Safety and Health Instruction Form

Personal Details
Name
Student ID

A. Experimental details
a) Title of experiment:

b) Name of equipment:

c) Location of experiment:

d) Date of experiment:

e) Description of experiment:

B. Checklist to conducting the laboratory experiment (tick with \/ the column)

I have read the equipment manual and understand the operation of the equipment.
I have read and understand the experimental procedure and objectives
I have read the safety instruction sheet do and don’t list

C. Answer the following questions:

a. What are two common factors often leading to an accident in the laboratory?

b. Identify one unsafe condition that can occur during the experiment.

i. Identify a kind of accident that can be triggered by the unsafe condition.

ii. Suggest how could manage the unsafe condition hence avoiding the accident.

c. Identify one unsafe act that can occur during the experiment.

i. Identify a kind of accident that can be triggered by the unsafe act.

ii. Suggest how could you manage the unsafe act hence avoiding the accident.