Laser Lab Inspection Checklist
Building/Room: Authorized User:
Inspection #:
Inspection Detail
General Questions for Laser Labs
1 Inspection Item: This inspection is Result:
Item Details:
2 Inspection Item: Laser Users List Verified by Laser Supervisor? Result:
Item Details:
3 Inspection Item: Laser Supervisor and Laser Users have completed online GT Laser Safety Result:
Training
Item Details:
4 Inspection Item: Laser Supervisor and Laser Users have submitted form LU-1, Laser User Result:
Registration
Item Details:
5 Inspection Item: All non-Laser Users have completed online GT Laser Awareness Training Result:
Item Details:
6 Inspection Item: Laser(s) operated only by registered Laser Supervisor or Laser Users Result:
Item Details:
7 Inspection Item: Current format ANSI laser warning sign posted at all appropriate locations Result:
Item Details:
8 Inspection Item: All entryway laser warning signs include laser class, laser type, wavelength, Result:
and LEP OD
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9 Inspection Item: Presence of invisible wavelength(s) included on all laser warning signs Result:
Item Details:
10 Inspection Item: EHS emergency contact "Pink Card" is posted at lab entry with current Result:
information
Item Details:
11 Inspection Item: Viewing aids are used for alignment of invisible beams Result:
Item Details:
12 Inspection Item: LEP is available prior to entry into laser controlled area. Result:
Item Details:
13 Inspection Item: Are spectators/visitors allowed in the lab during laser operation? Result:
Item Details:
14 Inspection Item: If spectators are allowed in the laser lab, provide responses to the following Result:
questions. Each much be answered in the affirmative to be satisfactory.
Item Details:
LS approved? Direct supervision?
Hazards explained? LEP provided?
15 Inspection Item: Have laser related injuries occurred? Result:
Item Details:
16 Inspection Item: Laser related injuries reported to the LSO Result:
Item Details:
17 Inspection Item: Windows within the NHZ are appropriately protected to prevent laser radiation Result:
above the MPE exiting the area
Item Details:
18 Inspection Item: Laser barriers or curtains are used to prevent laser radiation from exiting the Result:
laser controlled area
Item Details:
19 Inspection Item: A barrier prevents exposure of an individual entering the laser controlled area Result:
Item Details:
20 Inspection Item: Gas cylinders are secured against tipping Result:
Item Details:
21 Inspection Item: Applicable gas cylinders stored in a dangerous gas cabinet in accordance withResult:
the GT Dangerous Gas Program, Table 1
Item Details:
22 Inspection Item: Have any lasers been surplused/disposed? Describe the disposal method. Result:
Item Details:
Laser(s) surplused? Picked up by GT Logistics?
Returned to Vendor? Sent to Re-Sale Vendor?
23 Inspection Item: Laser Inventory Verified by Laser Supervisor? Result:
Item Details:
Questions for Class 3B and 4 Lasers
24 Inspection Item: Laser Supervisor has submitted Form LR-1, Laser Registration to LSO for Result:
each laser
Item Details:
25 Inspection Item: Written SOP is available for laser(s) in use. Result:
Item Details:
26 Inspection Item: Laser Users have received operational training by the Laser Supervisor or Result:
designee (indicated by the presence of the Laser User's signature on the
Item Details:
27 Inspection Item: Appropriate laser eye protection is available for laser(s) Result:
Item Details:
28 Inspection Item: LEP (laser eye protection) is labeled with the protected wavelength and OD Result:
Item Details:
29 Inspection Item: Is alignment eyewear used? Result:
Item Details:
30 Inspection Item: If alignment eyewear is not already used, is it needed? Result:
Item Details:
31 Inspection Item: Laser eye protection is undamaged or has only superficial damage that is not Result:
likely to impact the protection provided.
Item Details:
32 Inspection Item: Controls located so operator is not exposed to beam hazards Result:
Item Details:
33 Inspection Item: Laser control panel has a light indicating laser emission Result:
Item Details:
34 Inspection Item: Protective housing present and in good condition Result:
Item Details:
35 Inspection Item: Laser classification label is present on laser(s) Result:
Item Details:
36 Inspection Item: Laser classification label includes laser type, wavelength, maximum output, Result:
pulse duration (if applicable), and laser class
Item Details:
37 Inspection Item: Aperture label present on laser(s) Result:
Item Details:
38 Inspection Item: Is a service panel present on the protective housing? Result:
Item Details:
39 Inspection Item: If a service panel is present, the panel is interlocked or only removable with a Result:
tool
Item Details:
40 Inspection Item: If a service panel is not interlocked, a laser warning statement label is present Result:
on the service panel
Item Details:
41 Inspection Item: Are collecting optics used? Result:
Item Details:
42 Inspection Item: If collecting optics are used, describe the optics. Result:
Item Details:
Collecting optics description
43 Inspection Item: Interlocks prevent viewing of direct beam through collecting optics Result:
Item Details:
44 Inspection Item: Are collecting optics used by the laser user to directly view laser light (i.e., no Result:
camera imaging)?
Item Details:
45 Inspection Item: Filters or attenuators are in place on collecting optics and labeled with OD and Result:
protected wavelength or LEP with proper OD for the wavelength is used when
Item Details:
46 Inspection Item: Describe the beam paths present Result:
Item Details:
47 Inspection Item: Fiber optics Result:
Item Details:
Fiber used for transmission? Exceed MPE when disconnect
"Hazardous Laser" label? ed?
48 Inspection Item: Skin protection available for open beam UV laser(s) use Result:
Item Details:
49 Inspection Item: Laser generated air contaminants properly ventilated Result:
Item Details:
50 Inspection Item: No watches or other reflective jewelry is worn by individuals operating the Result:
laser or working with the laser setup.
Item Details:
51 Inspection Item: Are any lasers used outdoors or projected outdoors? Result:
Item Details:
52 Inspection Item: Outdoor lasers emitted into navigable airspace have been reported to and Result:
approved by the FAA
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53 Inspection Item: Indoor/Outdoor laser demonstrations have been reported to and Result:
acknowledged by the FDA.
Item Details:
Additional Questions for Class 4 Lasers
54 Inspection Item: Entryway controls for the Class 4 laser controlled area are Result:
Item Details:
55 Inspection Item: Class 4 laser(s) operated under direct supervision of Laser Supervisor or Result:
Laser User
Item Details:
56 Inspection Item: Class 4 laser(s) are left operating with no one present Result:
Item Details:
57 Inspection Item: A red warning light is present at the entry to a Class 4 laser controlled area(s) Result:
Item Details:
58 Inspection Item: A clearly marked "Emergency Stop" is labeled for each Class 4 laser Result:
Item Details:
59 Inspection Item: Barriers used for Class 4 lasers are rated for sufficient damage threshold and Result:
are flame retardant
Item Details:
Barrier Manufacturer Barrier Model
Barrier Damage Threshold Barrier Test Duration
60 Inspection Item: No evidence of un-controlled beams in lab with Class 4 laser (e.g., burns on Result:
walls, doors)
Item Details:
Performed by: Date:
