Lab Safety Contract
Greenville County Schools Student Science Safety Contract
This is to certify that I, _____________________________________, have been instructed in, and understand, the following safety components of science class.
*Please initial on the right side of the paper to show that you have received information from your teacher and understand the rules, location of safety equipment, procedures, and appropriate lab behaviors.
Safety Rules & Behaviors
Initial
1. Use lab only when directed by the teacher.
2. Never work with chemicals without checking labels carefully, and only when directed by the teacher.
3. Place broken glass and disposables in appropriate designated containers.
4. Report any accident, incident, or unsafe situation to the teacher. Monitor safety precautions for fellow students.
5. Never taste, touch, mix, or inhale substances except as directed by the teacher.
6. Confine long hair and loose clothing whenever working with flame or chemicals.
7. Close-toed shoes should be worn on lab days. Open-toed shoes are not to be worn during lab work where there is a potential for harmful objects or chemicals to fall on the foot (feet).
8. Do not eat, drink, or chew gum in lab areas.
9. Wash your hands before leaving the lab.
10. Wear safety goggles for labs when chemicals and heat are used as instructed by your teacher. If contacts are worn, avoid contact with corrosive vapors.
11. Do not horse play, throw things, or joke around in the lab. Always demonstrate proper lab technique.
12. I understand that in lab I am expected to stay at my assigned station / table / area, unless otherwise directed by the teacher.
13. At the completion of the lab, I understand that I should clean my area, dispose of all chemicals properly, return materials, and start working on my next assignment.
14. I understand that I should follow additional safety rules that may apply in each lab as directed by my teacher or the lab directions.
Location of Safety Equipment
Initial
1. Fire Extinguisher
2. Fire Blanket
3. Eye Protective Devices
4. Eyewash
5. Shower
6. Chemical Disposing Containers
7. Information on “Right to Know” laws
8. Material Safety Data Sheets (MSDS)
9. Master shut off for gas, electricity, and water.
10. First Aid Kit
11. Emergency Numbers
Safety Procedures – What to do in case of…
Initial
1. Fire
2. Chemical Splash to the Body
3. Eye Emergency
4. Chemical Spill
To the Parent/Guardian: Your young adult will be working in the laboratory during this course. In order to ensure his or her personal safety, it is important that the above rules are followed. Failure to do so may result in your student being removed from lab activities. Please review these important rules with your student as I have in class. Please sign below stating that you have read these rules and understand the consequences.
Student Signature: _____________________________ Date: _____________
*Student: Please indicate here if you wear contacts. YES_____ NO_____
Parent/Guardian Signature: ______________________________ Date: _____________