Blank (see slide 2 for example & symbols)

Location
Hazards Within:
Primary Contact:
Second Contact:
Building Monitor/Safety:
Department Head:
Fire/Police/Ambulance: 911
Envir. Health & Safety
(or RSO, if needed): 646-3327
Replace this text
with description
of hazards

Replace this
text with
hazard symbols

contact name & office phone
contact name & office phone
monitor name & office phone
name & office phone
646-3327 (8-5 m-f )
after hours call 911
Building name & room number
(building name & room number, list subrooms, if any)
Hazards Within:
List hazards such as
Flammables, Acids,
Bases, General
Chemicals, high pressure
compressed gases,
Biohazards, Radioactive
materials, etc
Primary Contact:
(name & office phone)
Second Contact:
(name & office phone)
Building Monitor/Safety:
(name & office phone)
Department Head:
(name & office phone)
Fire/Police/Ambulance: 911
Envir. Health & Safety
(or RSO, if needed): 646-3327
Example + symbols
More symbols