REQUIRED LABORATORY HAZARD ASSESSMENT SURVEY

OSHA Standards 29 CFR 1910. 132-138

Personal Protective Equipment Requirements\*

Department:

Lab rooms:

P.I.:

Person completing survey (P.I./Lab Manager only): Signature:

Date:

Please complete Assessment as soon as possible, file the original, &
[post a copy]{.underline} in the lab.

+------------+-------------------+-------------------------------------+
| **Check If | **Hazards in the  | **PPE Required**                    |
| Ap         | Workplace**       |                                     |
| plicable** |                   |                                     |
+------------+-------------------+-------------------------------------+
|            | HAZARDOUS LIQUID  |                                     |
|            | CHEMICALS         |                                     |
+------------+-------------------+-------------------------------------+
| \_         | Corrosive Liquids | Safety goggles preferred, safety    |
|            |                   | glasses accepted, gloves, long      |
| \_         | (Acids/Caustics): | sleeved lab coat, closed toe shoes. |
|            |                   | If work is done on an open bench    |
|            | Small containers  | and not in a chemical fume hood, it |
|            | \< 1 liter        | is advisable to use goggles instead |
|            |                   | of glasses.                         |
|            | Large containers  |                                     |
|            | \> 1 liter        | Safety goggles, gloves, long        |
|            |                   | sleeved lab coat, rubber apron,     |
|            |                   | closed toe shoes. If potential for  |
|            |                   | a splash is high, it is advisable   |
|            |                   | to use both face shield and         |
|            |                   | goggles. Also if work is done on an |
|            |                   | open bench and not in a chemical    |
|            |                   | fume hood, it is recommended that a |
|            |                   | face shield be used in addition to  |
|            |                   | goggles.                            |
+------------+-------------------+-------------------------------------+
| \_         | Flammable Liquids | Safety goggles preferred, safety    |
|            |                   | glasses accepted, gloves, long      |
| \_         | Dispensing from 5 | sleeved lab coat, closed toe shoes. |
|            | gal drums         |                                     |
|            |                   | Safety goggles, gloves, long        |
|            |                   | sleeved lab coat, closed toe shoes. |
|            |                   | If potential for a splash is high   |
|            |                   | it is advisable to use a face       |
|            |                   | shield in addition to goggles.      |
+------------+-------------------+-------------------------------------+
| \_         | Highly reactive   | Safety goggles preferred, safety    |
|            | liquid chemicals  | glasses accepted, long sleeved lab  |
|            | and high energy   | coat, gloves, closed toe shoes.     |
|            | oxidizers         | Face shield or body shield must be  |
|            |                   | used in addition to protective      |
|            |                   | eyewear during the reaction based   |
|            |                   | on the scale of the reaction.       |
+------------+-------------------+-------------------------------------+
| \_         | Liquids with high | Safety goggles, gloves, long        |
|            | acute toxicity    | sleeved lab coat, impermeable       |
|            | (poisons)         | apron, closed toe shoes. If         |
|            |                   | potential for a splash high use     |
|            |                   | impermeable coveralls and a face    |
|            |                   | shield in addition to goggles.      |
+------------+-------------------+-------------------------------------+
| \_         | Liquids with high | Safety goggles preferred, safety    |
|            | chronic toxicity  | glasses accepted, gloves, long      |
|            | (known and        | sleeved lab coat, closed toe shoes. |
|            | suspected         |                                     |
|            | carcinogens,      |                                     |
|            | reproductive      |                                     |
|            | toxins)           |                                     |
+------------+-------------------+-------------------------------------+
| \_         | Other hazardous   | Safety goggles/glasses based on a   |
|            | liquid chemicals  | splash potential, gloves, long      |
|            |                   | sleeved lab coat, closed toe shoes. |
|            | (not included in  |                                     |
|            | the above         |                                     |
|            | categories)       |                                     |
+------------+-------------------+-------------------------------------+
|            | SOLID CHEMICALS   |                                     |
+------------+-------------------+-------------------------------------+
| \_         | Caustic solids    | Safety glasses, gloves, long        |
|            | (lime, etc)       | sleeved lab coat, closed toe shoes. |
|            |                   | If potential for getting a chemical |
|            |                   | into the face is high use face      |
|            |                   | shield in addition to glasses.      |
+------------+-------------------+-------------------------------------+
| \_         | Flammable solids  | Safety glasses, gloves, long        |
|            | (alkali metals,   | sleeved lab coat, closed toe shoes. |
|            | red phosphorous,  |                                     |
|            | etc)              |                                     |
+------------+-------------------+-------------------------------------+
| \_         | Highly reactive   | Safety glasses, gloves, long        |
|            | solids & high     | sleeved lab coat, closed toe shoes. |
|            | energy oxidizers  | Face shield or body shield during   |
|            |                   | reaction based on the scale of the  |
|            |                   | reaction in addition to protective  |
|            |                   | eyewear.                            |
+------------+-------------------+-------------------------------------+
