Fillable Printable Standard Operating Procedure - Iowa State University

Standard Operating Procedure - Iowa State University

I. ST ANDARD O PE RATING P RO CE DURE

Use this form to document the Health & Safet y information associated with the procedure.

Procedure Title

Dept

Bldg/Rm

Supervisor

Procedure Overview (brief description of the project)

Health and safety information for materials used (brief ly describe the hazards associated with the

materials and/or equipment OR document your hazard assessment in Section II)

Hazard Control Measures

(Lab coat, eye and hand protection, and closed toe/heel shoes must be selected as req uired by Section D

of the ISU Laboratory Safety Manual.)

Latex gloves

Insulated gloves

Face Shield

Respirator

Nitr ile gloves

Safe ty glasses

Lab Coat

Fume hood

Neoprene gloves

Vented go ggles

Apron

Biosafety cabinet

Vinyl gloves

Splash goggles

Dust mask

Glove box

Closed Toe/Closed Heel Shoes

Flame Resistant Lab coat

Other Control Measures

Methods (Include step by step instruc t ions detailing the process or attach this document to an existing

method.)

Waste Disposal Procedures

First Aid Procedures

Spill/Rel ease Containment, Decontamination, and Clean Up Procedures

Using Substances Requir i ng Special Procedures? No Yes

(If Yes; identify authorized personnel, desig nat e a use area and specify specialized safety precautions here.

Refer to Section B in the ISU Laboratory Saf ety Manual for details.)

Environmental Health and Safety

2809 Daley Drive

Ames, Iowa 50011-3660

Phone: (515) 294-5359

Fax: (515) 294-9357

www.ehs.iastate.edu

Reviewed 2014

Written By

Date

Approved By

Date

(PI or Lab Supervisor)

II. H AZARD ASSESSMENT

Use the hierarchy of controls to document the hazards and the corresponding control measur e(s) involved in

each step of the procedure.

Consider elimination or substitut ion of hazards, if possible.

Engineeri ng Control(s): items used to isolate the hazard fr om the user (i.e. fume hood, biosafet y cabinet).

Administrati ve Control(s): policies/programs to limit the exposure to the hazard ( i. e. authorizations,

designat ed areas, time restrictions, training).

Required PPE: indica t e PPE including specific material requirements if applicable (i.e . flame resistant lab

coat, type of respirator or cartr idge).

Hazard

Engineering

Control(s)

Administrative

Control(s)

Required PPE

III. TRAINING RE CO RD

Use the following table to record the training associated with this Standard Operating Procedure.

Print Name

Signature

Trained By

Date

Reviewed 2014