SDSs and additional lab safety
protocols are located: ___________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
Name
Title
Department
Office
Office Phone
After Hours Phone
Laboratory Emergency Information
AUTHORIZED PERSONNEL ONLY
Hazards:
Carcinogens
Mutagens
Teratogens Corrosives
Flammables (Solid and Liquid)
Water Reactive Chemicals
Unstable Chemicals (list): ___
_____________________________________
_____________________________________
_____________________________________
Compressed Gases (list): ____
_____________________________________
_____________________________________
_____________________________________
Other Hazards (list): _________
_____________________________________
_____________________________________
_____________________________________
ENTRY REQUIREMENTS
Eye Protection
Clothing
Safety glasses are required
for all visitors and workers
Lab coat, long pants, closed-toed
shoes and gloves compatible with
hazard required for all lab workers.
EMERGENCY DIAL 9-1-1
ENVIRONMENTAL HEALTH AND SAFETY
OFFICE: 372-3227
WWW.TNTECH.EDU/SAFETY
Allowed in Lab
YES
NO
Lab Number: __________________________
High Voltage Equipment
Revision Date:
Protective
ADDITIONAL
ENTRY
REQUIREMENTS
High voltage shut off location: