Laboratory Safety Orientation Checklist - Saint Mary's University

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15 Νοε 2013 (πριν από 3 χρόνια και 6 μήνες)

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1



Name
(Print)





Departme
n
t




Supervisor
(s)




Room #’
s granted

key/card access




Start
Date
(DD/MM/YY)






A

Labora
t
ory

Safety

Orientation

Ch
e
cklist

should

be

completed

within

one

month

of

a
r
riving

in

the laboratory.


Please provide a brief summary o
f the type of research/work that will be conducted
:




Please

check

all

items

w
h
ich

are to be

fully

explained

by

you

(
labo
r
atory supervisor or

delegate
)
,

for which

you

will
be
providing

training

a
n
d/or

for

which

you

have
written

procedures.

For

those

items

not applicable

to

the

work

or

research

activities,

indicate

N/A

(not

applicable).


1
.
SAFETY RESOURCES

(mandatory)


Saint Mary’s University
Occupational
Health

&

Safety website

http://www.smu.ca/administration/ohs/

and the various
resources within
,

including:




Orientation Booklet

http://www.smu.ca/webfiles/OHSBookletApprovedJuly08RevisedAugust2012.pdf




Reporting Incidents and Injuries

http://www.smu.ca/administration/ohs/incedent.html





Science Safety Technician

http://www.smu.ca/academic/science/department/contact.html




SMU

Student

Health

Services

http://www.smu.ca/administration/studentservices/health.html



2
. EMERG
E
NCY
P
ROCEDUR
E
S

(mandatory)




Saint Mary’s University’s Mass Notification System
.

http://www.smu.ca/emergencymanagement/





Saint Mary’s University’s

Emerg
e
ncy

Phone

Nu
m
b
ers

and

procedures.
http://www.smu.ca/administration/ohs/fire.html



3
. BASIC LABORATORY SA
F
ETY

(mandatory)


LABORATORY SAFETY ORIENTATION CHECKLIST


CREATED:

09/02
/2013

REVISED:



2





Showed the l
o
cation

of

the

nearest

fire

a
l
a
r
m

pull

station



Showed the l
o
cation

of

the

nearest
f
ire

extinguis
h
er

(
only to be used if trained
)



Showed the l
o
cation

of

the

nearest

emer
g
ency

exit

and

have

been

instructed

as

to

the

evacuation

route



Showed the l
o
cation

of

the

nearest
f
irst

aid

kit

and designated

first aid provider(s)



Showed the l
o
cation

of

the

nearest

e
y
ewash

and

e
m
ergency

s
hower

and

was

instructed

h
o
w

to

operate

them

(Do

not

p
u
ll

t
h
e

han
d
le

of

t
h
e

safety

shower

during

t
h
e

orientation)



Provided i
nstruc
t
ion

on

p
r
oper

l
ab

attire

http://www.smu.ca/academic/science/department/safe_misc.html




Instructed

not

to

eat,

drink

or

app
l
y

m
akeup

in

the

lab



P
rovided

the

fo
l
lowing

personal

protective

equip
m
ent

(PPE)

and

instructed

in

its proper

m
aintenance

and

use

(
select

all

that

app
l
y
):




Disposable

G
loves



Lab

Coat



Safety

glasses



Che
m
ical

go
g
gles



Face

Shield



Respirator

(arrange for fit testing)
,

Specify

Type
:





Hearing

protection,

Specify

Type:






Other

(
speci
f
y
):






Provided instruction to

not

wear

lab

coats

and

gloves

out

of

the

designated

lab

area



Showed

the

lo
c
ation

and

purpose

of

Material

Safety

Data

Sheets

and

other

safety

s
y
m
bols

and

signage



Explained

the

i
m
portance

of

go
o
d

person
a
l

h
ygiene

and

proper

hand

washing



R
eviewed

the

l
one worker

p
olicy

http://www.smu.ca/webfiles/EmergencyBookletMasterv2web.pdf



4
. CHEMICAL LAB SA
F
ETY



Not Applicable




Provided i
nstruction

on

the

safe

handling

and

storage

of

ch
e
m
icals

(Work Instruction #9)

http://www.smu.ca/academic/science/department/safe_work.html




Provided i
nstruction

on

the

safe

dispos
a
l

procedures

for

ch
e
m
icals



Provided i
nstruction

on

the

appropriate

m
e
asures

to

take

in

case

of a

che
m
ical

spill



Provided i
nstruction

on

safe

che
m
i
cal

fu
me

hood

operation


5
. RAD
I
ATION LAB SAFETY



Not Applicable




S
ucce
s
sfully

co
m
p
l
e
ted

mandatory

Principles

of

Laborato
r
y

Radiation

Safety

training



Has been issued a
Health Canada
-
issued radiation monitoring dosimter



G
iven

clear

instructions

regarding

t
h
e

lab

ru
l
es

(i.e.

in
-
house

procedures)

for

radioisotope

work



Provided instruction

on

record

keeping

for

radioisotopes

as

w
ell

as

on

their

safe

disposal



Provided i
nstructed
on

the

appropriate

measures

to

take

in

case

of

a

radioactive

spill

or

exposure



3



6
. LASER
SA
FETY



Not Applicable




Provided instruction

on

the

safe

handling

of

lasers


7
. BIOSAFETY



Not Applicable




R
eviewed

the PHAC
Laboratory Biosafety Gui
d
e
lines



R
eviewed

the CFIA

Containment Standards for Veterinary Facilities



Shown the following A/V materials:


