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Smart Labs Occupant Survey
Q1.
Survey date
Q2.
Surveyor name (Smart Labs team member assisting or "self" if done independently)
Q3.
Name of lab's Principal Investigator or lead researcher
Q4.
Select school
College of Arts and Sciences
School of Engineering and Applied Science
School of Medicine
School of Nursing
Other
Q5.
Department
Q6.
Floor
Q7.
Room number
Q8.
Lab representative's name
Q9.
Lab representative's role
Principal Investigator
Research Associate
Lab Manager / Technician
Postdoctoral Fellow
Graduate Student
Other
Q10.
Estimated lab population at time of survey
1-5 active lab members
6-10 active lab members
11-15 active lab members
16 - 20 active lab members
20+ active lab members
Q11.
Research focus (examples include: evolution / ecology ; cardiovascular disease ; C. elegans ; theoretical physics ; chemical engineering ; synthetic chemistry; etc.)
Q12.
Research category (select one or multiple)
Teaching Lab
Chemistry Lab
Biology Lab
Biosafety Level 1
Biosafety Level 2
Biosafety Level 3
Radiological Lab
Electronics
Nanotechnology
Physics
Laser
Engineering
Other
Q13.
Lab support functions (select one or multiple)
Wet lab
Dry lab
Instrumentation
Tissue culture
Histology
Chemical storage
Refrigerator / Freezer room
Clean room
Warm / cold room
Mechanical / shop / makerspace
High hazard
Other
Q14.
Primary hazards (examples include: calcium chloride, methanol, isoflurane, benzene, tetrodotoxin)
Q15.
Exposure control device (ECD) types reported (select one or multiple)
Fume hood
Biosafety cabinet
Snorkel
Canopy hood
Ventilated balance enclosure
Ventilated enclosure
Slot hood
Downdraft table
Ventilated storage cabinet
Ductless hood
Laminar flow hood
Ventilated glovebox
Other
Q16.
Effluents / emissions reported (select one or multiple)
Gas / vapor / fume
Aerosol
Powder
Particulate
Radiation
Other
None
Q17.
Briefly characterize your benchtop processes. (examples include: "DNA extractions", "microscopy", "distillation", "alkylation", "slide staining", "pipetting", etc.)
Q18.
Do you carry out more than one lab operation or experimental process at a time?
Yes
No
Not sure
Q19.
How frequently are experiments left unsupervised?
Never
Infrequently
Regularly
Frequently
Always
Q20.
How often do your lab processes / operations change?
Never
Infrequently
Regularly
Frequently
Always
Q21.
Are there any recurring ventilation issues to report?
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