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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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