Lab Program Review

          Date:
         
Faculty: Dept: Ext:   Office:
Lab Tech/Staff: Dept:   Ext:   Office:
Room/Space: BSL:    
           
Fume Hoods:# Biosafety Cabinets:# Other Special Ventilation:
 


 

Infectious Virus

Infectious Other:

Noninfectious Agents (specify)

Noninfectious Bacteria

Noninfectious Virus

Noninfectious Other:

Plants/Fungi

Parasites/Protozoan

Select Agents

Radioactive Materials

Radioactive Sources

Radioactive Waste

X-Rays

Lasers: Class

Magnets

Microwave

Vacuum Pumps

Rotovaps

 

 

Autoclave

Power Tools

Other Hazardous Material (such as lead, pesticides, etc):

Compressed Gas (specify)

Flammable

Poison

Cooled

Other:

Formaldehyde

Perchloric Acid

Ethlene Oxide

Picric Acid

Ether

CAA Chemicals

PHS

Acute Toxins

Reproductive Hazards

Carcinogens

Class I Flammables

Other Flammables:

Waste chemicals generated

Chemical Usage

Other

 

If any apply, specify here:

 

Field Studies

 

Location(s):

 

     
Equipment:
 
               
Research Grants, if any:          
 
 
             
             
July 2006