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