Laboratory Registration Form

All Principal Investigators (PI's) should complete the following laboratory registration form upon assignment of lab space and prior to conducting research at Texas A&M University-Corpus Christi. Once the form is complete and has been reviewed by EH&S, the PI will be contacted if necessary to discuss university policies, lab safety guidelines, and training requirements relating to the type of research involved.

LABORATORY INFORMATION

Please fill out a separate form for each laboratory.

Phone

Select or enter value
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if one is available.

Phone
Phone

LABORATORY HAZARDS

Please answer the following questions as YES or NO and list materials that will be used. Attach an inventory report to the file upload at the end of this form, if necessary.

Chemical

Will you be using/storing hazardous chemicals?*

(e.g. flammables, combustibles, corrosives, oxidizers, carcinogens, toxins, etc.)

Do you have a SDS for all chemicals in the lab?*
Will you have more than 10 gallons of flammable*

liquids in the laboratory?

Will you be using/storing peroxide forming*

chemicals (e.g., cyclohexane, ethyl either, tetrahydrofuran, perchloric acid)

Will you be working with any chemicals*

that might pose an extraordinary threat to one's physical health or university property (e.g., hydrofluoric acid, picric acid).

Will you be generating hazardous chemical waste?*
Do you have a chemical spill kit in the lab*
Will gas cylinders be used in the lab?*
Do you plan to use hazardous/toxic gases*

that require ventilated storage (e.g., hydrogen sulfide, carbon monoxide, ammonia)?

Will you be using cryogenic liquids*

such as liquid nitrogen or liquid helium?

Will you be using or synthesizing nanoparticles?*
Will you be using Precursor Chemicals?*

or upload your list.

Will you be using controlled substances?*

and controlled substance identity.

Radiation/Laser

Will you be working with radioactive materials?*
Have you previously worked with radioactive*

materials? If yes, what licenses or authorizations have you held?

Will you be using radiation generating equipment?*

(e.g., X-ray machines)

Will you be generating radioactive waste?*
Will you work with Class IIIb or Class IV lasers?*

Biological

If you answer YES to the following questions, please contact the Environmental, Health & Safety office at 825-5555 or ehs@tamucc.edu.

Will you be working with recombinant materials,*

animals/animals parts, human/primate blood, cells, or tissue?

Will you be working with Biosafety Level 1, 2,*

or 3 agents?

Will you be autoclaving biohazards waste?*

(e.g., rDNA, culture plates, and vials)?

Will you have biological waste that can't*

be autoclaved?

Will you be using sharps?*

(e.g., needles, scalpels, razor blades)?

Laboratory Equipment

Does the lab have a chemical fume hood?*
Do the lab have a biological safety cabinet?*
Does the lab have an emergency eyewash?*
Does the lab have a safety shower?*
Does the lab have a flammable storage cabinet?*
Does the lab have a corrosive storage cabinet?*
Does the lab have an explosion proof/*

flammable safe refrigerator or freezer?

Does the lab have an autoclave?*
Does lab equipment generate noise over 85 decible*
Has all the necessary PPE been provided for*

laboratory personnel (e.g., chemical safety goggles, gloves, lab coats, hearing protection, respirators, etc.)?

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