(Please READ, COMPLETE, and KEEP
in your book)
I,
______________________________________________ (print your name),
recognize that the laboratory is a safe place to work and learn only if I conduct
myself in a responsible manner. I
agree to assume responsibility for my own safety and for the safety of my
classmates. I agree to follow the
laboratory expectations and agree to follow the teacher’s directions to the
best of my ability. Specifically: * I will learn and
follow the Behavior Expectations. * I will learn and
follow the Laboratory Expectations. * I will handle
laboratory equipment properly and safely. * I will
familiarize myself with the techniques in each activity. * I will learn the
location and proper use of the safety equipment. * I will report any
accident, no matter how small, to the teacher immediately. * I will follow the
teacher’s instructions during class and follow the clean-up procedures. * I will perform
home activities safely and with the knowledge and permission of my legal
guardian. Student
(signature): ________________________________________ Date: _______________ Parent / Guardian:
__________________________________________ Date:
_______________ |
LAB WARNING NOTICE
Sample Warning
Notice: (Do NOT complete.)
Dear
______(Parent)_________: Date: _______(MM/DD/YY)_________
This
serves to notify you that during laboratory work today, _________(Your child)_______ broke
lab rule: __ # 15 : They were randomly
mixing chemicals in the lab.____________________________ ___________.
I
have discussed the potential danger of this behavior with your child and trust
you will also. Further incidents may
result in permanent removal from the laboratory. Their safety, and the safety of those around
them, cannot, and will not, be compromised.
Thank
you for your cooperation in this matter.
Please sign below and return this sheet promptly.
Sincerely,
Mr.
Henry M. Skirbst, Lab Instructor
Parent
Signature: ______(Your
signature)______________ Date:
___(DD/MM/YY)_____