Lab Safety Agreement

Lab Safety Agreement — Form Fields

This education template includes 8 fields. Ensure students understand and agree to laboratory safety rules before participating in lab sessions. Documents acknowledgment of safety protocols and emergency procedures. Free to customize and use on ZenBuild.

• Student Full Name (text, required)
• Student ID Number (text, required)
• Course Name & Section (text, required)
• Instructor Name (text, required)
• I acknowledge the following safety rules (checkboxes, required) — options: I will wear safety goggles at all times during lab, I will not eat, drink, or apply cosmetics in the lab, I know the location of safety equipment (eyewash, fire extinguisher, first aid kit), I will report all accidents and spills immediately, I will follow all written and verbal instructions, I will never work alone in the lab
• Do you have any allergies or medical conditions the instructor should be aware of? (multiple choice, required) — options: Yes, No
• If yes, please describe (long text, optional)
• Emergency Contact Name & Phone (text, required)