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    Laser Registration Form - 121619

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    BIO HP
    This document contains a laser registration form and standard operating procedure for a Class 3b or 4 laser. It requires registration of laser information including location, manufacturer, model, intended use, and laser output details. The standard operating procedure outlines general laser safety responsibilities, posting requirements, safety considerations, operating and safety procedures including startup, operation, special procedures, shutdown, and emergencies. It also includes checks for laser controls, specific hazards and controls, and required personal protective equipment including laser eyewear.

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    © All Rights Reserved
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    Laser Registration Form - 121619

    Uploaded by

    BIO HP
    8 views7 pages
    This document contains a laser registration form and standard operating procedure for a Class 3b or 4 laser. It requires registration of laser information including location, manufacturer, model, intended use, and laser output details. The standard operating procedure outlines general laser safety responsibilities, posting requirements, safety considerations, operating and safety procedures including startup, operation, special procedures, shutdown, and emergencies. It also includes checks for laser controls, specific hazards and controls, and required personal protective equipment including laser eyewear.

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    Laser_Registration_Form-_121619

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    This document contains a laser registration form and standard operating procedure for a Class 3b or 4 laser. It requires registration of laser information including location, manufacturer, model, intended use, and laser output details. The standard operating procedure outlines general laser safety responsibilities, posting requirements, safety considerations, operating and safety procedures including startup, operation, special procedures, shutdown, and emergencies. It also includes checks for laser controls, specific hazards and controls, and required personal protective equipment including laser eyewear.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    8 views7 pages

    Laser Registration Form - 121619

    Uploaded by

    BIO HP
    This document contains a laser registration form and standard operating procedure for a Class 3b or 4 laser. It requires registration of laser information including location, manufacturer, model, intended use, and laser output details. The standard operating procedure outlines general laser safety responsibilities, posting requirements, safety considerations, operating and safety procedures including startup, operation, special procedures, shutdown, and emergencies. It also includes checks for laser controls, specific hazards and controls, and required personal protective equipment including laser eyewear.

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    © All Rights Reserved
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    Download as pdf or txt
    of 7

    Date:

    LSO Use Only


    Class 3b and 4 Laser Registration Form UChicago Ref.:
    All Class 3b and Class 4 lasers must be registered with University of Chicago Laser Safety Officer (LSO).
    Complete this form and submit to [email protected] or fax (773) 702-4008.
    Principal Investigator (Last, First): CNetID: Department/Division: E-mail:

    Laser Information
    Location (Building/Room Number): Intended Use:
    Laser Class: 3B 4*

    Manufacturer: Model: Serial Number: Active Medium/Material: Acquisition Date: Status:  Active
     Inactive
    *Class 4 Lasers must have illuminated ‘Laser in Use’ sign posted outside entrances of laboratory
    Laser Output
    Optical Fiber Type:  Single Mode
     Continuous Wave (CW) Pulsed:  Repetitive Pulse  Q-Switched  Single Pulse
     Multi-Mode
    Wavelength(s) (nm) Beam Diameter (mm) Beam Divergence (mrad) Avg. Power (W) Energy per Pulse (Joules) Pulse Rep. Frequency (Hz) Pulse Duration (s)

    LSO Use Only – Hazard Calculations


    Optical Density (OD) Maximum Permissible Diffuse Nominal Hazard Intrabeam Nominal Ocular Hazard
    Exposure (MPE) (W/cm²) Zone (NHZ) (m) Distance (NOHD) (m)

    Any installation of new, used, relocated, or reactivated Class 3b and Class 4 lasers must be registered within 30 days per 32 Ill. Adm. Code 315.70

    Rev. 12/2019
    University of Chicago - Office of Radiation Safety
    LSO Use Only
    UChicago Ref.:

    Laser Standard Operating Procedure


    1. GENERAL LASER SAFETY PROGRAM
    A. Operator Responsibilities
    Operators of this laser system are responsible for:
    • Completing appropriate training and reading The University of Chicago’s Laser Safety Program Policy and
    Procedures before operating this laser system.
    • Using this laser safely.
    • Ensuring they are in compliance with established policy and procedural requirements.
    • Promptly reporting any malfunctions, problems, accidents, or injuries, which may have an impact on safety.

    B. Posting Requirements
    The area must be posted with appropriate warning signs that indicate the nature of the hazard. The wording on
    the signs will be specified by the Laser Safety Officer (LSO) and conform to the ANSI Z136.1 guidelines.

    C. Other General Safety Considerations


    All laser beams must be terminated within the control area. Beam stops provide protection from misaligned
    beams, and should be placed in all appropriate and practical locations.

