Laboratory Personal Protective Equipment & Hazard Assessment Tool

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1 Laboratory Personal Protective Equipment & Hazard Assessment Tool This form must be completed by the person in charge of the laboratory, with the guidance of the Chemical Hygiene Officer to conduct a laboratory hazard assessment specific to activities in their laboratories. The laboratory hazard assessment identifies hazards to employees and students and specifies personal protective equipment (PPE) to protect all lab personnel during work activities. The person conducting the assessment must verify that it is complete and PPE training has been conducted. This assessment consists of four sections and serves as a step in satisfying PPE requirements. Section 1: Lab Information Section 2: Laboratory Hazard Assessment Section 3: Conduct PPE Training Section 4: Verification of PPE Training The Campus Chemical Hygiene Officer is available to assist you with completing this form or with reviewing it at Section1: Lab Information Department Location with building and room number Person in charge of the area Person verifying Assessment (CHO) Phone Number Preferred Address Date of Completed Assessment Signature Section 2: Laboratory Hazard Assessment In this section, you will: Conduct a hazard assessment of the laboratory to identify activities when PPE is needed to protect the lab staff from exposure to hazards. Certify the hazard assessment for the laboratory by signing in Section 1. The following checklists are an overview of common lab activities and associated potential hazards and applicable PPE. Check each box that describes activities performed by lab personnel. Long pants or skirts, closed toed shoes, and full coverage shirts are minimum requirements for all laboratory work when hazardous chemicals are being used. Additional PPE may be required based on the assessment below. Please read footnotes.

2 Are the following activities performed in Chemical Hazards Small volumes of corrosive Eye or skin damage Safety glasses and liquids. 1 Large volumes of corrosive liquids, small to large volumes of acutely toxic corrosives, or work which creates a splash hazard. 1 Poisoning increased potential for eye and skin damage. Chemical goggles or face shield, & lab coat Small volumes of organic solvents or flammable organic compounds. 1 Large Volumes of organic solvents, small to large volumes of very dangerous solvents, or work which creates a splash hazard. 1 Toxic chemicals (solid, liquid, or gas). 1,2 Acutely toxic or acutely hazardous chemicals (solid, liquid or gas). 1,2,3 Skin or eye damage, potential poisoning through skin contact. Major skin or eye damage, potential poisoning through skin contact. Fire. Skin or eye damage, potential poisoning through inhalation or skin contact. Increased potential for eye or skin damage, increased potential for poisoning. Safety glasses and Chemical goggles, and a lab coat Chemical goggles,, lab coat, & proper ventilation. Chemical goggles,, lab coat, & proper ventilation An apparatus with contents Eye or skin damage. Safety glasses under vacuum. 1 Air or water reactive chemicals. 1 Potentially explosive chemicals. 1 Minor chemical spill clean up Severe skin and eye damage. Fire Splash, detonation, flying debris, skin and eye damage, Fire. Skin or eye damage, respiratory damage Work in inert atmosphere, when possible. Goggles, and lab coat, (if High risk activity (Flame resistant). Chemical goggles, face shield,, & lab coat (if High risk activity (Flame resistant). Chemical goggles and

3 Are the following activities performed in Human blood, other body fluids, tissues, or blood borne pathogens (BBP). 5 Preserved animal and or human specimens. 1 Bacterial, viral or other infectious agents, Biosafety Level 1 (BSL-1). Bacterial, viral or other infectious agents classified at Biosafety level 2 (BSL-2). Live Animals (BSL-1) Biological Hazards Exposure to infectious material. Exposure to infectious material or formaldehyde. Eye or skin irritation. Exposure to infectious materials with high risk of exposure by contact or mucous membranes. Animal bites, respiratory issues from allergies to dander If high risk, face protection with goggles,, and a lab coat. Low risk, goggles,, & lab coat Low risk, High risk, lab coat & goggles Gloves for broken skin and lab coat. Safety glasses,, and lab coat that remains in the lab at all times (except during laundering or disposal)., face mask and lab coat may be needed depending on work area & animal 6 Are the following activities performed in Radioactive materials Ultraviolet radiation Radiological Hazards Cell damage, potential spread of materials Corneal damage, or skin burn Safety glasses,, lab coat UV shield and

4 Are the following activities performed in Open Beam Performing alignment, troubleshooting or maintenance that requires working with an open beam. Viewing a class 3R laser beam with magnifying optics (including eyeglasses). A Class 3B laser open beam system with the potential for producing direct or specular reflections. A Class 4 laser open beam system with the potential for producing direct, specular, or diffuse reflections. Non-Beam Handling dye laser materials, such as powdered dyes, chemicals and solvents. Maintaining and repairing power sources for large Class 3B or 4 laser systems. Laser Hazards 6 Eye Damage Eye Damage Eye damage, skin damage. Eye damage, skin damage. Cancer, explosion, or fire. High Risk of Electrocution, explosion, or fire. parameters parameters parameters, and appropriate skin protection. 7 parameters, and appropriate skin protection. 8 Gloves, chemical goggles, flame resistant lab coat or coveralls. Contact Manufacturer or Refer to Manual prior to any repair. Electrical isolation mat, flame-resistant lab coat or coveralls.

