UCA Safety Agreement (Dr. A. Qamar)

Revised: 4/12/2019

Read the Agreement below and then check the agree boxes throughout.

Personal Protective Equipment (PPE):

1. I will wear ANSI Z87-approved safety glasses or goggles at all
times while in the lab except during pre-lab lecture or when the lab
instructor informs me that it is safe to remove them.
2. I will wear gloves to handle hazardous chemicals or when
instructed by the lab instructor. I will not wear my gloves outside of
the lab unless instructed to do so by the professor. If so, I will have
one ungloved hand or be accompanied by an ungloved person. I will
not touch my face, eyes, or mouth, exposed skin, or phone
when wearing gloves.
3. I will wear clothing that is conducive to lab work: closed-toe shoes
that cover the entire foot, pants that completely cover all of my
legs and ankles, and shirts that completely cover the torso such as a
T-shirt. No bare midriffs or ankles, tank tops or low-cut tops, open
back shirts, shorts or cropped pants, jeans with holes, leggings with
mesh, or sandals.
4. I will not wear loose fitting or bulky clothing. If I am, I will confine
any loose fitting clothing.
5. I will tie back hair, if longer than shoulder length, as a way to keep
away from flames, chemicals, and equipment.
* I have read and agree to abide by the conditions set forth by the Personal Protective Equipment section.
General Lab Safety:

6. I will know where safety equipment is located and how to use it
including the fume hoods, safety showers, eyewash stations, spill
kits, first aid kits, fire blankets, and fire extinguishers.
7. I will know the building emergency plans in the event of a fire,
tornado, or active shooter.
8. I will become familiar with the Chemical Hygiene Plan (CHP).
9. I will read and understand the lab material and complete any pre-
lab assignments before I come to lab. If I have any questions
regarding the lab, safety, or course material, I will ask the professor
prior to lab.
10. I will inform my instructor prior to the first lab session if I have
any particular allergy to a chemical or if I have a medical condition
that might need to be considered while in the lab.
11. I will be aware of students in the lab and on alert for unsafe
conditions. I will inform the professor and the Teaching Assistant
(TA) of unsafe conditions so these actions can be corrected as soon as
possible.
12. I will immediately report any injury, physical or chemical, to my
lab instructor or TA, no matter how minor it might seem at the time.
13. I will not work by myself in the lab without the knowledge of a
faculty member.
14. I will keep my hands, pens and pencils, and phones/electronics
away from my face, mouth, and eyes while chemicals and equipment
are within the lab.
15. I will wash my hands whether chemicals were used or
not before I leave the lab.
16. I will avoid touching hot objects and will label hot objects as such
to notify others. I will be aware that hot glass looks the same as cold
glass.
17. I will strive to maintain a clean lab by cleaning up any spills of
liquids or solids, returning equipment and chemicals to the proper
place, and keeping common work areas such as the balances, fume
hoods, and dumbwaiter areas clean.
18. I will keep the laboratory bench and aisles free of purses,
backpacks, and other personal items that could present a tripping
hazard.
* I have read and agree to abide by the conditions set forth by the General Lab Safety section.
Chemical Safety, Spills, and Waste Disposal:

19. I will not conduct any unauthorized experiments.
20. I will know where the SDSs (Safety Data Sheets) for chemicals
used are located and how to effectively use them.
21. I will not eat, chew gum, or drink while in the lab.
22. I will not use tobacco products while in the lab.
23. I will not taste any chemical while in the laboratory.
24. I will avoid inhaling fumes and I will use the fume hood when
directed to do so. If I need to check odors, I will waft vapors toward
me.
25. I will read labels on reagent and chemical containers before I use
them. I will read them 3 times: when I pick it up, before I use it, and
after I am finished using the chemicals.
26. I will label all secondary containers and waste containers with the
full chemical name (no formulas), the date dispensed or collected, the
course, and the instructor’s name.
27. I will never return unused chemicals/reagents to original bottles.
I will dispose of unused chemicals as directed by the professor, Lab
Coordinator, and/or Chemical Hygiene Officer.
28. I will recap all reagent bottles and waste containers when they
are not in use.
29. I will keep all flammable solvents away from open flames and
ignition sources.
30. I will transport all chemicals in a secondary container and handle
all chemicals with care and as direct by faculty and staff.
31. At the end of lab, I will follow the waste disposal procedures set
forth by the instructor, Lab Coordinator, and/or Chemical Hygiene
Officer.
32. I will not dispose of anything in the sink unless directed by the
instructor, Lab Coordinator, and/or Chemical Hygiene Officer.
33. I will report any chemical spills to my instructor immediately.
* I have read and agree to abide by the conditions set forth by the Chemical Safety, Spills, and Waste Disposal section.
Equipment:

34. I will report any glassware that is cracked or chipped to my
instructor.
35. I will dispose of broken glass in broken glass containers. If the
broken glass container is full, I will notify the instructor.
36. I will make sure that gas jets are turned off when I am finished
with them.
37. I will turn off all equipment before unplugging it. When
unplugging equipment, I will grasp the plug, not the electrical cord.
38. I will not use damaged equipment. I will report any equipment
that looks damaged, has frayed or melted cords, exposed wires, or
loose connections.
39. I will not use equipment or special apparatuses until I am trained
by a faculty or staff member.
40. I will be mindful of all equipment and handle them with care as all
of the equipment is expensive.
* I have read and agree to abide by the conditions set forth by the Equipment section.
Course number (Chem 1400, 1450, 1451 etc.) *
CRN (identifies section) *
Last name, first name *
Your UCA ID Number
Change the first zero to a "B"
For example 008675309 is entered B08675309 *
Agreement * I have read and agree to abide by all of the conditions set forth by the UCA Chemistry Safety Agreement. I understand that I must follow these conditions to ensure the safety of myself and others within the lab. I am aware that violating these conditions can result in my removal from the lab and the loss of credit for the lab and experiment.