Lab Biosafety 101



Shown the following A/V materials:

Containment Level 2 Laboratories



Shown the following A/V
materials:

Working safely in a Class II Biological Safety Cabinet


http://www.vidrl.org.au/publications/biosafetycabinets/biosafetycabinets.htm




Provided instr
uction

on

the

safe

handling

and

storage

of

biohazardous

materia
l
s



R
eviewed the PHAC
Biosafety in the Laboratory


Biosafety in the
Laboratory.pdf




Provided instruction

on

the PHAC
Procedures to Minimize Aerosol Hazards


Procedures to
Minimize Aerosol Hazards.pdf



Provided instruction

on

the

use of a biosafety cabinet

and/or laminar flow hood



Provided instruction

on

the

use of an autoclave



Provided instruction

on

the

decont
a
m
ination

pr
o
cedures

for

the

te
c
hniques

perfo
r
m
ed

in

the

lab



Provided instruction

on

the

appropriate

measures

to

take

in

case

of

a

biohazard

spill,

exposure

or incident


8
. HA
Z
A
RDOUS WASTE DISPOSAL



Not Applicable




R
eviewed

Saint Mary’s University

Hazardous

Waste

D
i
sposal

Policy

(Work Instruction #13)

http://www.smu.ca/academic/science/department/safe_work.html




Provided instruction

on

the
d
i
sposal

procedures

for:

sharps,

glassware,
biohazardous

waste
,
che
m
ical

waste

and

radiation

waste.


9
. ANIMAL

CARE PROCEDUR
E
S



Not Applicable




Provided

ani
m
al

theory

and

practical

trai
n
ing



I
nfor
m
ed

of

the

Occupational

Health

Program

for

Animal

Re
l
ated

Activities



Provided
instruction

on

the

standard

procedures

in

place

for

the

animal

facilities

that

will

be

used



L
isted

on

supervisor’s

Ani
m
al

Use

Protocol

by way

of

an
a
m
en
d
ment

or

sub
m
i
s
sion

of

the

form

to

the

Animal

Care

C
o
mmi
t
tee

and

have

read

the

Animal

U
s
e Protocol


10
. LAB EQUIPMENT
S
AFETY INSTRUCT
IO
N



Not Applicable


R
eceived

instruction

on

the

safe

u
s
e

of

the following
laboratory

equipment

(check all that apply)


□ Acid

/ base

baths


□ Rock cutting/machining




Compressed gases (handling & storage)


Glove box



□ Sharps



□ Cryogenics (dry ice, liquid nitrogen)

□ Hotplates
/stirrer




High pressure apparatus

□ High voltage apparatus



Rotary evaporator




Microscope



□ Melting point apparatus



4



□ Centrifuge



□ Glassware washer


□ Cold storage
(refrigerators and freezers)

□ Bunsen burner


□ Butane torch / heat gun


□ Vacuum manifold

□ Ultraviolet light


□ Drying oven



□ (Muffle) furnace


11
. LAB
SPECIFIC
EQUIPMENT
S
AFETY INSTRUCT
IO
N



Not Applicable



Scanning Electron Microscope


x
-
ray fluorescence


Fluxer

□ Hydraulic press



□ Carbon coater




Critical point dryer

□ Sputter coater




Freeze dryer


□ Ultramicrotome



Other: _____________________________
________________________________


Other:
_____________________________
________________________________


Other: _____________________________
________________________________


Other: _____________________________
________________________________


Other: _____________________________
________________________________


Other: _____________________________
________________________________


Other: _____________________________
________________________________



12
. SAF
E
TY
T
RAINING REQUIR
E
MENTS



Not Applicable


La
bo
r
a
t
o
ry

S
u
p
ervisors

m
u
st

i
d
e
n
tify w
h
ich

s
a
fety tr
a
i
n
i
ng
p
rovi
d
ed
b
y the Science Safety Technician



is re
qu
i
re
d
.


Training Course

Required

(Y/N)

Date Trained

(DD/MM/YY)

Trainer

Certificate on File

(Y/N)


Workplace Hazardous Materials
Information System (WHMIS)









Hazardous Waste Management &
Disposal








Laboratory Safety








Wilderness First Aid and/or CPR







Transportation of Dangerous Goods







Other (Please Specify)




















*
Determined

b
y Laboratory

Supervisor



If

not trained

at the ti
m
e

form

is

comple
t
e
d, ind
ic
ate

the

date

of

t
h
e

trai
n
ing

sessi
o
n

you

re
g
istered

for.






5



I

_______________________________________

(
lab
supervisor’s
/delegate’s


name
)
,
have

introduce
d

to
_________
_______________________________
(student’s name)
all applicable poin
t
s in this laborato
ry safety
orientation checklist
and
confirm that they have been fully understood.



Laboratory Personnel’s Signature

Date





Laboratory Supervisor’s Signature

Date


Once

c
o
m
p
l
e
t
ed

a
nd

s
ig
n
e
d

by

b
o
t
h

t
h
e

la
bo
r
a
t
ory

per
so
nnel

an
d

s
u
p
e
rv
i
sor,

a copy of

t
h
e

ch
e
ck
li
st

shou
l
d

b
e

kept

by

t
h
e

L
a
bo
r
a
t
ory

S
u
perv
i
s
o
r and the original submitted to the Dean of Science Office
.


(Please feel free to attach any additional information)