John Polanyi CI Science Department
Student Safety Contract
Course Code: ______Teacher’s Name: ______
Student’s Name: ______
As a Science Student I will:
- read and follow the Science Lab Safety Rules;
- accept all student responsibilities, both written and oral, as outlined by my teacher;
- follow all personal safety directions, both written and oral, as outlined by my teacher;
- follow all lab procedures, both written and oral, as outlined by my teacher, and
- behave in a manner that will ensure the health and safety of myself and others in the laboratory and classroom at all times.
I understand and realize that many accidents are caused by carelessness. I will come to class prepared to be responsible so that my safety and welfare, and that of others, is not jeopardized.
I have read the rules for science students, listed above, along with the set of written Science Safety Rules and I agree to follow these and any other safety rules as outlined by my teacher/school.
Do you wear contact lenses? YES NO
It is strongly recommended that contact lenses not be worn in the lab.
While conditions may be hazardous to both contact lens wearers and to people who do not, contact lens wearers should be aware of the slight increase in the risk of eye damage in the following situations:
- exposure to chemical fumes and vapours
- areas where potential for chemical splash exists
- areas where particulate matter or dust is in the atmosphere
- intense heat, dry atmosphere, flying particles
- areas where caustic substances are handled, particularly those used or stored under pressure.
I, the parent/ guardian of ______have read JPCI’s Science Lab Safety Rules and I pledge my cooperation in making her/ him aware of the precautions, as necessary, and in urging that she/ he observe the precautions, and any other instructions during science class
Parent/ Guardian Signature: ______Date: ______
Student Signature: ______
John Polanyi CI Science Department
Science Lab Safety Rules
Class: ______Teacher’s Name: ______
I understand that accidents can be caused by being unprepared, careless or in a hurry. I will come to class prepared to be responsible, so that my safety and welfare as well as that of others are not jeopardized. On lab days your teacher will always go over safety procedures pertaining to that day’s work. The following rules apply anytime you are present in a lab, even if you are not actively doing lab work.
I will:
refrain from bringing any food or drink into the science classroom
come appropriately dressed for lab work (i.e. closed toe shoes, hair tied back, etc)
wear required personal protective and safety equipment
behave in a manner shows concern for everyone’s health and safety and follow all safety procedures at all times
listen to and ask any questions about the hazards posed by materials, procedures, and equipment to be used in each activity
know the location, use and procedures for the safety, first aid and fire extinguishing equipment
practice the basics of my WHMIS training
report any unsafe conditions or accidents to the teacher immediately
do activities only with the teacher’s permission
dispose of all chemicals, specimens, and other materials as instructed by the teacher
wash my hands thoroughly after each experiment