Student Safety ContractSchool Name___________________________________ 	Teacher______________________PURPOSE               ...
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Safety Contract for Middle Schools


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Safety Contract for Middle Schools

  1. 1. Student Safety ContractSchool 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 AGREEMENTHowever, science activities may have poten- touch or smell any chemicals unless specifically instructed to do so. I, ___________________________ ,_tial hazards. We will use some equipment (student’s 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 sethandled properly. Safety in the science class- respect. forth in this contract. I agree to followroom is an important part of the scientific a.  pen animal cages only with permis- O them to ensure not only my ownprocess. To ensure a safe classroom, a list of sion. safety but also the safety of others inrules has been developed and is called the the science classroom or laboratory. I b.  ever handle any animals when the NScience Safety Contract. These rules must also agree to follow the general rules teacher is out of the followed at all times. Additional safety of appropriate behavior for a class-instructions will be given for each activity. c.  o not take animals out of the sci- D 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.  not tease or handle animals Do ment for everyone. I understand thattract has been signed by both the student roughly. if I do not follow all the rules andand a parent or guardian. e.  eep animals away from students’ K 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.  eport any animal bite or scratch to R 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.  o not remove preserved specimens D We feel that you should be informed animals, or other materials in the sci- from the science room. of the school’s 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.  ever cut any material towards you— N be permitted to perform science experiments. Do not conduct any always cut away from your body. activities unless this contract is experi­ ents when the teacher is out of m 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 Y  or  N 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 properly—long hair must be tied Y  or  N10. Follow your teacher’s 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 Y  or  N 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.© 2011 Flinn Scientific, Inc. All Rights Reserved. Reproduction permission is granted to science teachers who are customers of Flinn Scientific, Inc. Batavia, Illinois, U.S.A. No part of this material may be reproduced ortransmitted in any form or by any means, electronic or mechanical, including, but not limited to photocopy, recording, or any information storage and retrieval system, without permission in writing from Flinn Scientific, Inc.