Department of Chemistry Lab Safety Inspection

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This report must be completed and submitted for the month by the last business day of the reported month. Provide the Supervisor email address so he/she receives a copy of this report.

Questions 1 to 7 must be inspected and the item must be checked off on the form prior to submitting. If your lab has chemicals you must continue on the form and complete questions 8 to 13. If you find safety problems or violations, fix them and choose Yes, issue is now corrected'. If you have any comments or general Facilities (PPS) requests please mention them in the comments section at the end of the form. At any time you can always submit a Facilities (PPS) request by emailing recept@chem.queensu.ca.

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Supervisor: *

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Date: *

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