Arma Dei Academy

Science

Power Tool Permission Slip

Dear Parent,

Your child is enrolled in Summer STEM at Arma Dei Academy and one of the teaching approachesemployed is hands-on learning. One aspect of the program is the opportunity for students to complete engineering design projects. During many of these challenges, students work with materials and power tools.

Before a student is allowed to use any tools, a training session describing the proper and safe use of that tool is presented. Included in the lesson is a demonstration of the proper operating procedure by the instructor. In addition, each class spends time discussing safe working practices and proper conduct to be followed in a work setting.

I would ask that you read through and sign the permission form on the back and return it to me before the first session.I will read through the form with your son or daughter and witness them signing it.

If you have any questions concerning the Summer STEM @ Arma Dei Academy program, please e-mail me at . I will be more than happy to discuss theprogram with you.

Thank you for your cooperation in this matter.

Best regards,

Warren Astler

SAFETY CONTRACT AND POWER TOOL PERMISSION SLIP FORM

  1. I understand, nohorseplay, running, practical jokes or throwing supplies will be tolerated. Loss of working privileges will result from any infraction of this rule.
  2. I will follow all safety procedures at all times without exception.
  3. I will never, under any circumstances, operate any tools or machine equipment if the instructor is not present in the classroom.
  4. I understand, safety glasses must be worn whenusing any power tools.
  5. I understand, loose clothing must not be worn. Buttoning or rolling up sleeves and securing long hair will be completed before working on machinery.
  6. I understand, rings, watches and jewelry that may catch on machinery or cause a short circuit should be removed when using equipment.
  7. I will report all accidents, no matter how slight, to the instructor immediately.
  8. I will keep floors in working areas and around machines free of paper, sawdust,water, and other materials on which a person could trip or slip.
  9. I will keep bench tops and storage cabinets clean and orderly so material will not fall and cause injury.
  10. I understand that Safety Signs are to be read and understood before using the equipment and the safety procedures are to be followed during its use.
  11. I understand that protective clothing is an important part of lab safety and that shoes that cover the toes should always be worn while in the lab.
  12. I understand that cleaning the lab at the end of each class period is an important part of shop safety and I will participate at the end of every class or whenever it is needed.
  13. I understand that food and beverages are never allowed in the lab at any time.
  14. I understand no student is to operate any machines or new machine equipment without being first instructed on its proper use.
  15. I will never clean a machine while it is in motion or plugged in.
  16. I will never use dull or damaged equipment. I will report such things to the instructor immediately.
  17. I will never stop a machine with my hands.
  18. I will never leave machinery running when not in use.
  19. I will not crowd around a machine while someone else is operating it.
  20. I willnot distract attention or talk to anyone when they are operating a machine.
  21. I will not purposely touch a hot glue gun tip or hot glue. Iunderstand it WILL burn me.

As a student, by signing this form, I acknowledge that I have read, discussed, and understand the above safety rules. I will abide with these rules in the sciencelab.

As a parent, my signature indicates the student can be trusted to use hand and power tools safely and grants permission for the student to learn about and use hand and power tools with instructor supervision.

Parent’s Signature______Student’s Signature ______

Date ______Instructor’s Signature ______