Eugene Ashley High School Wilmington, NC 28412 SCIENCE DEPARTMENT Teacher : Mrs.

Canup Room 417

Student Safety Contract

To insure that a safe an healthful learning en!ironment is maintaine "hen #artici#ating in Ashley High School science classes, you shoul rea an follo" the gui elines liste $elo"% &n most cases your teacher "ill ha!e s#ecial instructions $efore each la$ that "ill inclu e a itional safety consi erations% This contract must $e signe $y you an a #arent or guar ian an returne to your teacher $efore you can #artici#ate in la$% 1% Al"ays follo" the irections gi!en $y your teacher for oing a la$ e'#eriment% (nly #roce ures an materials a##ro!e $y your teacher may $e use % A itionally, #re#are for each la$ $y ma)ing sure you un erstan the instructions an safety consi erations% As) your teacher if you o not un erstan something% 2% *ou must "ear safety goggles from the time you enter the la$ until you lea!e the la$ "hene!er heat, chemical an +or glass is in use% (n some occasions your teacher "ill re,uire the a itional use of a#rons an +or glo!es% -rescri#tion glasses an sunglasses o not count as safety glasses unless they inclu e si e guar s% .% Carry out your e'#eriment "ith care an caution% /e a"are of your surroun ings so as not to $um# into or #oint things at others% 0o not lea!e e'#eriments unatten e % 1ee# your attention focuse on your "or), not on others2% Ta)e notice of "here the safety e,ui#ment, li)e the eye"ash, is locate % 4% &t is im#ortant that clothing not ha!e e'cess loose material that coul catch in a flame% Wear clothing that affor s you the most #rotection from s#ills 3for e'am#le, o#en toe shoes are not #rotecti!e4% 0o not "ear your outer coat% 5any chemicals "ill stain clothing% Tie long hair $ac)% 5etal rings can sometimes react "ith chemicals% 6ea!e all #ersonal $elongings not relate to the la$ in your loc)er or at home 7% No foo is #ermitte in science classes at any time% 8% 9se care in han ling chemicals% Try not to s#ill an if you o, clean u# imme iately% 0o not allo" chemicals to contaminate each other $y mi'ing li s or scoo#s% :ea an hee the "arning la$els% 0iscar chemicals as irecte $y your teacher% Treat all e,ui#ment "ith res#ect an care% ;% Ne!er taste chemicals% Ne!er touch chemicals "ith your han s% 0o not remo!e chemicals or e,ui#ment from the la$ at any time% There is a istinct #ossi$ility that chemical !a#ors can infuse un er contact lenses an cause eye amage% 8% 9se caution in "or)ing "ith /unsen $urners% 6ight them only "hen an as irecte $y your teacher an chec) to see that there are no flamma$le materials near the $urner $efore lighting 3inclu ing you4% /e sure to turn off the gas !al!e "hen not using the $urner or if you nee to lea!e it unatten e % Ta)e care not to accumulate flamma$le materials at your "or)station% <% 1ee# "or) areas clean% Al"ays #ut e,ui#ment $ac) "here it $elongs an clean u# your la$ station an sin)% 0o not lea!e irty e,ui#ment in the sin)% Wash your han s thoroughly $efore lea!ing the la$% 1=% :e#ort any acci ent, no matter ho" minor, to your teacher imme iately% 11% *ou are not #ermitte to "or) in the la$oratory "ithout a teacher $eing #hysically #resent% The $ac) rooms an teacher areas are off limits to all stu ents unless accom#anie $y a teacher% If you choose not to a !de y the ru"es "!sted a o#e$ you %!"" e remo#ed from the "a for the rema!nder of the per!od$ "ose cred!t for that day&s %or'$ and ha#e your name for%arded to the Sc!ence Department cha!rperson. More se#ere act!on %!"" e ta'en for repeated or ser!ous safety #!o"at!ons. In de"! erate"y !(nor!n( these safety ru"es$ you )and your Parent*+uard!an, accept the "!a !"!ty for any !n-ury$ dama(e or acc!dent that may occur as a resu"t of your ne("!(ence. Please print, then sign your name below. ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Student Pr!nted Name ............................. Student S!(nature ................................. Date ..........

Parent Pr!nted Name .............................. Parent S!(nature .................................. Date ..........