Public Safety (770) 961-3540

Safety Checklist Research

You will be given instructions on how to act safely and responsibly in the laboratory. Please initial each statement after you learn the proper safety procedure and sign the statement at the bottom.

Fire Safety

______You know what to do in case of a fire or explosion.

______You know where the safety showers and fire blanket are located and you know how to operate them.

______You know who to contact to report a fire if your lab instructor or lab coordinator are not present or conscious.

______You know where the fire exits are located.

Chemical safety

______You know who to contact to report a spill if your lab instructor or lab coordinator are not present or conscious.

______You know where the eye wash is located and you know how to use the eyewash.

______You know where the chemical safety kit is located.

______You know what to do in case of a chemical spill.

Biological safety

______You know what to do in case of a biohazardous culture spill.

______You know where the disinfectant (o-syl) is located.

______You know who to contact to report a spill if your lab instructor or lab coordinator are not present or conscious.

______You know where to discard biological waste.

First Aid and Miscellaneous

______You know not to use chemicals or biohazardous materials without proper protection of your eyes, clothing and skin.

______You know where the first aid kit is located.

______You feel confident that the first aid kit is properly equipped.

______You know not to work with microorganisms when you have cut that is exposed and that all broken skin should be protected with gloves and/or bandages.

Field Work

______You know that you should never perform field work alone.

______You know to let at least 2 individuals know where you are going, what time you should return, and what to do if you have not returned at expected time.

______You know to carry a first aid kit with you into the field.

______You know to contact your advisor if you or your field partner are injured.

I ______(name of student researcher) understand the standard safety procedures for the lab in which I am working. I know that I must act responsibly in the lab at all times. I understand the consequences of acting inappropriately in the lab. I promise to report all accidents to the instructor or to public safety.

______

Signature of studentDate

______

Signature of instructorDate