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Laser Risk Assessment Form Template

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Laser Risk Assessment Form Template

Laser Inventory

Is the Inventory for all 3B & 4 lasers correct?

Signs & Labels

Room postings correct?

Equipment properly labeled and registered?

Laser-controlled areas posted?

Users and Procedures

Are authorized users adequately trained?

Are written SOPs, maintenance procedures, and alignment procedures kept with or near laser equipment?

Are Class 3b and 4 lasers posted to indicate that eye protection is required to operate the device?

Are all commercially produced Class 3b and 4 lasers and all lasers made or modified been registered with LSO?

Are pre-operational safety checks conducted prior to each operation?

Controls

Protective housing and Interlocks in use?

Access restriction / area controls?

Adequate room illumination?

Beam stops present?

Reflective surfaces controlled?

Elements in beam path secured?

Proper eyewear available?

Skin protection for UV lasers?

No exposed wiring or circuits?

Barriers / screens (if present) non- combustible & no burn holes?

Are windows / ports which could allow a laser beam to stray into uncontrolled areas covered or protected during laser operation?

General

All other compliance items met?

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Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.