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Room Sign Request

Room Sign Request Form

Instructions

Laboratory signs provide safety information to employees, visitors and housekeeping personnel notifying them of potential hazards. By filling in the following request form, laboratories can request a customized laminated sign. Your new laboratory sign should arrive within 1-2 weeks by way of campus mail. If for some reason you do not receive your sign within the designated time period, please contact the Research Safety Group at 292-1284. Thank you.

Contact Information

Principal Investigators First Name:
Principal Investigators Last Name:
Primary Emergency Contact Name:
Primary Emergency Contact Phone:
Secondary Emergency Contact Name:
Secondary Emergency Contact Phone:
Building Name:
Laboratory Room Number:

Form submitted by:

First Name:
Last Name:
Email Address:
Building Name:
Room number:
Phone number:
Comments:
 

Available labels and laboratory designations:

Choose one, if applicable:
BIOSAFETY LEVEL 1 (BSL-1)
BIOSAFETY LEVEL 2 (BSL-2)
Choose one, if applicable:
DESIGNATED AREA WITHIN LABORATORY
DESIGNATED AREA LABORATORY
Choose all that apply:
CAUTION-RADIOACTIVE MATERIALS
CAUTION-RADIOACTIVE MATERIALS STORAGE
CAUTION-X-RAY EQUIPMENT
CAUTION-X-RAYS
CARCINOGENS
HIGHLY TOXIC
CAUTION-LASER RADIATION
REPRODUCTIVE TOXINS
WATER REACTIVE MATERIALS (> 1 lb)