0% found this document useful (0 votes)
61 views

CM 3061 / CBC 315 - Risk Assessment Form: Hazard Precaution

This risk assessment form requires students to identify potential hazards and safety precautions for a chemistry experiment before and after conducting the lab. It requests the student's name, student ID, date, lab section number, fumehood number, and name of the experiment. The student must list three hazards and corresponding safety precautions prior to the lab, have their teaching assistant sign off, and then note three additional hazards and precautions identified from hands-on experience in the lab.

Uploaded by

Lieren Chen
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
61 views

CM 3061 / CBC 315 - Risk Assessment Form: Hazard Precaution

This risk assessment form requires students to identify potential hazards and safety precautions for a chemistry experiment before and after conducting the lab. It requests the student's name, student ID, date, lab section number, fumehood number, and name of the experiment. The student must list three hazards and corresponding safety precautions prior to the lab, have their teaching assistant sign off, and then note three additional hazards and precautions identified from hands-on experience in the lab.

Uploaded by

Lieren Chen
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

CM 3061 / CBC 315 Risk Assessment Form

You must attach this form with your completed report before submission
Name: ________________________________________ Matri #: ____________________________
Date: ________________________ Synthetic Lab: 1/2 Fumehood # : ___________ (Tue/Thur)
Name of experiment : _______________________________________________________________
(A) Pre-Lab:
Identify three possible hazards associated with this experiment and give one reasonable
precautionary measure for each.
Hazard

Precaution

Signature of TA: ____________________________________________

(B) Post-Lab:
In light of your hands-on experience in the laboratory, identify three new hazards associated with
this experiment and give one reasonable precautionary measure for each
Hazard
1

Precaution

You might also like