Lab Hazard Assessment

Please answer the following to identify all Hazards associated with your research laboratory used by you and any other researchers (undergrad, grad, postdoc, visiting scholars, etc). This will help us identify the trainings required by EH&S. All researchers in labs will be assigned the appropriate trainings through Canvas.

Date

Building

Lab Room Number

Principal Investigator

Primary Lab Contact

Do you work with Bloodborne Pathogens?

Select

Do you work with Select Agents?

A list of Biological Security/Select Agents and Toxins can be found here: https://www.selectagents.gov/SelectAgentsandToxinsList.html

Select

Do your students do any electrical wiring/work?

Select

Do you receive hazardous shipments?

Select

Do you have Lasers (Class3B or 4)?

Select

Do you share space with Class 3B or 4 Laser?

Select

Do you work with Radioactive Material?

Select

Do you share space with Radioactive Material?

Select

Do you work with Ionizing Radiation Producing Devices?

Select

Do you work with Sealed Sources?

Select

Any lab activity that may require Respirators?

Select

Do you Store Chemicals?

Select or enter value

Do you Use Chemicals in your lab?

Select

Do you use a Fume Hood?

Select

Do you use Compressed Gases?

Select

Do you use an Autoclave and/or Biosafety Cabinet?

Select

Do you weld, braze or use a cutting torch?

Select or enter value

Do you use general shop equipment or power tools?

Select

Do you wear personal protective equipment?

Select or enter value

Do you operate a tractor for work or research?

Select or enter value

Do you use Sharps?

Select

Other Lab Safety Concerns

Please identify any other equipment or materials in your lab that require special training

Additional Safety Concerns

Email Roster*

Please enter an ISU email address for each person using this lab

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