Summary:
Summary Statement of Deficiencies D3011 FACILITIES CFR(s): 493.1101(d) Safety procedures must be established, accessible, and observed to ensure protection from physical, chemical, biochemical, and electrical hazards, and biohazardous materials. This STANDARD is not met as evidenced by: Based on observation of flammable liquids stored in a metal office cabinet and interview with laboratory personnel, the Laboratory Director and the Owner, the laboratory failed to establish Safety procedures to ensure protection from chemical fires. Findings included: 1. Large volumes of flammable liquids were stored in a gray metal office cabinet, as follows: Flammable Liquid Quantity . of 1-gallon plastic jugs ---------------------------------------------------------- 100% Plus Alcohol ......4 Xylene......................... 2 Formalin ..................... 9 2. The Histology Technician, Laboratory Director, and Owner affirmed ( 8/15/23 at 5pm) the aforementioned liquid chemicals were flammable and that the gray cabinet wasn't made for storing flammable materials. 3. The safety of laboratory personnel could not be assured when flammable chemicals were not stored in an approved Flammable Storage safety cabinet. Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 1 --