| General Information | |
|---|---|
| Date of Inspection | |
| Location | |
| Cabinet Serial No. | |
| Inspected By | |
| Inspection Item | Status | Comments |
|---|---|---|
| Cabinet properly labeled |
Pass Fail |
|
| HEPA filter intact and within certification date |
Pass Fail |
|
| Sash/Glass intact and functioning |
Pass Fail |
|
| Lighting operational |
Pass Fail |
|
| UV lamp condition (if present) |
Pass Fail N/A |
|
| Airflow alarm functional |
Pass Fail |
|
| Cleanliness of work area |
Pass Fail |
|
| Proper waste disposal containers present |
Pass Fail |
|
| Cabinet free of clutter and unnecessary items |
Pass Fail |
|
| Front grille clear of obstructions |
Pass Fail |
|
| Annual certification label attached and current |
Pass Fail |
| Additional Comments/Notes |
|---|