Collegedale Academy Laboratory Safety Agreement Class:_______Section:___

I, ____________________________, agree to abide by the following laboratory safety regulations whenever performing an investigation. I also understand that failure to do so will result in my removal from the lab during the remainder of the lab period. If I am removed from the lab, I understand that all lab points or points earned for assignments that day will be lost.

I will:

1. use the science laboratory for authorized work only.

2. remove contact lenses and wear safety goggles when instructed to do so.

3. never work alone in the laboratory.

4. study the laboratory investigation before coming to lab. (If in doubt of any procedure, I will ask my teacher.)

5. know how to use the safety equipment provided and know the location of the fire extinguisher, eyewash station, safety shower and safety blanket.

6. refrain from any pushing, shoving or other horse-play in the laboratory.

7. stow my books, etc. away from the aisles and bring only my data sheet and book into the laboratory area.

8. in case of fire, alert the teacher and leave the laboratory.

9. carefully check for the presence of any ignition source before using flammable materials such as alcohol or acetone.

10. notify the teacher if glass is broken. I will not attempt to pick it up myself.

11. report any incident, accident, injury or unsafe procedure to the teacher at once.

12. never taste, touch or smell any substance unless directed specifically by the teacher to do so.

13. handle chemicals carefully, check the label of every bottle or jar before removing contents, and never return unused chemicals to reagent bottles.

14. when heating a substance in a test tube make sure that the mouth of the test tube points away from other people and myself.

15. use proper equipment to handle hot glassware.

16. tie back long hair, roll up loose sleeves, tuck in loose clothing.

17. at the end of the lab clean the work area. Wash and store all materials and equipment, turn off all water, gas and electrical appliances.

18. wash my hands thoroughly before leaving the laboratory.

19. keep my work area clean and tidy at all times.

20. take only the exact amount of chemical required (with none left over).

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Student’s Signature Date

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Parent or Guardian’s Signature Date