C
CONESTOGA
THE CONESTOGA COLLEGE INSTITUTE OF TECHNOLOGY
AND ADVANCED LEARNING
ACKNOWLEDGEMENT OF SAFETY TRAINING AND RESPONSIBILITIES
Asastudent in CHEM8010, [ understand that cerain risks and dangers are inherent in this,
program/course and, in particular, in the shop/lab areas.
I acknowledge that I have completed and understood the safety training for this program.
agree to follow safety procedures as outlined by college staff and to question those I do not fully
understand,
I further acknowledge that my personal safety is primarily my responsibility and I am fully
accountable for my actions.
I will consult with college staff in situations in which I am unsure of appropriate safety practices
or considerations.
If observe a potential hazard, or any situation which I perceive to be unsafe, I will bring it to the
attention of a college employee.
| will not use or operate equipment/machinery that I have not been trained on, or am not familiar
with the safe operation of.
NOMANAHMED A. KHATRI
STUDENT NAME (PLEASE PRINT)
Ad-febs : 7-Sep-2023
SIGNATURE V DATE