Student Safety Contract

School Name___________________________________ Teacher______________________

PURPOSE 12. Consider all chemicals used in the sci-
Science is a hands-on laboratory class. ence room to be dangerous. Do not AGREEMENT
However, science activities may have poten- touch or smell any chemicals unless
specifically instructed to do so. I, ___________________________ ,_
tial hazards. We will use some equipment (students name) have read and under-
and animals that may be dangerous if not 13. Handle all animals with care and
stand each of the above safety rules set
handled properly. Safety in the science class- respect.
forth in this contract. I agree to follow
room is an important part of the scientific a.Open animal cages only with permis- them to ensure not only my own
process. To ensure a safe classroom, a list of sion. safety but also the safety of others in
rules has been developed and is called the the science classroom or laboratory. I
b.Never handle any animals when the
Science Safety Contract. These rules must also agree to follow the general rules
teacher is out of the room.
be followed at all times. Additional safety of appropriate behavior for a class-
instructions will be given for each activity. c.Do not take animals out of the sci-
ence room. room at all times to avoid accidents
No science student will be allowed to par- and to provide a safe learning environ-
ticipate in science activities until this con- d. Do not tease or handle animals ment for everyone. I understand that
tract has been signed by both the student roughly. if I do not follow all the rules and
and a parent or guardian. e.Keep animals away from students safety precautions, I will not be
faces. allowed to participate in science activ-
SAFETY RULES f.Wear gloves when handling animals. ities.
1. Conduct yourself in a responsible man-
g.Report any animal bite or scratch to
ner at all times in the science room.
the teacher immediately. Student Signature
Horseplay, practical jokes, and pranks
will not be tolerated. 14. Always carry a microscope with both
2. Follow all written and verbal instruc- hands. Hold the arm with one hand; Date
tions carefully. Ask your teacher ques- place the other hand under the base.
tions if you do not understand the 15. Treat all preserved specimens and dis- Dear Parent or Guardian:
instructions. secting supplies with care and respect.
3. Do not touch any equipment, supplies, a.Do not remove preserved specimens We feel that you should be informed
animals, or other materials in the sci- from the science room. of the schools effort to create and
ence room without permission from maintain a safe science classroom/
b.Use scalpels, scissors, and other sharp laboratory environment. Please read
the teacher. instruments only as instructed. the list of safety rules. No student will
4. Perform only authorized and approved c.Never cut any material towards you be permitted to perform science
experiments. Do not conduct any always cut away from your body. activities unless this contract is
experiments when the teacher is out of signed by both the student and par-
the room. d. Report any cut or scratch from
sharp instruments to the teacher ent/guardian and is on file with the
5. Never eat, drink, chew gum, or taste immediately. teacher. Your signature on this con-
anything in the science room. tract indicates that you have read this
16. Never open storage cabinets or enter Science Safety Contract, reviewed it
6. Keep hands away from face, eyes, and
the prep/storage room without permis- with your child, and are aware of the
mouth while using science materials or
sion from the teacher. measures taken to ensure the safety
when working with either chemicals or
animals. Wash your hands with soap and 17. Do not remove chemicals, equipment, of your son/daughter in the science
water before leaving the science room. supplies, or animals from the science classroom.
7. Wear safety glasses or goggles when room without permission from the
instructed. Never remove safety glasses teacher.
Parent/Guardian Signature
or goggles during an experiment. There 18. Handle all glassware with care. Never
will be no exceptions to this rule! pick up hot or broken glassware with
your bare hands. Date
8. Keep your work area and the science
room neat and clean. Bring only your 19. Use extreme caution when using
laboratory instructions, worksheets, and matches, a burner, or hot plate. Only Important questions:
writing instruments to the work area. light burners when instructed and do Does your child wear contact lenses?
9. Clean all work areas and equipment at not put anything into a flame unless
YorN
the end of the experiment. Return all specifically instructed to do so. Do not
equipment clean and in working order leave a lit burner unattended. Is your child color blind?
to the proper storage area. 20. Dress properlylong hair must be tied YorN
10. Follow your teachers instructions to back, no dangling jewelry, and no loose Does your child have any allergies?
dispose of any waste materials gener- or baggy clothing. Wear aprons when YorN
ated in an experiment. instructed.
If so, please list:
11. Report any accident (fire, spill, break- 21. Learn where the safety equipment is
age, etc.), injury (cut, burn, etc.), or located and how to use it. Know where
hazardous condition (broken equip- the exits are located and what to do in
ment, etc.) to the teacher immediately. case of an emergency or fire drill.
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