Hazardous
Material/Procedure
|
Date Completed or N/A |
| Chemicals |
|
Evaluate all chemicals and label all containers.
|
_____________ |
Transfer responsibility for chemicals to: ______________
|
_____________ |
Prepare chemical waste for shipment. Submit waste forms to DEHS's
chemical waste division.
|
_____________ |
Clean laboratory surfaces.
|
_____________ |
Confirm that hazardous waste has been removed.
|
_____________ |
| |
|
| Controlled
Substances |
|
Contact U.S. Drug Enforcement Agency regarding status of permit.
|
_____________ |
|
|
_____________ |
| |
|
| Gas
Cylinders |
|
Return to supplier. For non-returnable cylinders, review
procedures in Chemical Waste Guidebook.
|
_____________ |
| |
|
| Animal
and
Human Tissue |
|
Dispose of tissue. Method: _________________________
|
_____________ |
Dispose of preservative. Method: ____________________
|
_____________ |
Clean refrigerators/freezers.
|
_____________ |
Transfer responsibility for samples to: ________________
|
_____________ |
| |
|
| Microorganisms
and Cultures |
|
|
|
_____________ |
Place waste in biohazard bag.
|
_____________ |
Clean incubators, ovens, refrigerators.
|
_____________ |
Transfer responsibility for samples to: ______________
|
_____________ |
| |
|
| Radioactive
Materials |
|
Package all rad materials for disposal and arrange pickup.
|
_____________ |
Transfer responsibility to [check with DEHS's radiation protection
division (RPD) first]: _____________
|
_____________ |
Perform contamination survey, and resurvey, if necessary.
|
_____________ |
Schedule closeout survey by RPD. Date of survey: _________
|
_____________ |
Review results of RPD survey.
|
_____________ |
| |
|
| Mixed
Hazards |
|
Identify mixed hazards: ____________________
|
_____________ |
| |
|
| Equipment |
|
Clean or decontaminate equipment to be left in place.
|
_____________ |
Contact DEHS regarding disposal of equipment.
|
_____________ |
| |
|
| Shared
Storage Areas |
|
Check all shared storage areas for hazardous materials.
|
_____________ |
| Department
Sign-off |
|
Submit completed check-list to department head for signature.
|
_____________ |
| |
|
| |
|
| Researcher Signature _________________________________ |
Date __________ |
Department Head Signature ____________________________ |
Date __________ |