ASD Middle School Science Safety Contract

ASD Middle School Science Safety Contract
ASD Middle School Science Safety Contract
Science is a hands-on class. Safety in the science
classroom is the #1 priority for students, teachers,
and parents. To ensure a safe science classroom, a list
of rules has been developed and provided to you in this
student safety contract. Additional safety
instructions will be given for each lab.
1. Follow all written and verbal directions carefully. Ask
questions if you do not understand the directions.
2. No horseplay! Appropriate behavior and use of equipment is
required at all times.
3. Do not touch anything in a science room until instructed to do so.
4. Eating, drinking, and chewing gum is not allowed. Never taste or
smell anything during a lab unless told to do so.
5. Wear goggles when indicated – No Exceptions to this Rule!
6. Keep area clean and neat. Keep aisles clear – push chairs in when
not in use.
7. Perform only those experiments authorized by the teacher.
8. Learn where the safety equipment is located (fire blankets,
extinguishers & eyewash) and learn how to use it. Know where exits
are located and what to do in the case of a fire drill.
9. Dress properly – long hair must be tied back, no dangling jewelry
or loose or baggy clothing.
10. Accidents happen. Report all accidents and/or injuries to your
teacher immediately.
11. Clean, rinse, & wipe dry all work surfaces and equipment at the
end of the lab. Return all equipment to its proper place. Follow
directions for the disposal of lab materials.
12. Keep hands away from face, eyes, mouth & body when using
chemicals, preserved specimens, plants or animals. Wash hands with
soap & water after cleanup is done.
*No system of rules can provide for every situation.
QUESTIONS
1. Do you wear contact lenses? Y or N
2. Are you color blind? Y or N
3. Do you have allergies? Y or N
If so, list specific allergies:
AGREEMENT
I, ______________________ have read & agree to follow
all of the safety rules set forth in this contract. I realize
that I must obey these rules to insure my own safety, &
that of my fellow students & teachers. I am aware that any
violation of this safety contract may result in being
removed from the lab, detention, and/or further
disciplinary action.
(Student Signature)
(Date)
Dear Parent or Guardian,
We feel that you should be informed regarding the school’s
effort to create & maintain a safe science class/lab
environment. Please read the list of safety rules. No
student will be permitted to perform lab activities unless
this contract is signed by both the student and
parent/guardian and is on file with the teacher. Your
signature on this contract indicates that you have read this
Student Safety Contract & are aware of the safety
measures taken in the science classroom.
(Parent/Guardian Signature)
(Date)
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