Safety Contract

CHEMISTRY SAFETY CONTRACT 1.

I understand that I will not be allowed to participate in laboratory activities until this contract is signed and returned. All missed labs will be graded as a zero.

2.

I know the locations of and how to use the fire extinguisher, safety blanket, eye wash, and safety shower.

3.

I agree to immediately report all accidents or injuries to my teacher.

4.

I agree to wear safety goggles, an apron, and enclosed shoes in the lab and keep long hair and jewelry out of the way.

5.

I agree to keep my lab station clear of extraneous items. I will keep only my lab notebook and needed equipment at my lab station. My bookbag will be on my chair to keep the aisle clear.

6.

I agree to behave in a safe fashion in the laboratory and to listen to and follow my teacher’s instructions.

7.

I know the correct procedure for evacuating the lab room in case of an emergency.

8.

I agree to return all equipment/chemicals to the appropriate location and clean my lab station and hands at the end of the lab period.

9.

I know the name and correct use of the items in my lab drawer.

10. I agree never to perform any unauthorized experiments. I have read the above and agree to abide by the guidelines stated above. ______________________________ Student Signature / Date

______________________ Parent Signature

______________________________ Student Name (Printed)

______________________ Parent E–Mail

Laliberte, 8/25/08