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Lab user/researcher exit form

Hello all,

 

I am drafting an exit pro-forma in order to reduce instances of researchers leaving a lab and creating safety/administration problems for the lab manager, which often result in a lot of waste production and other sustainability problems. Below is a list of the items I am considering for inclusion in the pro-forma. Any comments/additions much appreciated.

 

action

Status

All of the following have been returned (if applicable):

·        

Personal or project licenses

·        

Lab coat

·        

Protective wear (masks, goggles, suits)

·        

Keys

 

You have provided a chemical substance and biological agent list with relevant storage/containment info, location, approx. quantity, and name. Please also indicate who will assume responsibility and if not indicate that they are available to claim.

 

All materials stored in cold storage (freezers/fridges/cold rooms/liquid nitrogen cryo-vaults) has been either correctly disposed of, or ownership has been appropriately allocated for archiving.

 

All equipment that was in your possession has been inventoried to your lab manager with name, current PAT status, contamination status, and any mechanical issues. Any borrowed equipment has been returned.   

 

Ensure that sources of radioactivity for which you are responsible are inventoried and reported to the appropriate Radiation Protection Supervisor and specified whether suitable for hand-over to another authorised user or to be committed for correct disposal. Where relevant, complete records and reporting pro-forma(s) relating to storage, use and disposal of radioactive substances or pathogens and GMOs (including deactivation or transfer of projects).

 

Ensure that any and all outstanding actions on the most recent safety audit for your laboratory are satisfactorily completed prior to exit.

 

All laboratory areas have been left in a clean and safe state. Where the laboratory is being formally decommissioned ensure that the decommissioning pro forma is completed and submitted to the laboratory manager.

 

forwarding details

 

Ensure that you provide complete details of a forwarding address so that correspondence etc received after you leave can be redirected to you.

Please also inform Reception/Administration of these details so that they, and servitors/porters, can helpfully redirect requests/mail. Reception/Administration will need to update building email distribution lists and telephone directories.

 

Sign-Off (Please print names, date and sign)

 

We are satisfied that all relevant project data, sample storage, disposal and administrative (financial, legal, licence, IT and data security) matters have been satisfactorily addressed.

 

 

Leaver

 

Lab/Floor Manager

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