5 Are the following activities performed in Cryogenic liquids Very cold equipment or removing freezer vials from liquid nitrogen Hot liquids or equipment with open flames or steam. Physical Hazards Major skin, tissue, or eye damage Vials may explode upon rapid warming. Frostbite to hands. Risk of burns Goggles for large volumes, insulated Insulated & safety glasses if material is hazardous. Insulated, if hazardous material wear safety glasses, lab coat & tie back long hair Washing glassware lacerations Safety glasses, rubber, lab coat & closed toed shoes. Working with loud equipment A centrifuge A sonicator Moving parts on machines, Lathe and other workshop equipment Sharps, including broken glass Moving compressed gas cylinders Storage of compressed gas cylinders Potential ear damage and hearing loss Imbalanced rotors can lead to broken vials, risk of cuts and exposure to material Ear damage, exposure Major bodily harm, risk to eyes from sharp hot materials discharged Cuts, exposure Crushed foot/toes Potential dangerous projectile Earplugs or ear muffs as necessary. safety glasses,, lab coat, if materials are hazardous Safety glasses, lab coat, ear plugs, and Safety Goggles, Machine Guards must be in place Broom/dustpan and first aid kit must be available,, & closed toed shoes Steel toed shoes or boots secured cylinder All gas cylinders must be properly secured.

6 1 Use a chemical fume hood or other engineering control whenever possible. Activities not conducted inside a chemical fume hood or with another engineering control (such as a local exhaust at the workbench) should be evaluated to determine if the activity presents a respiratory hazard. In this case a respirator may be required and a respiratory protection program must be in place per the Campus Respiratory Protection Program. In addition to engineering controls and PPE, consider personal clothing that provides adequate skin coverage. 2 Dusty solids should be separately evaluated for the need to use respiratory protection. 3 For a list of acutely toxic chemicals visit U.S. EPA web site, 4 Chemical-resistant are to be selected based on the specific chemical(s) used. 5 Use a Biosafety cabinet to minimize exposure. Activities that cannot be conducted inside Biosafety cabinet should be separately evaluated. 6 If the animal presents a high risk of exposure to airborne transfer of disease then all PPE described must be worn. For low risk exposure, the described PPE may not be needed; this will be determined by the person in charge of the animal work. 7 Laser glasses with an appropriate optical density for one wavelength may not be a different wavelength. 8 Appropriate skin protection can include lab coat,, sun block, and barrier cream. Section 3: Conduct PPE Training PPE training consists of two parts: Part 1 is a general presentation to the laboratory workers and Part 2 is function specific training conducted by the person in charge of the area. Verification is required to document that training has been conducted. Step 1 The person in charge of the lab area assures that all laboratory personnel will have lab safety training. Step 2 1. The person in charge of the lab will verify that the Hazard Assessment Tool has been completed. It describes the activities in the lab when lab personnel would need PPE to protect themselves from exposure to hazards. In this step, the hazard assessment is used as a training tool. 2. While discussing lab activities and the associated hazards with lab staff, the person in charge of the lab will address how their lab obtains PPE, what types of PPE are used in the lab and for which tasks, where and how the PPE is stored and maintained, how to properly use the PPE, and discuss any limitations of the PPE. The supervisor should also discuss general PPE safety practices, including not wearing PPE outside of lab areas (e.g. hallways and eating areas). Step 3 When the person in charge of the lab believes the lab personnel have demonstrated an understanding, the and lab personnel and the supervisor will sign the following Verification of PPE Training form (next page) to document that PPE training has been conducted. A copy of this signed form is to be maintained in a binder in the designated lab area. Step 4 Repeat or conduct refresher training whenever the hazards in the area have changed or a new activity has been assigned to the lab personnel. Complete the PPE with all new lab personnel before they begin any lab activities.

7 Section 4: Verification of PPE Training The following lab personnel of (Defined Lab or workshop) have received the following training: 1. When PPE is necessary. 3. How to properly don, doff, adjust, and wear PPE. 4. The limitations of PPE. 5. The proper care, maintenance, useful life, and disposal of PPE. Lab Personnel printed name Lab Personnel SIGNATURE As a part of this training, personnel were informed of the personal protective equipment selected by this facility for their use. By my signature and those listed above, we certify that each of us has a demonstrated understanding of the PPE training and hazards associated with working in this area. Signature and Date of Person in Charge of lab, (when the PPE training was completed).

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