Activity Hazard Assessment Tool

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1 Hazard Assessment Tool This form must be completed by the PI, Lab Manager, or their designee at least once each calendar year to conduct an Hazard Assessment specific to activities in their laboratories. The Hazard Assessment identifies hazards to employees and specifies personal protective equipment (PPE) to protect employees during work activities. The person conducting the assessment must verify that it is complete and that training has been conducted. This assessment consists of: 1. Hazard Assessment 2. Site-specific training conducted by the PI or their designee reviewing: When PPE is necessary, what PPE is required, how to properly don, doff, adjust and wear PPE, limitations of PPE, proper care, maintenance, useful life, and disposal of PPE. EH&S personnel are available to assist you with completing your activity hazard assessment or reviewing it after completion. Consult EH&S for specific questions regarding PPE requirements. your EH&S representative at Requirement #1 - Laboratory Hazard Assessment 3. Conduct a hazard assessment of the laboratory to identify activities where PPE is needed to protect lab staff from exposure to hazards. 4. Specify the PPE to be used by staff to protect them from the identified hazards. 5. Certify the hazard assessment for the laboratory. Chemical Hazards Working with small volumes (<4 liters) of corrosive liquids. Working with corrosive or acutely toxic liquids or other materials which creates a splash hazard. Working with small volumes (<4 liters) of organic solvents or flammable organic compounds. Working with large volumes (>4 liters) of organic solvents, small to large volumes of very dangerous solvents, or work which creates a splash hazard. Working with toxic or hazardous chemicals (solid, liquid, or gas). Eye or skin damage. Poisoning, increased potential for eye and skin damage. 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 skin contact. Safety glasses or goggles. Light chemical-resistant gloves. Lab Safety goggles. Chemicalresistant gloves. Lab coat and chemical-resistant apron. Safety glasses or goggles. Chemical-resistant gloves. Lab Safety glasses or goggles. Chemical-resistant gloves. Lab Safety glasses (goggles for large quantities). Chemical-resistant gloves. Lab Hazard Assessment 6.0 Page 1 of 6

2 Chemical Hazards (continued) Working with an apparatus with contents under pressure or vacuum. Working with Acutely Toxic Chemicals. Working with pyrophoric liquids Working with air or water reactive chemicals. Working with potentially explosive chemicals. Working with low and high temperatures. Minor chemical spill cleanup Working with Known or Suspect Human Carcinogens Working with Reproductive Toxins Working with engineered nanomaterials. Eye or skin damage. Spills, splashes, ingestion, inhalation, absorption. Chemicals pose a high level of immediate health risk Severe skin and eye damage. Fire. Severe skin and eye damage. Fire. Splash, detonation, flying debris, skin and eye damage. Fire. Burns, splashes. Fire. Skin or eye damage, respiratory damage. Spills, splashes, ingestion, inhalation, absorption. High hazard cancer-causing agents Spills, splashes, ingestion, inhalation, absorption. Agents that affect reproductive capabilities, cause mutation and adversely affect fetal development Inhalation, exposure, dermal exposure. Safety glasses or goggles, face shield for high risk activities. Chemical-resistant gloves. Lab coat, chemical-resistant apron for high risk activities. Safety glasses or goggles, gloves, lab coat, long pants and closed toe shoes. Safety glasses or splash goggles with face shield. Chemicalresistant gloves. Flame resistant lab coat (e.g. Nomex). Work in inert atmosphere, when possible. Safety glasses or goggles. Chemical-resistant gloves. Lab coat, flame resistant lab coat for high risk activities (e.g. Nomex). Chemical-resistant apron for high risk activities. Safety glasses, face shield, and blast shield. Heavy gloves. Flame-resistant lab coat (e.g. Nomex). Safety glasses. Lab Thermal insulated gloves, when needed. Safety goggles. Chemicalresistant gloves. Lab Chemical-resistant apron and boot/shoe covers for high risk activities. Respirator as needed. Consider keeping Silver Shield gloves in the lab spill kit. Safety glasses or goggles, chemical-resistant gloves, lab coat, long pants and closed toe shoes. Hoods, glove boxes and other suitable containment device. Safety glasses or goggles, chemical-resistant gloves, lab coat, long pants and closed toe shoes. Hoods, glove boxes and other suitable containment device. Goggles, gloves, lab Hazard Assessment 6.0 Page 2 of 6

