Appendix A: Induction check list

This checklist is to be completed as part of inducting a new user in the Laboratory. Permission to begin work in the Laboratory will only be given once all relevant precursors have been completed.

Name
Status / Student/Postdoc/UTO/Visitor/Other
Supervisor/Host
Office
E-mail
Project
Departure date
Date / Initials / Comments
Introductions
Director of Laboratory
Laboratory Safety Officer
Head Technician
Documentation issued
Laboratory Manual
HSD Documents (list)
Access
Swipe card programmed
Lone working restrictions
Explanation of emergency procedures
Exits
First aid
Knockdown buttons
Services
Reporting
Laser warnings:
Blue flashing lights; Interlocked tapes
Biological Containment
Training needs/Training given
In-house laser training
GoldLab induction

Unsupervised work must not commence until approved by the Safety Officer.

Approval to commence / Date / Initials / Comments
Documentation read
Base Risk Assessment
COSHH Assessment
Signed by Supervisor/Host
Hot Work approval
Volatile Solvent approval
Laser Authorisation
Biological approval
Permission to start

Appendix B: GK Batchelor Laboratory: Risk Assessment

Appendix B: GK Batchelor Laboratory: Risk Assessment

(GKB/RA/2.3a)

Researcher:

Name:

Office:

Phone:

e-mail:

Supervisor/Principal Investigator/Host

Name:

Office:

Phone:

e-mail:

Project title:

Brief description of project:

Date for this revision:

Date for next revision:

Emergency measures:

Please note: This section is intended to provide others with guidance if they have to deal with your equipment in an emergency situation. In the majority of situations, the appropriate answer will be ‘Do not care’, giving the freedom to react as appropriate. Only in a small subset of cases will ‘No’ be an appropriate answer, and in such cases it is important to state the reasons why.

Yes / No / Do not care / Not applicable
Fire alarm
Knock down switch
Turn off piped services
Drain equipment
Other
Flood
Knock down switch
Turn off piped services
Drain equipment
Other
Electrical fault
Knock down switch
Turn off piped services
Drain equipment
Other
Equipment failure
Knock down switch
Turn off piped services
Drain equipment
Other

Please explain the reasons behind any ‘No’ responses in the table above.

Brief description of main hazards

Electrical

Mechanical

Chemical

Particle

Optical

Heat

Cold

Other

Which sections of the Laboratory Manual have you read? (Please tick)

§1 §2 §3 §4 §5 §6 §7

Are the risks associated with the project covered by the Laboratory Manual? Yes/No

Is a COSHH form attached? Yes/No

List substances used

Are COSHH data sheets for any substances attached? Yes/No§5.3

List substances

Are lasers going to be used? (Tick all that are appropriate)§§2.3.3, 5.6.4

No lasers or Class 1 only Class 2 Class 2M
Class 3R Class 3B Class 4

Is a Laser Authorisation form attached? Yes/No

Is a Laser Risk Assessment attached? Yes/No

Describe any waste or by-products produced by the experiment, any risks associated with handling them and how they will be disposed of. §2.3.7

Description of additional risks and the measures taken to minimise potential incidents. (Please continue on a separate sheet if required.)

List any Personal Protective Equipment (PPE) appropriate for this work, and the circumstances under which it is used.

List any special restrictions on clothing (e.g. a need for lab coats, long trousers or hair retention).

Describe any impact your work might have on others working in the Laboratory (e.g. noise or lighting conditions) and what measures will be put in place to reduce or remove the hazard or annoyance.

Do you feel competent to undertake this work? Have you discussed the project with your supervisor, principal investigator or host? Please list any areas where you believe training would be beneficial.

Have all items of electrical equipment been tested for electrical safety and do they display a valid test sticker? This includes IEC mains cables, plug boards, computers and video equipment. Please list the items of electrical equipment you are using. The equipment must be re-tested if the sticker only states the date the equipment was last tested.

Do you intend to work alone in the lab out of hours? If ‘yes’, then please list any additional safety measures or procedures you will undertake to ensure your safety.

