Submit Safety Concern

Chemistry

The labs in the Department of Chemistry 51�� Michigan University contain chemicals and other hazardous products. Standards and procedures are set for the safe use, storage and disposal of these products, as well as procedures and guidance on safe laboratory practices and equipment.

Any health and safety concerns of staff or students may be discussed with the staff (laboratory manager or faculty member) or submitted anonymously on this form.

Department (required)

Location of incident (required)

Hazard (required)

Chemical

Health

Physical

Other

Please describe the hazard.

Describe your concern (required)

Describe your concern and include any unsafe conditions or practices and any causes or contributing practices.

Date concern occurred

Time concern occurred

Has this been previously reported?

Yes

Not sure

To whom has it been reported?

Do you have any recommendations for this issue?

Other comments

Do you have a photo that document the issue?

One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png.

Optional: Would you like staff to contact you directly?

Yes

Name

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Chemistry

Submit Safety Concern

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