reassignment, as appropriateTransfer responsibility to:LAB INSPECTIONRequest an exit inspection by EHSDepartment <strong>Clearance</strong>Principal Investigator’s or Responsible Party’s AgreementI certify that my staff <strong>and</strong> I have adequately cleaned out <strong>and</strong> decontaminated the laboratory area(s) I amresponsible for.Signature <strong>and</strong> Date: ____________________________________________________________P.I./Department Head/DesigneeI am aware of the status of the lab(s) being vacated <strong>and</strong> I underst<strong>and</strong> that I am responsible for thelaboratory space <strong>and</strong> contents of the vacated lab space(s).Signature <strong>and</strong> Date: ____________________________________________________________<strong>Environmental</strong> Health <strong>and</strong> SafetyAn exit inspection was conducted, <strong>and</strong> was found satisfactory.Signature <strong>and</strong> Date: ____________________________________________________________All parties should receive a copy with signatures.Revised January 20, 2010