Signatures:

Date:

(Researcher)(Supervisor)

For Office Use Only:

Comments:

Incidents:

Laboratory Safety Officer:

Date:

/ Department:DAMTP / Location:
Date: / Assessment Reference:

HAZARDOUS SUBSTANCE RISK ASSESSMENT FORM

This document fulfils the requirements of the COSHH and DSEAR Regulations relating to a written risk assessment

When completing form, refer to Guidance Notes

Experiment / Procedure / Process / Activity / Demonstration (include a brief description):
Frequency (hourly, daily, weekly, monthly or ‘one-off’):
Hazardous substances to be used (List ALL substances including solvents, expected products and by-products):
Can any of the substances be substituted with a less hazardous substance or form of the substance?YES / NO
If yes, you must do so, or justify not using it. ______
Substance / Approx.
quantity / Physical Form
gas, liquid, solid, dust / Hazards
Toxic, flammable, corrosive,irritant,
easily absorbed
through skin etc / WEL
Work
Place
Exp
Limit / Risk Phrases /GHS Hazard Statements
(see guidance note lists) / Exposure Route(s)
inhalation, ingestion, injection, absorption
Which are the significant chemical hazards? ______
Risks associated with the procedure: (non-chemical risks may require an additional risk assessment)
Note: DSEAR risk considerations include:
Is there any substance used or formed that might give rise to a fire or explosion (e.g. reactive intermediates)y/n
If yes, how will you ensure that no fire or explosion occurs (inc. the consideration of eliminating ignition sources):

Is it reasonably foreseeable that the lower explosive limit will be reached in the event of a leak / spillage?y/n
If yes, a more detailed risk assessment is required under the Dangerous Substances Explosive Atmospheres Regulations.
Are any of the substances a Category 1 or 2 carcinogen, a mutagen, a substance toxic toy/n
reproduction, a respiratory sensitizer or a skin sensitizer?
(Risk Phrases: R42, R43, R45, R46, R49, R60, R61, R64 or Hazard Statements: H334, H317, H350, H340, H350i, H360f, H360d, H362)
Work with these compounds must be carried out in a fume cupboard where reasonably practicable. A health record must be completed.
Control Measures:
Containment: / Personal Protective Equipment:
Fume cupboard / / Lab coat / overalls /
Glove box / isolator / / Gloves /
Safety cabinet / / Glove type: / ______
Local exhaust ventilation / / Eye Protection(i.e. safety glasses, goggles, face shield) /
Additional: / type: / ______
Storage requirements (specify): / ______/ Respiratory protective equipment (RPE) * /
Other control measure (specify): / ______/ RPE type: / ______
Is health surveillance required? y/n / / * Under COSHH all RPE requires face-fit testing
Monitoring: Gas, Vapour or Dust y/n Specify what and how : / ______
Are any additional controls required not covered above? (training, instruction, information or maintenance)

Are there additional non-chemical hazards requiring further risk assessment? y/n Ref No:
Waste Disposal Routes: Refer to University and departmental policy.
Consider segregation, containment and appropriate labelling of waste in order to avoid problems of mixing incompatible wastes.

Chlorinated solvent / Aqueous (hazardous) / Other (specify): ______
Non-chlorinated solvent / Aqueous (non-hazardous)
Identify incompatible wastes: ______
NB: The mixing of incompatible wastes can introduce significant additional hazards, consult literature and MSDSs
Emergency Procedures(emphasise any special hazards):
Fire Extinguisher: / CO2 / / Dry Powder / / L2 D-metal /
Spillage/Uncontrolled Release: / Spill Kit / Evacuate Area / Wash Down Area
Other (specify): ______
What could happen if there was catastrophic failure of the apparatus? ______
In the event of an accident, who might be exposed? ______
Emergency Treatment in Case of Contamination or Exposure:
Exposure/Contamination – standard procedures (special procedures MUST be detailed below) Read and Understood
Mouth, Eyes, Skin Exposure – flush area of contact with plenty of water, contact a First Aider; Lungs – remove to fresh air, contact a First Aider. If swallowed – contact a First Aider, get details of substance ingested and seek medical attention immediately.
If casualty unconscious – contact a First Aider immediately and call an ambulance.
Other (specify): ______
It is agreed that application of the control measures specified will provide adequate management of the identified risks.
Name of assessor:
Signature: / Date:
Name of co-signatory: (e.g. Supervisor / authorised deputy)
Signature: / Date:

Note: This risk assessment is valid for one year after which time it MUST be reviewed.