New chemical, process or equipment form
Contents
1. MC Melbourne Centre for Nanofabrication FS501 MCN NEW CHEMICAL PROCESS OR EQUIPMENT APPLICATION Applicant to complete this section Applicant Name Applicant Signature Supervisor Name Supervisor Signature PROPOSAL TYPE New chemical or material New process Change in process New equipment L L L L Proposal Procedure details Have you discussed this proposal with an MCN Process Engineer yes Ino Process Engineer Name Process Engineer Signature Date Melbourne Centre for Nanofabrication www nanomelbourne com 151 Wellington Road Clayton 3168 03 9902 4073 Melbourne Centre for Nanofabrication MCN Process Engineer to complete this section with applicant MCN Equipment location required details Duration of activity Days Months Ongoing Has an SOP draft been supplied by the user lyes No Has a risk assessment been supplied by the user lyes No FOR CHEMICALS AND MATERIALS Is it a hazardous substance L lYes No Type Is it a dangerous good Yes LINo DG Class Is it a scheduled poison lyes No Schedule What volume will be used stored Has an MSDS been supplied by the user yes LINo FOR MATERIALS THAT MAY PRESENT AN INHALATION DERMAL CONTACT INGESTION OR INJECTION HAZARD Does it contain structures that are lt 100nm in any dimension L_lYes LINo Are there routes for inhalation dermal contact ingestion or injection during2. lyes No Does the equipment require particular PPE for operation lyes No Is there a suitable location for the equipment identified take into account floor loading vibration noise heat ignition source etc refer to the commissioning documentation for the tool lyes No Does the equipment have functional emergency stops interlocks isolation or lock out devices lyes No If used for heating does it have redundant over temperature cut off switches fitting Yes LINo Is the equipment appropriate for the environment e g cleanroom compatible non sparking for use near flammable liquids etc lyes No Does the equipment have a user manual lyes No Has the equipment owner been made aware of the MCN third party equipment policy lyes No Melbourne Centre for Nanofabrication www nanomelbourne com 151 Wellington Road Clayton 3168 03 9902 4073 Melbourne Centre for Nanofabrication NEW CHEMICALS MATERIALS CHECKLIST Does it require licensing permits notification to use lyes No Is there a requirement to update the MCN placarding lyes No Will Chemsal take the waste L_lYes No What spill containment is required What spill kits are required What are the class segregation requirements and can we meet them ie storage cabinets etc Is there adequate storage in the DG cabinets lyes No Does the chemical require ventilated use yes No Are there contamination issues with using this chemic
3. 151 Wellington Road Clayton 3168 03 9902 4073
4. al in the proposed area lyes No HAZARDOUS SUBSTANCES REQUIREMENTS e There must be a controlled procurement route for supply and storage of these materials e A hazardous substances register must be updated to reflect the use of this material e Determine if there needs to be air monitoring or health surveillance lt 100NM NANOTECHNOLOGY HAZARD REQUIREMENTS Does the material have any dimensions lt 100nm lyes No Is the material friable loose or able to become airborne lyes LINo Will the processing steps lead to airborne material lyes No Will the material result in cross contamination Llyes No Does the material have known health implications lyes No Is there a requirement for health surveillance lyes No Is there a requirement for area surveys e g particle monitoring Yes LINo Is there a requirement for breathing apparatus or respiratory filters as identified by the manufacturer L_lYes INo Does the material have special hygiene requirements Melbourne Centre for Nanofabrication www nanomelbourne com 151 Wellington Road Clayton 3168 03 9902 4073 Melbourne Centre for Nanofabrication CHECKLIST STANDARD REQUIREMENTS WHICH MUST BE SATISFIED DURING IMPLEMENTATION e Appropriate labeling for all glassware etc e May require separate glassware for processes e MSDS from suppliers or Chemwatch e Site Manifest update Chemwatch e A standard operating procedure SOP e Arisk assessment e Estab
5. handling L_lYes No Could this material pose a cross contamination hazard for the facility L_lYes LINo What work practices will be adopted to prevent contamination of the facility and exposure to users Melbourne Centre for Nanofabrication www nanomelbourne com 151 Wellington Road Clayton 3168 03 9902 4073 Melbourne Centre for Nanofabrication FOR BIOLOGICAL MATERIALS What is the cell line etc How do you propose preventing cross contamination to the other cell lines used in the MCN PC2 Lab Does the cell line require licensing or registration MCN Process Engineer only to complete this section NEW EQUIPMENT CHECKLIST Have all user supplied electrical equipment including computers and laptops have been electrically tested and tagged at appropriate intervals lyes No Are there sufficient GPOs in the proposed area to operate this equipment lyes No Will it require decontamination if removed from the MCN ie PC2 lab operation lyes No Does the tool require specialty services e g 3 phase power compressed gas cooling water cryogenics ventilation etc L_lYes No Does the equipment generation a significant amount of noise or heat lyes No Does the equipment pose a particular hazard e g laser lyes LINo Where equipment has hazards which are addressed specifically by Australian standards is this equipment compliant e g laser lyes No Is the equipment fitted with appropriate guarding
6. lish a waste stream for chemicals e Identify and stock the correct PPE e Identify a fume cupboard for chemical use if needed e Setup spill kits as needed e Setup a decontamination procedure if required e Determine updates needed for the site emergency plan as required e Prepare an implementation plan THE MCN PROCESS ENGINEER CAN NOW FINALISE THIS APPLICATION AND AUTHORIZE ACTIVITY OR REFER THIS APPLICATION TO THE REVIEW PANEL PROCESS ENGINEER REVIEW Process Engineer approves this application L_lYes no Refer Application to the New Hazard Review Panel L Yes No Process Engineer Name Process Engineer Signature Date Process Engineer Name Process Engineer Signature Date Melbourne Centre for Nanofabrication www nanomelbourne com 151 Wellington Road Clayton 3168 03 9902 4073 Melbourne Centre for Nanofabrication NEW HAZARD REVIEW PANEL REVIEW Review Panel approves this application L lYes No Panel Recommendations Notify the applicant of the decision L_lYes No The person who will notify the applicant Name Name Name Name Name Name Name Name NHRVR Member NHRVR Member NHRVR Member NHRVR Member NHRVR Member NHRVR Member NHRVR Member NHRVR Member Name Date Date Date Date Date Date Date Date Melbourne Centre for Nanofabrication www nanomelbourne com
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