3 Biological Hazards Working with human blood, body fluids, tissues, or bloodborne pathogens (BBP). Working with preserved animal and/or human specimens. Working with agents or recombinant DNA classified as Biosafety Level 1 (BSL-1). Manipulation of cell lines, viruses, bacteria, or other organisms classified as Biosafety Level 2 (BSL- 2). Manipulation of infectious materials classified as Biosafety Level 2 facility with BSL-3 practices (BSL-2+). Manipulation of infectious materials classified as Biosafety Level 3 (BSL- 3). Working with live animals (Animal Biosafety Level 1, ABL-1). material. material or preservatives. Eye or skin irritation. material, particularly through broken skin or mucous membranes. materials with high risk of exposure by contact or mucous membranes. materials with high risk of exposure, particularly through the inhalation route. Animal bites, scratches, eye or skin exposure, inhalation, allergies. Safety glasses or goggles, latex or nitrile gloves, lab coat or gown. Safety goggles, latex or nitrile gloves, lab coat or gown. Safety goggles, latex or nitrile gloves, lab coat or gown. protection from splash or other eye hazard, light latex or nitrile gloves, lab coat or gown. protection from splash or other eye hazard, light latex or nitrile gloves (double), lab coat or disposable gown (preferred), surgical mask. protection from splash or other eye hazard, light latex or nitrile gloves (double), full disposable gown or Tyvek suite (preferred), respirator, shoe cover or dedicated shoe. Safety glasses or goggles, light latex, nitrile or vinyl gloves for broken skin or skin rash, lab coat or gown. Higher BSL levels require hair cover, shoe covers, surgical mask. Consider need for wire mesh glove. Physical Hazards Working with cryogenic liquids. Removing freezer vials from liquid nitrogen. Working with very cold equipment or dry ice. Working with hot liquids, equipment, open flames (autoclave, Bunsen burner, water bath, oil bath). Major skin, tissue, or eye damage. Vials may explode upon rapid warming. Cuts to face/neck and frostbite to hands. Frostbite, hypothermia. Burns resulting in skin or eye damage. large volumes, impermeable insulated gloves, lab Face shield, impermeable insulated gloves, lab Safety glasses, insulated gloves (possibly warm clothing), lab large volumes, insulated gloves (impermeable insulated gloves for liquids, steam), lab Hazard Assessment 6.0 Page 3 of 6

4 Physical Hazards (continued) Glassware washing. Lacerations. Heavy rubber gloves, lab Working with loud equipment, noises, sounds, alarms, etc. Working with a centrifuge. Working with a sonicator. Working with sharps. Potential ear damage and hearing loss. Imbalanced rotor can lead to broken vials, cuts, exposure. Ear damage, exposure. Cuts, exposure. Earplugs or ear muffs as necessary. Safety glasses or goggles, lab coat, latex, vinyl, or nitrile gloves. Safety glasses or goggles, lab coat, latex, vinyl, or nitrile gloves, ear plugs. Safety glasses or goggles, lab coat, latex, vinyl, or nitrile gloves. Radiological Hazards Working with solid radioactive materials or waste. Working with radioactive materials in hazardous chemicals (corrosives, flammables, liquids, powders, etc.). Working with ultraviolet radiation. Cell damage, potential spread of radioactive materials. Cell damage or spread of contamination plus hazards for the specific chemical. Conjunctivitis, corneal damage, skin redness. Safety glasses, impermeable gloves, lab Safety glasses (or goggles for splash hazard), light chemicalresistant gloves, lab UV face shield and goggles, lab Working with infrared emitting equipment (e.g. glass blowing). Cataracts, burns to cornea. Appropriate shaded goggles, lab Laser Hazards Operating open-beam laser Class 3B Operating open-beam laser Class 4 Handling dye laser materials, such as powdered dyes, chemicals, and solvents. Eye (burn/damage). Eye (burn/damage). Skin or eye damage Appropriate protective eyewear, wavelength and optical density based on individual beam parameters. Appropriate protective eyewear, wavelength and optical density based on individual beam parameters. Appropriate skin protection (covered arms/legs) Gloves, safety glasses, lab Hazard Assessment 6.0 Page 4 of 6

5 Unique or Lab Specific Activities If your lab conducts additional or unique activities not listed above, identify the potential hazards and appropriate PPE and add these activities to the Unique or Lab-Specific Activities section below. If a lab activity is similar to but somewhat different than one of the common activities listed, include it in this section as well. in lab Potential Hazard PPE Glove Selections for Specific Chemical Hazards Determine chemical handling activities that require a specific type of glove material to protect from chemical exposure. Not all glove materials offer equal protection. For this section, select more commonly used chemicals (corrosives, organic solvents, toxic chemicals) or particularly hazardous chemicals (carcinogens, mutagens, reproductive hazards, etc.) List the chemical, the work activity and the specific glove type. Chemical Glove Type(s) Example: formaldehyde Tissue processing with potential for skin contact with liquid formaldehyde solution Nitrile, neoprene or butyl rubber; light gloves may be used for activities with incidental contact; a heavier glove is recommended for moderate or greater contact. Hazard Assessment 6.0 Page 5 of 6

6 Hazard Assessment Certification All information must be completed below. This certifies that you have conducted the hazard assessment. Maintain a copy of the signed hazard assessment (this document) in the lab safety records. Department Lab Location(s) [building and room numbers] Principal Investigator Name and title of person conducting assessment Name: Title: Date assessment completed: The following employees have reviewed the EH&S Hazard Assessment Tool specific to this lab and have received the following training: 1. When PPE is necessary 2. What PPE is required 3. How to properly don, doff, adjust, and wear PPE 4. Limitations of PPE 5. Proper care, maintenance, useful life, and disposal of PPE Worker Name UID Training Date Trainer Worker Signature Hazard Assessment 6.0 Page 6 of 6

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