Safety Agreement CBC by Ni18wJ0


									University of Arizona
Department of Chemistry and Biochemistry
Safety Agreement

Seven statements follow that you must agree to before you will be allowed to do any lab work in
our labs. Please read over them and indicate your agreement. If you have any concerns
regarding these statements, you must discuss them with the course instructor before beginning
lab work.
Question 1
I will obtain approved safety goggles and a lab coat or apron and will wear them at all times
when any experimental work is being done by anyone in the lab.

     I agree
                                            Question 2
I am familiar with the location and proper operation of the safety shower, the eyewash stations
and the first aid box.

     I agree
                                              Question 3
To the best of my ability I will obey all instructions concerning the safe performance of
experiments. I will use the hood when required, dispose of all chemicals and other materials as
instructed and promptly return all chemicals and reagents to their appropriate place when
finished. I will not allow reagents or chemicals to become contaminated.

     I agree
                                            Question 4
I will protect myself by wearing appropriate clothing in the lab. I realize that I must wear shoes
that protect my feet from chemical contact in the event of a spill. I understand that my shoulders
must be covered when working in the lab.

     I agree
                                           Question 5
I will not attempt any unauthorized experiments nor will I work in the lab without proper

     I agree
                                             Question 6
I understand that my behavior in the lab is governed by the University's Code of Conduct and
that failure to abide by the Chemistry Deparment's safety rules and regulations can result in my
ejection from the lab.

     I agree
                                            Question 7
I understand that the University of Arizona does not provide liability insurance coverage for me
and that I am responsible for making arrangements to cover the financial burden of injuries I may
incur during this class. .

    I agree

Signature and Date:


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