| \_         | Solids of high    | Safety glasses, gloves, long        |
|            | acute toxicity    | sleeved lab coat, closed toe shoes. |
|            | (poisons)         | If must weigh, use particulate      |
|            |                   | mask. If potential for              |
|            |                   | disseminating powder high, use      |
|            |                   | protective coveralls and a face     |
|            |                   | shield in addition to glasses and   |
|            |                   | mask.                               |
+------------+-------------------+-------------------------------------+
| \_         | Solids of high    | Safety glasses, gloves, long        |
|            | chronic toxicity  | sleeved lab coat, closed toe shoes. |
|            | (carcinogens and  | If must weigh, use particulate      |
|            | reproductive      | mask.or vented balance enclosure.   |
|            | toxins)           |                                     |
+------------+-------------------+-------------------------------------+
| \_         | Other hazardous   | Safety glasses, long sleeved lab    |
|            | solid chemicals   | coat, gloves, closed toe shoes.     |
|            |                   |                                     |
|            | (not included     |                                     |
|            | above)            |                                     |
+------------+-------------------+-------------------------------------+
| \_         | Compressed toxic  | Safety goggles, gloves, long        |
|            | gases             | sleeved lab coats, closed toe       |
|            |                   | shoes.                              |
+------------+-------------------+-------------------------------------+
| \_         | Work with         | Face shield, safety goggles/glasses |
|            | pressurized       | based on substances in the vessel,  |
|            | glass/plastic     | long sleeved lab coat, gloves,      |
|            | vessels           | closed toe shoes.                   |
|            | (potential for    |                                     |
|            | creating flying   |                                     |
|            | fragments)        |                                     |
+------------+-------------------+-------------------------------------+
|            | LIGHT RADIATION   |                                     |
+------------+-------------------+-------------------------------------+
| \_         | Welding: Electric | Welding helmet or shield, gloves,   |
|            | arc               | long sleeved lab coat, closed toe   |
| \_         |                   | shoes.                              |
|            | Welding: Gas      |                                     |
| \_         |                   | Welding goggles or face shield,     |
|            | Cutting, torch    | gloves, long sleeved lab coat,      |
| \_         | brazing, torch    | closed toe shoes.                   |
|            | soldering         |                                     |
| \_         |                   | Spectacles or welding face shield,  |
|            | Lasers            | gloves, long sleeved lab coat,      |
|            |                   | closed toe shoes.                   |
|            | Class IIIb or IV  |                                     |
|            |                   | Protective eyewear of the           |
|            | Sources of UV     | appropriate optical density         |
|            | light (hand hold  |                                     |
|            | irradiators, UV   | Safety glasses, long sleeved lab    |
|            | screens,          | coat, gloves. Based on the duration |
|            | germicidal lamps) | of exposure and the source it may   |
|            |                   | be advisable to use a face shield   |
|            |                   | instead of glasses.                 |
+------------+-------------------+-------------------------------------+
|            | TEMPERATURE       |                                     |
|            | EXTREMES:         |                                     |
+------------+-------------------+-------------------------------------+
| \_         | Heat (hot         | Face shield, thermal gloves, long   |
|            | surfaces, hot     | sleeved lab coat, closed toe shoes. |
| \_         | solutions, etc)   |                                     |
|            |                   | Thermal gloves, long sleeved lab    |
| \_         | Cold              | coats, closed toe shoes.            |
|            |                   |                                     |
|            | Low temperature   | Face shield, thermal gloves, long   |
|            | freezers          | sleeved lab coat, closed toe shoes. |
|            |                   |                                     |
|            | Cryogenic gases   |                                     |
|            |                   |                                     |
|            | (N2, He2, etc)    |                                     |
+------------+-------------------+-------------------------------------+
| \_         | Autoclave         | Face shield, rubber apron, thermal  |
|            | operation         | gloves, lab coat, closed toe shoes. |
+------------+-------------------+-------------------------------------+
| \_         | Other hazards not |                                     |
|            | listed above      |                                     |
+------------+-------------------+-------------------------------------+

\* The personal protective equipment that appears on the survey has been
assigned to provide protection for eyes, face, feet, and hands. For
additional information on PPE consult Page 10D \"PersonalProtective
Equipment\" of the University Chemical Safety and Disposal Guide. Use
\"Chemical Resistance Chart\" on page12D for proper glove selection.
Contact Section of Radiation Safety at 2628769 when selecting laser
protective eyewear.

\*\* Radioactive and biological materials are excluded from this lab
hazard assessment survey because these issues are evaluated through
special Radiation and Biological Safety Programs. Radiological and
biological hazards are not covered by the above listed OSHA standards
and are subject to other Federal Regulations.

\*\*\* Respiratory protection is not included. Respiratory protection is
administered through the University Respiratory Protection Program by
the staff of the Safety Department.