Upper Moreland School District
2900 Terwood Road
Willow Grove, PA 19090
Middle School Safety Contract
Purpose
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 Science Safety
Code of Conduct. These rules must be followed at all times. This
copy must be signed by both you and a parent or guardian. A
copy of this document will be made for you to keep in your notebook as a constant
reminder of the safety rules.
Read each rule and then initial on the line provided to show that
you have read and understood the rule.
GENERAL RULES
____1. Conduct yourself in a responsible manner at all times in
the laboratory.
____2. Follow all written and verbal instructions carefully. If
yo do not understand a direction or part of a procedure, ask the teacher
before proceeding.
____3. Never work alone. No student may work in the laboratory
without an teacher present.
____4. Do not touch any equipment, chemicals, or other materials in the
laboratory area until you are instructed to do so.
____5. Do not eat food, drink beverages, or chew gum in the laboratory.
____6. Carefully follow all
instructions, both written and oral.
Unauthorized experiments are prohibited.
____7. Read all procedures thoroughly.
____8. Behave responsibly around in the laboratory. Horseplay, practical
jokes, and pranks are dangerous and prohibited.
____9. Work areas should be kept clean and tidy at all times.
____10. Know the locations and operating procedures of all safety equipment
including eyewash station, fire extinguisher, and fire blanket. Know
where the fire alarm and the exits are located.
____11. Tell the teacher immediately of any unsafe conditions you observe.
____12. Dispose of all materials properly.
___13. Keep hands away from face, eyes, mouth
and body while using laboratory materials. Wash your
hands ,work surfaces and apparatus at the end of the experiment. Return
all equipment clean and in working order to the proper storage area.
____14. You will be assigned an
area at which you will work. Do not wander around the room, distract other
students, or interfere with the laboratory experiments of others.
____15. Students are never permitted in the science storage rooms or preparation
areas unless given specific permission by their teacher.
____16. Handle all living organisms used in a laboratory activity in a
humane manner.
____17. If you have a medical condition such as allergies tell your teacher.
____18. Any time chemicals, heat, or glassware are used, students
will wear laboratory goggles. There will be no exceptions to this rule!
____19. Dress properly during a laboratory activity. Long hair, dangling
jewelry, and loose or baggy clothing are a hazard in the laboratory. Long
hair must be tied back.
____20. Report any accident (spill, breakage, etc.) or injury (cut, burn,
etc.) to the teacher immediately, no matter how trivial it may appear.
____21. If a chemical splashes in your eye(s) or on your skin, immediately
flush with running water.
____22.Do not touch, taste, or smell any chemicals unless specifically
instructed to do so.
____23. Never handle broken glass with your bare hands. Use a brush and
dustpan to clean up broken glass.
____24. If you do not understand how to use a piece of equipment, ask the
instructor for help.
Do you have allergies?
___ YES ___ NO
If so, list specific allergies_________
_______________________________
_______________________________
AGREEMENT
I, __________________________ ,
(student’s name) have read and agree
to follow all of the safety rules set
forth in this contract. I realize that I
must obey these rules to ensure my
own safety, and that of my fellow students
and teachers. I will cooperate
to the fullest extent with my teacher
and fellow students to maintain a safe
lab environment. I will also closely
follow the oral and written instructions
provided by the teacher. I am aware
that any violation of these science safety rules that result in unsafe
conduct in the laboratory or misbehavior on my part, may result in being
removed
from the laboratory, detention and/or receiving a failing grade.
Student Signature
__________________________________
Date_________________
Dear Parent or Guardian:
We feel that you should be informed
regarding the school’s effort to create and maintain a safe science
classroom/ laboratory environment.
With the cooperation of the teachers, parents, and students, a safety instruction program can eliminate, prevent, and correct possible hazards.
You should be aware of the safety instructions your son/daughter will receive before engaging in any laboratory work. Please read the list of safety rules above. No student will be permitted to perform laboratory 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 Science Safety Code of Conduct, are aware of the measures taken to ensure the safety of your son/daughter in the science laboratory, and will instruct your son /daughter to uphold his/her agreementto follow these rules and procedures in the laboratory.
Parent/Guardian Signature
___________________________________________
Date_________________________