Register for Basic Intro Lab Safety Training & Review, aka "CHP2."

See also the general instructions about different types of training. 

An individual's safety training is the legal responsibility of the individual's department and the individual's supervisor  --  the professor in the case of all who work for faculty.  This responsibility is not negotiable and cannot be reassigned.   Introductory Lab Safety Training & Review is offered by REM to help Departments and supervisors fulfill some of their training responsibilities. 

 

  

 
Provide Information & Sign-Up for 110-min "CHP2 Training" meeting.
You must be able to print the confirmation form after submitting this web form.
Each person complete his/her own form, i.e. nobody signs up another person.  The responses provided by the prospective attendee give valuable information to the training meeting instructor which allow some tailoring of the content of the session.  THIS WILL TAKE 10 - 20 minutes to do correctly (after you've done the CHP1 and PPE online parts):  Follow all instructions, complete all of the information requested, and then click on the SUBMIT FORM button at the bottom and print the confirmation page.  NOTE THAT YOU MUST know and communicate quite a bit about the work you will be doing.  Take the time to provide complete answers.

1. Enter date (mm/dd/yy) on which you last completed the CHP1 online reading exercise:
     (Do not enter a date in the future.)    

 The instructions above include what to do if you've forgotten these dates....

2. Enter date (mm/dd/yy) on which you  last completed the PPE online reading exercise:
     or enter NO PPE NEEDED.  (Do not enter a date in the future.)

3. Sign up for: 
(the earliest
time you
are able)

 

 
 
Nonsense registrations -- e.g. for dates in the past, or unauthorized  sign-ups for private sessions -- will be ignored.
If you cannot attend any of the times shown, or if all times shown are in the past, send email to Dr. Swihart (with header CHP2 Schedule Card) with a completed Schedule Card attached that shows all your available times for the three weeks starting after the last scheduled time shown here. 

[ScheduleCard.doc]    [ScheduleCard.rtf] 
(instructions are in document) 

Do not continue with this form until a meeting you can sign up for has been added.

 

NOTE:
If you are signing up for a meeting that is fewer than five weekdays in the future, 
(1) REFRESH THIS PAGE to make certain you're not signing up for a class that has been removed, and
(2) after signing up send a quick email notification, stating that you have signed up and for which date/time.  

4. First Name:

 

           5. Last  
Name:

   

               

 

 

Last name and alias must match Purdue records.  (opens new tab or window)

6. Alias 

   (also often known as "Purdue career account log in name")

7. Dept:

  Please use accepted abbreviation (opens new tab or window)if possible: ABE, BIOL, CHM, ECE, MCMP, MSE...

8. Staff type: 
undergrad student graduate student postdoctoral
Technical/service A/P Faculty (tenured or eligible)
none of these    

9. Supervisor name: 

 
10a.
In which building(s) will your work take place? Please use accepted abbreviations (opens new tab or window), one space between each building abbreviation..
           		10b. Will you have any Purdue keys?
Y N unsure
 
 

   
Complete information is absolutely necessary for the training; communicate with your supervisor or other lab work mentor(s) for help with answers to the questions below if you do not know.

Print and use this form to collect answers if you need to do so before returning to this form.

 
Check any and all chemicals, materials, items, procedures... likely to be included in your activities, even just a small percentage of the time. 

 

Yes

No

 

 

 

Yes

No

 

11.

 

Chemical hood ("fume" hood)

21.

 

Glassblowing

12.

 

biosafety cab or other laminar flow cabinet 

22. 

 

Carcinogens

13.

 

Rotary evaporation 

23.

 

Lasers

14.

 

Pressures below 20 torr 

24.

 

Toxic metals

15.

 

Pressures above 1.5 atm

25.

 

Pipetting

16.

 

Vertebrate animals

26.

 

Centrifugation

17.

 

Autoclave

27.

 

Cryogen(s)

18.

 

Halogenated solvents 

28.

 

Voltages greater than 220V

19.

 

Radioisotopes

29.

 

Human cells, fluids, or tissue

20.

 

X-ray or higher energy 

30.

 

Other biological agents

Provide chemical names or other complete descriptions of any of the following you will work with (separate with commas).  Write NONE where it is the correct response. Use no carriage returns (line breaks).

31. compressed gases

 

32. halogenated solvents

 

33. flammable liquids

 

34. other toxic materials

 

 

List the most important, most hazardous, most frequent, largest quantity.... hazardous chemicals with which you do work or will work.   Enter all you can think of, up to ten.  Two are required.  (In the fields numbered 35 and 36.)  

  

35.  

 40.

36.  

 41.

37.

42.

38.

43.

39.

44.

  

45.  Describe your work or anticipated work with chemicals and equipment somewhat completely and carefully, in such a way as to give a clear impression of it to an intelligent person with a strong science background who does NOT have experience in you field of study.    Use sentences or phrases separated by periods, *not* line breaks.  Also enter any comments, concerns or questions you have:

 

After you submit, carefully read the
instructions on the
resulting Confirmation Page. 
 

IF THIS FORM FAILS or GIVES AN ERROR MESSAGE, send email to swihart@purdue,edu as soon as possible with brief message "CHP2 sign-up submit gives error."  PLEASE.