Laboratory Hazard Sign Information

Please fill out 1 form for each lab. Your sign will be posted in 5-10 business days.

Location Information:

Building Number of Entrances to lab:
Room

Principle Investigator Information:

Name
Office Location
Work Phone
E-Mail
Emergency Phone* 

Alternate Contact Information (Lab Manager, etc)

Name
Office Location
Work Phone
E-Mail
Emergency Phone* 

*List emergency phone numbers for contact in the event of an after hours emergency.  Emergency numbers will not be posted on your sign.  

Check off up to seven of the following (six hazard and at least one personal protective equipment categories). A NFPA 704 diamond will automatically be added to signage for labs with hazardous chemicals or compressed gases:

Personal Protective Equipment-
Check at least 1
Eye Protection Required at All Times       
Eye Protection Required When Chemicals In Use     
Eye Protection Required When Lasers In Use                    Eye Protection Required When Using Power Tools             
Eye Protection Required When Chemicals/Lasers In Use     Eye Protection Required When Chemicals/Power Tools In Use                                                                                                     		Wear Protective Clothing            
No Open Toe Shoes              
No Eating or Drinking    
Bio, Chemical, Radioactive and Physical Hazards-
Check up to 6 
BiohazardBiohazard/Infectious AgentBiohazard/Recombinant DNA
Biosafety Level 1        
Biosafety Level 2              
Biosafety Level 3            
Laboratory Animals           
 Chemical Storage Area          
Corrosive Materials            
Toxic Chemicals              
Flammable Solvent
Explosives
Compressed Gas
Toxic Gas
Flammable Gas            
Cancer Hazard		 Radioactive Materials          
X-Ray Equipment          
Radiation Producing Equipment
Microwave Radiation
Cryogenic Hazard
Electrical Hazard              
High Voltage                   
Laser Light                  
Ultraviolet Light 		 
           Comments or Additional Label Requests:

Environmental Health & Safety.
Revised: January 28, 2008