Lab or research group name ________________________________
This form should be completed for each lab or research
group as part of an orientation when they first begin work at WMRC. See
the UCLA laboratory safety website for general information on lab safety, and the WMRC
Lab Safety page for specific information about working at the station.
WMRC staff must approve all plans before work may begin.
Review provisions of WMRC “Illness and Injury
Prevention Plan” (IIPP) program (see IIPP
website for overview)
Review locations of::
Fire extinguishers stations
First aid kits
Hazardous materials spill kits
Chemical storage locations
Waste disposal locations and supplies
Personal protective equipment, when using chemicals
or other hazardous materials:
Evacuation procedures, contact list, and gathering
point - see WMRC emergency instruction sheet.
Chemical safety information:
Material Safety Data Sheet (MSDS) must be readily
available in the same room as any hazardous materials or laboratory
chemicals. MSDS are prepared by chemical manufacturers and list known
properties including toxicity and instructions for handling and storing.
The web page http://hazard.com/msds/index.php provides a listing of
many of these sheets. You need to know the name of the chemical (for
example "ethanol") in order to retrieve MSDS's, and it helps
if you know the manufacturer. The comprehensive UCSD "chemquick"
resource is available at www.ucmsds.com ; if you are asked for an
account and password, type "ucsd_user" and "ucsd".
Locations and type of written lab safety procedures,
including any lab required approvals.
Locations and safe use procedures for chemical fume hoods and biological safety cabinets.
List names of personnel receiving training/orientation:
Name of training/orientation instructor____________________________________________
Signature and date of instruction_______________________________________date____________