Location of Space Inspected (building, room number) *
Your answer
Date of Self-Inspection Conducted *
MM
/
DD
/
YYYY
Name of Individual Completing Self-Inspection *
Your answer
1Has the lab’s chemical inventory been completed and updated within the past 12 months? *
2Is the lab’s Chemical Hygiene Plan available and/or up-to-date? *
3Are the following items up-to-date on the lab’s LHAT? (1)LHAT certified annually by the PI (2)LHAT roster has listed all lab members (3)Hazard Assessment has been reviewed by all lab members (4)PPE training has been completed by all lab members *
4Are SOPs up-to-date and/or reviewed based on the SOP-banded report? *
5Have laboratory personnel completed training in UC Learning Center? (1)Safety Training Self-Assessment (STSA) (2)Laboratory Safety Fundamentals/Refresher Training *