![](media/image1.png){width="2.0520833333333335in"
height="0.6083333333333333in"}**IH75300 Attachment 9.1**

**HP-IHP-75300**

**Environmental, Safety, Health Directorate-**

**SHSD Industrial Hygiene Group**

**Flammable Cabinet Inspection Form**

  --------------------------------------------------------- ---------------- ----------------- ---------------------
  ^Organization:^                                           ^Building:^      ^Room/Area:^      

  ^Location\ of\ Cabinet\ (e.g.,\ NW\ Corner\ of\ Room):^                                      

  ^Cabinet\ Owner's\ Name:^                                                                    

  ^Room\ Type:^ Laboratory Shop Industrial Hallway Other:                                      

  ^Inspection\ By:^                                                          ^Date:^           ^Inspection\ \#^
  --------------------------------------------------------- ---------------- ----------------- ---------------------

+---+---------------------------+-------------------------------------+
| 1 | **Cabinet Design**        |                                     |
| . |                           |                                     |
|   |                           |                                     |
|   |                           |                                     |
+---+---------------------------+-------------------------------------+
| 1 | **Labeled "Flammable"**   | Label defaced Not labeled           |
| . |                           |                                     |
|   |                           |                                     |
|   |                           |                                     |
+---+---------------------------+-------------------------------------+
| 2 | **Labeled "Meets NFPA     | Label defaced Not labeled           |
| . | 30"**                     |                                     |
|   |                           |                                     |
|   |                           |                                     |
+---+---------------------------+-------------------------------------+
| 3 | **Other Approval          | Labeled "Meets OSHA Requirements"   |
| . | Designation:**            |                                     |
|   |                           | Labeled "UL Approved"               |
|   |                           |                                     |
|   |                           | Other:                              |
+---+---------------------------+-------------------------------------+
| 4 | **3-point locking         | Not present in the design           |
| . | mechanism**               |                                     |
|   |                           | Not working smoothly or broken      |
|   |                           |                                     |
+---+---------------------------+-------------------------------------+
| 5 | **Non-approved design**   | File Cabinet Storage Cabinet        |
| . |                           |                                     |
|   |                           | Other:                              |
|   |                           |                                     |
+---+---------------------------+-------------------------------------+
| 6 | **Venting & Condition**   | Bung Sealed Bung Open Vented        |
| . |                           |                                     |
|   |                           | Unacceptable overall condition of   |
|   |                           | cabinet.                            |
+---+---------------------------+-------------------------------------+

+---+---------------------------+-------------------+-----------------+
| 2 | **Cabinet Contents**      |                   |                 |
| . |                           |                   |                 |
|   |                           |                   |                 |
|   |                           |                   |                 |
+---+---------------------------+-------------------+-----------------+
| 1 | **Quantity of             | \# of Containers: |                 |
| . | Containers**              | 1-25 25-50 50-100 |                 |
|   |                           | 100+              |                 |
|   |                           |                   |                 |
+---+---------------------------+-------------------+-----------------+
|   |                           | Total Liters:     |                 |
|   |                           | 1-25 25-50 50-100 |                 |
|   |                           | 100+              |                 |
+---+---------------------------+-------------------+-----------------+
| 2 | **Flammable Liquids**     | Glass Bottles     |                 |
| . |                           | Plastic Bottles   |                 |
|   |                           | Metal Cans        |                 |
|   |                           |                   |                 |
+---+---------------------------+-------------------+-----------------+
| 3 | **Aerosol Cans**          | Paint             |                 |
| . |                           | Solvent/Cleaner   |                 |
|   |                           | Air               |                 |
|   |                           |                   |                 |
|   |                           | Other:            |                 |
+---+---------------------------+-------------------+-----------------+
| 4 | **Compressed Gas cylinder | Label defaced No  |                 |
| . | or lecture bottle**       | label             |                 |
|   |                           |                   |                 |
|   |                           | Chemical Name:    |                 |
+---+---------------------------+-------------------+-----------------+
| 5 | **Flammable Solid**       | Chemical Name:    |                 |
| . |                           |                   |                 |
|   |                           |                   |                 |
|   |                           |                   |                 |
+---+---------------------------+-------------------+-----------------+
| 6 | **Oxidizer**              | NFPA 45, 49 or    | Mfgr. labeled:  |
| . |                           | 325 listed        | "Oxidizer"      |
|   |                           |                   |                 |
|   |                           | DOT Placard       | Bleach          |
|   |                           | "Oxidizer"        |                 |
|   |                           |                   | Other:          |
|   |                           | NFPA/HMIS Label   |                 |
|   |                           | "OXY"             |                 |
+---+---------------------------+-------------------+-----------------+
| 7 | **Combustible Liquid or   | Chemical Name:    |                 |
| . | Solid**                   |                   |                 |
|   |                           |                   |                 |
|   |                           |                   |                 |
+---+---------------------------+-------------------+-----------------+
| 8 |                           | Cardboard         |                 |
| . | **No                      |                   |                 |
|   | nflammable/noncombustible | Other:            |                 |
|   | liquid or solid           |                   |                 |
|   | (including paper)**       |                   |                 |
+---+---------------------------+-------------------+-----------------+

+---+---------------------------+-------------------------------------+
| 3 | **Storage Conditions      |                                     |
| . | (unacceptable)**          |                                     |
|   |                           |                                     |
|   |                           |                                     |
+---+---------------------------+-------------------------------------+
| 1 | **Leaking, corroded       | Describe (chemical & condition):    |
| . | container**               |                                     |
|   |                           |                                     |
|   |                           |                                     |
+---+---------------------------+-------------------------------------+
| 2 | **Cap Damaged**           | Describe (chemical & condition):    |
| . |                           |                                     |
|   |                           |                                     |
|   |                           |                                     |
+---+---------------------------+-------------------------------------+
| 3 | **Label Damaged on        | Label defaced No label              |
| . | Container**               |                                     |
|   |                           | Chemical Name:                      |
|   |                           |                                     |
+---+---------------------------+-------------------------------------+

SHSD Flammable Cabinet Inspection Form IH75300 Attachment 9.1 (08/05/08)
**File code: IH75**

![](media/image1.png){width="2.0520833333333335in"
height="0.6083333333333333in"}**IH75300 Attachment 9.1**

**Page 2**

**HP-IHP-75300**

**Environmental, Safety, Health Directorate-**

**SHSD Industrial Hygiene Group**

**Flammable Cabinet Inspection** Form

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  **Item#**   **Corrective Actions Taken**

              

              

              

              

              

              

              

              

              

              

              

              

              

              
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  **Comments**

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