ANDOVER

Syllabus and Lab Safety Contract Signature Page

Please read over the syllabus and lab safety contract. When completed read and sign the information below. Signature page only needs to be returned by the date due below.

Date Due: ___________          Class hour: ____________

I, __________________________________(student name) have read and understand the 6th Grade Science Syllabus and Lab Safety Contract.

Student signature:_______________________________________________Date:___________

Parent signature: ________________________________________Date: ___________

Student Safety Contract
Purpose
Science is a hands-on laboratory class. However, science activities may have potential hazards.
We will use some equipment and animals that may be dangerous if not handled properly. Safety in
the science classroom is an important part of the scientific process. To ensure a safe classroom, a list of rules has been developed
and is called the Science Safety Contract. These rules must be followed at all times. Additional safety instructions will be given
for each activity.
No science student will be allowed to participate in science activities until this contract has been signed by both the student
and a parent or guardian.
Safety Rules
1. Conduct yourself in a responsible manner at all times in the science room. Horseplay, practical jokes, and pranks will not be tolerated.
2. Follow all written and verbal instructions carefully. Ask your teacher questions if you do not understand the instructions.
3. Do not touch any equipment, supplies, animals, or other materials in the science room without permission from the teacher.
4. Perform only authorized and approved experiments. Do not conduct any experiments when the teacher is out of the room.
5. Never eat, drink, chew gum, or taste anything in the science room.
6. Keep hands away from face, eyes, and mouth while using science materials or when working with either chemicals or animals. Wash
your hands with soap and water before leaving the science room.
7. Wear safety glasses or goggles when instructed. Never remove safety glasses or goggles during an experiment. There will be no
exceptions to this rule!
8. Keep your work area and the science room neat and clean. Bring only your laboratory instructions, worksheets, and writing
instruments to the work area.
9. Clean all work areas and equipment at the end of the experiment. Return all equipment clean and in working order to the proper
storage area.
10. Follow your teacher’s instructions to dispose of any waste materials generated in an experiment.
11. Report any accident (fire, spill, breakage, etc.), injury (cut, burn, etc.), or hazardous condition (broken equipment, etc.) to the
teacher immediately.
12. Consider all chemicals used in the science room to be dangerous. Do not touch or smell any chemicals unless specifically instructed to
do so.
13. Handle all animals with care and respect.
a. Open animal cages only with permission.
b. Never handle any animals when the teacher is out of the room.
c. Do not take animals out of the science room.
d. Do not tease or handle animals roughly.
e. Keep animals away from students’ faces.
f. Wear gloves when handling animals.
g. Report any animal bite or scratch to the teacher immediately.
14. Always carry a microscope with both hands. Hold the arm with one hand; place the other hand under the base.
15. Treat all preserved specimens and dissecting supplies with care and respect.
a. Do not remove preserved specimens from the science room.
b. Use scalpels, scissors, and other sharp instruments only as instructed.
c. Never cut any material towards you—always cut away from your body.
© 2017 Flinn Scientific, Inc. All Rights Reserved. Publication No. 10642 1
071917
SCIENTIFIC
SAFETY FAX!

Student Safety Contract continued

2 © 2017 Flinn Scientific, Inc. All Rights Reserved.
d. Report any cut or scratch from sharp instruments to the teacher immediately.
16. Never open storage cabinets or enter the prep/storage room without permission from the teacher.
17. Do not remove chemicals, equipment, supplies, or animals from the science room without permission from the teacher.
18. Handle all glassware with care. Never pick up hot or broken glassware with your bare hands.
19. Use extreme caution when using matches, a burner, or hot plate. Only light burners when instructed and do not put anything into a
flame unless specifically instructed to do so. Do not leave a lit burner unattended.
20. Dress properly—long hair must be tied back, no dangling jewelry, and no loose or baggy clothing. Wear aprons when instructed.
21. Learn where the safety equipment is located and how to use it. Know where the exits are located and what to do in case of an emergency
or fire drill.
AGREEMENT