UNATTENDED EXPERIMENT NOTICE
Unattended experiments must be failsafe. (Designed to prevent the release of hazardous substances in the event of interruptions in utility services.) Any reaction that represents an unusual or extreme hazard should NOT be left unattended.
| EXPERIMENTER | Names and phone numbers of people to contact if there is a problem: |
| LOCATION Bldg. | #1. |
| Room # | Phone # |
| DATE TIME | #2. |
| Phone # | |
| BEGINNING / / a.m. | |
| ESTIMATED p.m. | #3. |
| ENDING / / a.m. | Phone # |
| p.m. | |
| #4. Public Safety 215-596-7000 | |
SERVICES REQUIRED |
HAZARDS |
| Water | Flooding | ||
| Steam | Fire | ||
| Electricity | Explosion | ||
| Fume Hood | Vapors/Fumes | ||
| Compressed Gas | Radionuclides | ||
| Other | Infectious Agent | ||
| Other | Animals | ||
| Other | |||
| Other |
Indicate Special
Hazards or Instructions. Hazardous substances in use should be listed.
|
Public
Safety Office _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ |
| University of the Sciences in Philadelphia • 600 South Forty-third Street • Philadelphia, PA 19104-4495 • phone: 215-596-8800 • email: safety@usip.edu |