Stapley Junior High School Science Safety Acknowledgement

PURPOSE 9. Clean all work areas and equipment at the ACKNOWLEDGEMENT Science is a hands-on laboratory class. end of the experiment. Return all I, ______, However, science activities may have potential equipment clean and in working order to (student’s name) have read and hazards. We will use some equipment the proper storage area. that may be dangerous if not understand each of the science safety rules set forth in this acknowledgement. handled properly. Safety in the science 10. Follow your teacher’s instructions to I agree to follow them to ensure not classroom is an important part of the scientific dispose of any waste materials generated only my own safety but also the safety process. To ensure a safe classroom, a list of in an experiment. rules has been developed and is called the of others in the science classroom or Science Safety Acknowledgement. These 11. Report any accident (fire, spill, breakage, laboratory. I also agree to follow the rules must be followed at all times. Additional etc.), injury (cut, burn, etc.), or hazardous general rules of appropriate behavior safety instructions will be given for each condition (broken equipment, etc.) no for a classroom at all times to avoid activity. matter how trivial it may appear, to the accidents and to provide a safe learning teacher immediately. environment for everyone. I No science student will be allowed to understand that if I do not follow all participate in science activities until this 12. Consider all chemicals used in the science the rules and safety precautions, I will acknowledgement has been signed by both the room to be dangerous. Do not touch or not be allowed to participate in science student and a parent or guardian. smell any chemicals unless specifically activities. instructed to do so. SAFETY RULES ______Student Signature 1. Conduct yourself in a responsible manner 13. Never open storage cabinets or enter the at all times in the science room. prep/storage room without permission from the teacher. ______Horseplay, practical jokes, and pranks Date will not be tolerated. 14. Do not remove chemicals, equipment, Dear Parent or Guardian: 2. Follow all written and verbal instructions supplies, or any unauthorized materials from the science room without permission carefully. Ask your teacher questions if you We feel that you should be informed of from the teacher. do not understand the instructions. the school’s effort to create and maintain 15. Experiments must be personally a safe science classroom/laboratory 3. When first entering a science room, do not environment. Please read the list of touch any equipment, chemicals, or other monitored at all times. You will be assigned a laboratory station at which to safety rules. No student will be materials in the laboratory area until you are permitted to perform science activities instructed to do so. work. Do not wander around the room, distract other students, or interfere with unless this acknowledgement is signed by both the student and parent/guardian 4. Perform only authorized and approved the laboratory experiments of others. and is on file with the teacher. Your experiments. Do not conduct any signature on this acknowledgement experiments when the teacher is out of 16. Keep aisles clear at all times. Push your indicates that you have read this Science the room. chair under the desk when not in use. Safety Acknowledgement, reviewed it 5. Never eat, drink, chew gum, or taste 17. Handle all glassware with care. Never with your child, and are aware of the anything in the science room. pick up hot or broken glassware with measures taken to ensure the safety of your bare hands. your son/daughter in the science 6. Keep hands away from face, eyes, and classroom. mouth while using science materials or 18. Dress properly—long hair must be tied when working with chemicals. Wash your back, no dangling jewelry, and no loose ______hands with soap and water before leaving or baggy clothing. Wear aprons when Parent/Guardian Signature the science room. instructed. ______7. Wear safety glasses or goggles when 19. Learn where the safety equipment is Date instructed. Never remove safety glasses or located and how to use it. Know where goggles during an experiment. There will be the exits are located and what to do in Important questions: no exceptions to this rule! case of an emergency or fire drill. Does your child wear contact lenses? Y or N 20. Failure to follow any of the Science 8. Observe good housekeeping practices. Safety Rules will result in disciplinary Is your child color blind? Work areas should be kept clean and tidy at action which could include Y or N all times. Bring only your laboratory Administrative referral. Students are instructions, worksheets, and/or reports to Does your child have any food or drug responsible for their actions during any the work area. Other materials (books, allergies? lab activity. Broken lab equipment due to purses, backpacks, etc.) should be stored Y or N misuse becomes the responsibility of the under your chair or desk. student to replace if it is not used in If so, please list:: accordance with laboratory guidelines.