Art Department Safety Signature Sheet

Art Department Safety Signature Sheet

Semester______Class______Section_____ Instructor______Room(s) ______

Tools used in class______

______

______

Chemicals used in class______

______

______

______

Equipment used in class:

______

______

To whom it may concern: Faculty signature______date______

I have reviewed the safety procedures and concerns pertinent to this class. I have also advised students about locations of Material safety Data Sheets (MSDS), fire extinguishers and emergency eyewashes, showers and phones. Students are to abide by the procedures and policies discussed in class or presented in written form through documents or signage.

Individual Student's Statement

As a student in the class described above, I have been informed about the materials and equipment used in the class. I will not use other materials or equipment found in the facility (or in the building) without permission of the instructor or the department chair.

Signature Name printed Date

______Chair’s signature Date