!

Laboratory  Safety  Agreement  

Most  observations  and  measurements  needed  for  this  class  will  require  some  kind  of  laboratory   equipment.  As  in  any  lab,  some  of  that  equipment  can  dangerous  if  handled  incorrectly.  To  be  able   to  participate  in  any  lab,  the  student  must  >irst  be  familiar  with  and  agree  to  follow  the  safety   guidelines  written  below.  

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1. 2. 3. 4. 5. 6.

Follow  all  instructions  carefully.  Use  special  care  when  you  see  the  word  CAUTION.     Familiarize  yourself  with  the  location  of  all  safety  equipment  in  the  classroom.   Never  eat,  drink,  or  chew  gum  in  a  science  lab.   Never  run,  push,  throw  objects,  or  engage  in  horseplay  of  any  kind  in  the  lab.   Report  all  accidents  or  injuries  to  your  teacher  immediately.   Use  equipment  only  as  directed.  Do  not  attempt  to  use  equipment  in  unauthorized  ways  or   perform  unauthorized  experiments.   7. Replace  equipment  where  and  as  you  found  it.  Dispose  of  used  materials  as  the  teacher   instructs.   8. Keep  your  work  area  clean  and  uncluttered.  Leave  the  area  clean  for  the  next  class.     9. Dress  properly  for  a  lab:   a. Don’t  wear  loose-­‐>itting  sleeves  or  bulky  outerwear.     b. Tie  back  lone  hair.     10. Be  careful  when  using  heat  or  >ire:   a. Never  leave  a  hot  plate,  lit  Bunsen  burner,  or  other  hot  object  unattended.     b. Never  reach  over  an  exposed  >lame.   c. Use  tongs  or  pot  holders  to  handle  hot  equipment.   d. Use  only  Pyrex  glassware  for  heating.   e. Never  point  the  mouth  of  a  test  tube  towards  anybody  at  any  time.     11. Use  care  working  with  chemicals:   a. Never  taste  or  touch  substances  in  the  lab  without  speci>ic  instructions.   b. Never  smell  substances  without  speci>ic  instructions,  avoiding  inhaling  fumes.   c. Wash  your  hands  with  soap  and  water  after  all  labs.   d. Notify  your  teacher  immediately  of  all  spills.   12. Use  care  working  with  lab  equipment:   a. Do  not  use  chipped  or  cracked  glassware.   b. Never  take  equipment  apart.  Precision  equipment  can  be  ruined  by  tampering.   c. Do  not  pick  up  broken  glass  with  your  bare  hands.  Use  a  dustpan  and  brush.   d. Use  care  in  handling  sharp  equipment,  such  as  drawing  compasses.   13. Failure  to  follow  any  one  or  more  of  these  guidelines  will  result  in  removal  of  the  student  from   the  lab  area.  If  removed  from  the  lab,  the  student  will  receive  a  grade  of  zero  for  that  particular   lab.  

! ! Over  Please   !

Student:  Read  the  statements  below  and  circle  an  answer.  Then  sign  your  name  in  the   spaces  provided.  

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1. My  teacher  went  over  the  classroom  laboratory  rules  and  explained  them  to  the  class.     YES      NO  

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2.  If  I  had  a  question  about  a  rule,  my  teacher  answered  the  question.     YES      NO   


3.  I  understand  all  the  rules  and  agree  to  follow  them.         YES      NO  

 

                         

                             



4.  I  understand  that  I  will  earn  a  zero  grade  if  I  do  not  follow  the  rules  while  in  lab.     YES      NO  

! ! Printed  Student  Name:    ________________________________________________________  Date:  _____________   ! ! Student  Signature:      ______________________________________________________   ! ! ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++   ! Dear  Parent  or  Guardian:   !

We  feel  that  you  should  be  informed  of  the  school’s  effort  to  create  a  safe  science  classroom/ laboratory  environment.  With  the  cooperation  of  instructors,  parents,  and  students,  this  safety   program  can  prevent  possible  hazards.  Please  read  the  above  safety  rules.  Your  signature  indicates   that  you  have  read  this  safety  agreement  and  support  the  measures  taken  to  insure  the  safety  of   your  child  in  the  science  laboratory.  These  measures  will  provide  a  quality  science  experience  for   all  students.  

! ! Parent/Guardian  Signature:    ________________________________________________  Date:  ________________
 ! ! Please  list  any  allergies  your  student  may  have  that  we  should  know  about.   ! ! !

Thank  you  for  your  support.  Please  do  not  hesitate  to  contact  me  at  any  time  if  you  have  questions   or  concerns.  

!

Mr.  Spadafore   jspadafore@>hps.net

2014-2015 Lab Safety Agreement.pdf

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