Work-Area Checkouts, or CHM-to-CHM Transfers

All researchers—faculty, A/P, graduate students, postdocs, visiting scholars, and others—including those whose work areas are in buildings other than BRWN, WTHR, and DRUG:

The Main Office (BRWN 2100) will require your completed Department Checkout Sheet or the Intradepartmental Transfer Checkout Sheet (get transfer approval and form from Main Office). For a copy of either document, please reach out to the Chemistry Main Office. Even if you did not use lab space, you must obtain signatures from the offices/individuals listed, including a signature in the “Laboratory Chemical Safety Manager” line from Paul Bower.

To obtain the signature from Paul Bower for the line marked “Working quarters accepted” (to be signed by the department Safety Coordinator), please follow these steps:

Work-Area Checkout/Transfer Appointment Request Form: Secure this form from the Chemistry Main Office, complete it, and attach it to an email to Paul Bower. (You may complete it by hand, scan, and email it if needed.) Do this in advance of your departure date and request the appointment close to the date you will turn in your final keys.

Work-Area Checkout Page: Secure this page from the Chemistry Main Office, print and complete it, then have it signed by your group safety representative to verify the information is correct. Have this completed and ready at the time of your Work-Area Checkout appointment.

Also, have the CHM Department Checkout Sheet printed and ready for Paul to sign once the Work-Area Checkout is complete. For a copy of this document, please reach out to the Chemistry Main Office.

Samples List: This is necessary if you are leaving any materials in containers that are not manufacturer containers with the original manufacturer label. If another researcher or your professor has assumed responsibility, there must be a list of every item (or group of items) that will remain in the building. This Samples List must be either initialed by the advisor as Confidential or signed by the person assuming responsibility. This process can be time consuming; start early and dispose of everything that does not need to be saved. For a copy of the Samples List template, please reach out to the Chemistry Main Office.

Have the Samples List (if there are Samples) in hand for the Work Area Checkout appointment, or scan and attach it to the email. It needs to include the Chemical Name, Label on the Container, Approximate Amount, Location of Where it is Stored (Fridge/freezer #, shelf), and the Name of Who is Accepting Responsibility for the Sample as their own.

• Clean your work area completely (desk, hood, bench, cabinets, sink, floor, shelves).  Make your Work Area ready for someone else to immediately be able to move into.
• Dispose of ALL chemicals and any other supplies which your advisor does not expect to be left behind.  ASK when it is not certain.
• List on the Samples List all containers (if any) of chemicals that you leave behind which are not in a manufacturer's container with the manufacturer's label. Dispose of as many "sample" chemicals/mixtures as possible, as well as purchased chemicals which you received and did not use up. Leave behind only what is required by your advisor. Complete the Samples List and get your advisor's initials for the samples on the list to indicate that you are required to leave it.