Skyview Safety Contract schmied/reid©2010 all rights reserved Student name ________________
Period____
Student #___
- I understand all Skyview JHS's Safety Rules (Skyview JHS's Safety Rules were studied and practiced in class. A complete list is available upon request)
- I understand the Safety Procedures
for:
Fires
Chemical spill
Electrical Shock
Eye emergency
Burning metals
Injured students
- I understand the Location and Use for
this Safety equipment
Fire Alarm
Fire Extinguisher
Eyewash station
Eye Protective devices (goggles, glasses, and face shields)
Safety Shower
First Aid Kit
Fire blanket
Fire Bucket & litter
Metal dust pan and hand brush
Gas shut off
Electrical shut off
Telephone and emergency numbers
• I understand that I should not, under any circumstances, attempt to do any scientific demonstration at home unless I have been personally and individually told by my instructor that it is safe to do so.
•
I _______________________, have read, practiced, and agree to abide by Skyview's Safety Rules, Procedures, and Equipment use guidelines. In addition, I agree to conduct myself in a safe, responsible manner at all times inside and outside of science class while enrolled as a student at Skyview JHS.
•
I understand that some of the teacher demonstrations are not safe to be done without extensive training, which I do not have.
•
I also agree to follow any oral or written instructions given to me by my instructor and/or by assigned Northshore School District substitutes.
•
I understand the consequences for failing to follow these rules, procedures, and guidelines are, depending upon the level of severity, temporary removal from lab, permanent removal from lab, suspension, and expulsion.
____________________
Student Signature
__________
Date
____________________
Parent Signature
__________
Date
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