Laboratory Equipment Decommissioning Checklist

This form should be used to initiate the disposal of broken / unusable Electrical or Electronic Equipment arising out of Laboratories (or similar) settings. Please list refrigerated and non-refrigerateditems on separate copies of this form.

[NOTE: If the equipment is still in good / workable condition, consideration should be given to listing it on the University’s free reuse portal first-

Responsible Person: / Job Title: / eIT / PO number:
Room No. / Building name: / Address:
Item type(s)*: /
  1. Please chose from dropdown:Fridge - underbenchFridge - uprightFreezer - domestic, chestFreezer - minus 40CFreezer - minus 80CCentrifuge - benchtopCentrifuge - largeCentrifuge - very largeNon-refridgerated - smallNon-refridgerated - medNon-refridgerated - largeNon-refriderated - very large
  2. Please chose from dropdown:Fridge - underbenchFridge - uprightFreezer - domestic, chestFreezer - minus 40CFreezer - minus 80CCentrifuge - benchtopCentrifuge - largeCentrifuge - very largeNon-refridgerated - smallNon-refridgerated - medNon-refridgerated - largeNon-refriderated - very large
  3. Please chose from dropdown:Fridge - underbenchFridge - uprightFreezer - domestic, chestFreezer - minus 40CFreezer - minus 80CCentrifuge - benchtopCentrifuge - largeCentrifuge - very largeNon-refridgerated - smallNon-refridgerated - medNon-refridgerated - largeNon-refriderated - very large
  4. Please chose from dropdown:Fridge - underbenchFridge - uprightFreezer - domestic, chestFreezer - minus 40CFreezer - minus 80CCentrifuge - benchtopCentrifuge - largeCentrifuge - very largeNon-refridgerated - smallNon-refridgerated - medNon-refridgerated - largeNon-refriderated - very large
/ Further info: (e.g. dimensions/weight) / Asset No.(s):
(if available) /
  1. Provide asset / serial number
  2. Provide asset / serial number
  3. Provide asset / serial number
  4. Provide asset / serial number

Actions taken: / Done: / Initials: / Date:
All contents (including chemicals and biological materials) have been removed and disposed of appropriately
Any hazard warning signs have been removed from surfaces and internally, or totally defaced
All listed equipmenthas been completely and adequately cleaned and disinfected
“Safe for disposal” sign / note appended to each piece of listed equipment
Equipment has been left in a condition such that it is safe for lay personnel to remove it without need for precautions against exposure to any chemical, biological, radioactive or other agents
Other (please detail):
Full Name (PRINT): / Signature: / Date:
School / College: / Unit / Department:

*If multiple items will be disposed of together from the same room, up to four may be entered on one form – as long as each item is listed above and each has a “Safe for Disposal” sticker / note securely attached to it to confirm that appropriate cleaning / disinfection has been carried out.

REFRIDGERATED ITEMS: Completed form should be forwarded to Waste Team along with a request for uplift

Contact: 13 Infirmary Street, EdinburghEH1 1LT. Fax: 0131 650 9346. Tel: 0131 6509346. Email:

NON-REFRIDGERATED ITEMS: Completed form should be forwarded to CCL (North) along with Collection Request Proforma

Contact: Heather Robertson at CCL (North) -

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