POTENTIAL HAZARD INFORMATION & SIGNATURE SHEET



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POTENTIAL HAZARD INFORMATION & SIGNATURE SHEET Scientific research involves exposure to various hazards. When deciding to allow your child to participate in research projects conducted in University of Florida laboratories, greenhouses and animal facilities, you need to be aware of the potential hazards he or she may encounter. The following information provides the most common potential hazards, but is not intended to be an exhaustive list of all potential hazards. Definitions Allergens substances capable of producing an allergic reaction. Carcinogens substances capable of producing cancer. Pathogens bacteria, viruses, Prions, fungi, parasites capable of causing diseases. Recombinant materials DNA that has been genetically engineered (altered), usually incorporating DNA from more than one species of organism. Transgenic an organism that has had genes from another organism inserted into its genes. Toxins poisonous substances produced by living organisms, plants and animals. Zoonotic diseases diseases that can be passed from animals to humans. Potential Hazards Your child s research project may involve one or more of the following potential hazards. A table is attached with examples. Chemicals can be unstable, making them reactive and prone to explosion. Potential injuries include skin and eye burns, respiratory problems, allergic reactions, skin, eye, and mucous membrane irritation, and illnesses. Pathogens found in human, animal and plant tissue can cause infections and acute or chronic illnesses. Recombinant materials/technology can interact with the human body and its cells and produce potentially hazardous results. Mechanical/electrical equipment and instrumentation can cause electrocution, burns, cuts, scrapes and injuries from pinch points. High noise levels can cause hearing loss. Radiation/irradiation can cause skin and eye damage, cellular damage and long-term health problems.

Animals can bite, scratch, and transmit zoonotic diseases, such as rabies, toxoplasmosis, pox virus, cat bite fever, rat bite fever, and various parasitic infections or release allergens. Gas cylinders/compressed gasses gas cylinders with compressed gasses can explode, causing injury from high speed projectiles. Released gasses can cause eye and skin irritations, respiratory problems, light-headedness, asphyxiation and fainting. I HAVE READ AND UNDERSTAND the Potential Hazard Information Sheet describing the potential risks and dangers associated with my child s research project. I AGREE AND UNDERSTAND that my child s research project may be suspended at any time, at the discretion of the University of Florida and its officers, agents, and employees, if the safety of my child, the employees and other volunteers of the University of Florida become a concern. Name of Child Signature of Parent or Legal Guardian Date Please return the signed sheet to Environmental Health & Safety by mail to P.O. Box 112190 or by fax to (352) 392-3647 UFEHS-BIO-Form1-06/14/2004

Chemicals Compressed Gases Radiation/Radio active Materials Physical hazards Definition Hazards Examples Carcinogens: may cause some sort of cancer with long term exposure - usually many years in the future Benzene Refined compound that could be in the form of a solid, liquid or gas. These may or may not be hazardous. Some compounds may have numerous hazard classifications (flammable, toxin & carcinogen ) High-pressure cylinders that hold gases. These are usually large & heavy. Gas may be harmless, toxic, corrosive, flammable High energy particles (alpha & beta) or waves (X-rays) Hazards from noise, machinery, heat, cold, etc. Teratogen: shown to affect the reproductive system of males & females & may cause birth defects in the developing fetus. Neurotoxins: may affect the nervous system. Flammables: will burn or explode Reactives: will react explosively Corrosives: will cause tissue damage with contact through inhalation, eye, skin, etc Toxins: May cause illness or death on exposure. Physical hazard: Explosion hazard if they rupture Asphyxiant hazard if they vent the gas to the workplace & it displaces oxygen Tissue & Organ damage with high doses Tissue damage, hearing loss Alcohol, thalidomide, X- rays Ethidium Bromide, snake venom Acetone, Xylene, Alcohol Peroxides, acrylamide Acids & bases Cyanide Asphyxiant: Nitrogen, helium, any other nonoxygen gas Flammable: Hydrogen Toxic: Ammonia Uranium, Phosphorus32, Sodium35, X-rays Scrapes, cuts Cold: liquid nitrogen, dry ice Heat: burners

Biological Agents Definition Hazards Examples Living organisms or Level 1 - No hazard products of living organisms such as Viruses, Bacteria, Fungi, Prions & Parasites. Hazards from infection with these agents are organism dependent & can range from mild treatable to severe untreatable. Level 2 - Mild to severe illness Level 3 Severe illness & possible death Baker s Yeast & E. coli K12 Influenza, Polio & Salmonella Tuberculosis & AIDS Classification of hazard in four groups called biological safety levels with level 1 as the least hazard & level 4 as the extreme hazard. Level 4 Not allowed at the University of Florida Haemorrhagic fever Recombinant DNA Toxins Microbial, Plant, Animal Genetically modified organisms with variations in genes within the organism. Poisons produced by plants, living organisms or animals. Often unknown consequences once introduced to the human body. Tissue & organ damage or death. Viral vectors like Adeno & Adenoassociated viruses used to transfect or express genes. Plant Ricin Animal Fish & Snake venom Microbial Staph, Tetanus

RULES FOR MINORS WORKING IN LABORATORIES AND ANIMAL FACILITIES 1. Never work alone in any laboratory environment without direct, immediate adult supervision from the sponsor or someone designated by the sponsor. 2. Always follow the instructions of the sponsor or laboratory supervisor. 3. Always report any accident (regardless of severity) immediately to the sponsor or laboratory supervisor. 4. Always wear the personal protective equipment as directed and dispose of it appropriately. This personal protective equipment includes glasses, gloves, coats/gowns, and other face/body protection as dictated by the hazard being worked with or around. 5. Always keep your hands away from your face and wash them well with soap and water prior to leaving any laboratory area. 6. Never eat, drink, chew gum, apply lip balm, or touch contact lenses while in any laboratory environment. 7. Always wear closed-toe shoes while in any laboratory. 8. Always tie back long hair to keep it out of all the hazards listed above. 9. Always wear clothing that reduces the amount of exposed skin. 10. Always ask questions if you don t understand the safety requirements.