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

The instructions about who has to do what kinds of training are elsewhere. 

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 grad students and other research staff.  This responsibility is not negotiable and cannot be reassigned.   Introductory Lab Safety Training for Lab Staff is offered by REM to help Departments and supervisors fulfill some of their training responsibilities. 

 

(1) online independent study in TWO parts; 
    (a) "CHP1" -- a fairly in-depth overview of the Chemical Hygiene Plan, and
    (b) "PPE" Personal Protective Equipment training,
          (If it has been more than 3 months since you completed the online exercises, or you have forgotten and not kept a record, do them again.

(2) Sign up for (and attend) the 110-minute small group training session (called "CHP2") which covers, for each worker, the very work area specific hazards of his/her job.  (Sign-up form continues below.) 

Print and bring with you to the training session the confirmation forms from 1(a), 1(b), and 2.  The instructor cannot admit you without them.

Note that the sessions are 110 minutes, and usually fit between scheduled class times.  If you cannot fit any of the shown times into your schedule, please follow the instructions for completing the ScheduleCard below.  Groups of 5 - 10 are ideal, but "groups of one" are not uncommon. 

  
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 is to 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)

 

 
Do not sign up for a session you will not attend.
 

 

There are no other sessions offered by REM during summer 2008.  Any other training needs must be met by your department.  Note that all staff and student researchers are required by law to receive adequate training and information before they work with any hazards.  There is no requirement that it all come from REM.

 

4. First Name:

 

           5. Last  
Name:

   

              

 

 

Last name, and alias must match Purdue records.

6. Alias 

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

7. Dept:

  Please use accepted abbreviation if possible: ABE, BIOL, CHM, ECE, MCMP, MSE...

8. Staff type: 
  undergrad student graduate student postdoctoral
Technical/service A/P Faculty
none of these    

9. Supervisor name: 

 

10a.
In which building(s) will your work take place? 
        		10b. Will you have any Purdue keys?
        
 
 

   
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 FORM FAILS or GIVES AN ERROR, PRINT THIS WEB PAGE (filled out), PHOTOCOPY,  AND SEND IN CAMPUS MAIL TO John Goff, Chemistry, WTHR, and send him email at jgoff@purdue.edu to let him know you are mailing a CHP2 sign-up.