    If there is a possibility of viewing the beam, appropriate eye protection must be provided for all personnel within
    the laser control area, if such viewing could exceed the MPE. The eye protection must have an appropriate optical
    density and/or reflective properties based on the wavelengths of the beams encountered, beam intensity, and
    expected exposure conditions. At the same time, the need for laser eye protection must be balanced by the need
    for adequate visible light transmission. It is the responsibility of the user group to obtain appropriate laser
    protective eyewear from a vendor. Laser eye protection should be inspected periodically to ensure that it is in
    good condition.

    Light levels in excess of the MPE must not pass the boundaries of the control area. All windows, doorways, open
    portals, and other openings through which light might escape from a laser control area must be covered or
    shielded in such a manner as to preclude the transmission of laser light.

    There must be provisions for rapid egress from a laser control area under all normal and emergency conditions.
    Any control area interlock system must not interfere with emergency egress.

    A visible sign or audible signal must be provided at the entrance to the control area to indicate when the laser is
    energized and operating, applies to Class 4 lasers only.

    2. OPERATING AND SAFETY PROCEDURES


    • Do not operate the equipment in this room without reading this SOP
    • Familiarize yourself with the location of the safety goggles and infrared viewer
    • Do not wear high-reflective (metal) objects such as watches, jewelry, etc.
    • Always wear shoes, preferably with rubber soles
    • Do not leave laser on and unattended without curtain fully closed and warning sign on.
    • Know the light path and the potential position of the reflections from its mirrors
    • Do not place flammable materials (plastics, wood, electrical tape, plastic bags etc.) into the laser beam path
    • Familiarize yourself with the beam power at different points along the light path
    Rev. 12/2019
    University of Chicago - Office of Radiation Safety
    • Keep the optical table simple, clean and organized
    • Do not leave unnecessary optics on the table
    • Check the position of the laser blocking optics
    • Whenever possible block undesired beam reflections by using “beam blocks” or beam dumps
    • Never lower your head to the tabletop level, use chair of appropriate height

    A. Startup Procedure (Required), (including manufacturer’s recommended steps and the point at which laser
    protective eyewear must be donned):

    B. Operating Procedure (power settings, Q-switch mode, pulse rate, etc.):

    Rev. 05/2017
    University of Chicago - Office of Radiation Safety
    Special Procedures (alignment, safety tests, maintenance tests, etc.):

    • Alignment (Required), (Laser system’s specific alignment procedure (can attach) OR provide modified alignment
    procedure)

    • Safety Tests (Interlock test, etc.)

    • Maintenance

    Rev. 05/2017
    University of Chicago - Office of Radiation Safety
    D. Shutdown Procedure (Required)

    E. Emergency Procedure
    • In an event of a laser or fire emergency, refer to the Laser Emergency Procedure posted in the laboratory.

    Rev. 05/2017
    University of Chicago - Office of Radiation Safety
    CONTROL MEASURES
    LASER/LASER SYSTEM CONTROLS
    Check CONTROL COMMENTS
    if valid
    Entryway (door) Interlocks or controls

    Laser enclosure interlocks

    Emergency Stop/Panic button

    Master switch (operated by key or code)

    Laser secured to base

    Beam stops/beam attenuators

    Warning signs

    Reference to equipment manual

    Appropriate/sufficient eyewear available

    Other:

    SPECIFIC HAZARDS AND CONTROLS


    (Check all that apply and provide control measures that will be taken)
    Check if Hazard Control Measures Implemented
    valid
    Unenclosed beam/access to direct or scattered light

    Laser at eye level of person sitting or standing

    Ultraviolet Radiation/ Blue light exposure

    Reflective Material in Beam Path

    Chemical (dyes, solvents, etc.); attach MSDS

    Fumes/Vapors

    Electrical (high voltage, large current, etc.):

    Capacitors

    Compressed Gases or Cryogenic Liquids

    Fire or Ignition Sources

    Trip Hazard

    Other:

    Rev. 05/2017
    University of Chicago - Office of Radiation Safety
    PERSONAL PROTECTIVE EQUIPMENT

    A. Eyewear

    LASER EYEWEAR

    For This Laser… …Wear This Eyewear

    Wavelength(s) Optical
    Wavelength(s)
    UChicago Ref: Type Attenuated Density Manufacturer/model
    (nm)
    (nm) (OD)
    L3B-146 Nd:YAG 1064, 532 1064, 532 5+ UVEX

    B. Other protective equipment required within the Nominal Hazard Zone

    ITEM LOCATION USAGE CONDITION

    Please e-mail this SOP to the Laser Safety Officer (LSO) at [email protected] , subject line LASER SOP. The
    LSO will review the SOP and send out the approved finalized copy to the Principal Investigator and/or Lab Designee.

    Rev. 05/2017
    University of Chicago - Office of Radiation Safety

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