Department of Physics and Astronomy: Safety Inspection Form

for Date: Month Day Year for room: Building Room Number
Category NA OK Not OK: Comments
Frayed Cords
Exposed Circuitry
Electrical Panel Accessible
Chemicals Stored Properly
General Housekeeping
Food and Drink in Work Areas
Safety Devices and Accessibility
Fire Extinguisher Accessible
Eyewash & Shower Stations Works/Accessible
Electrical Panel Accessible
Chemicals-Storage and Handling
Designated Materials Present
Solvent Cabinets
Chemicals Labelled
Up to Date Door Sheet
Belt Guards
Gas Cylinders Secured

Additional Comments: