Decal Request for Hazard Notice Signage

Please complete one request form for each lab under your supervision and submit to EHS (Box 870178, mwhitney@bama.ua.edu ).

Lab (Building and Room):______________________________   Department: _____________________________________ Number of doors into area: _____________________________

Please list the names and contact phone numbers of the following:

Following is a list of 'standard' lab hazards that should be indicated on a decal request.  Please indicate hazard decals needed for your area:

No food or drink in lab  XXX                  High EMF     _________                     hydrogen _________

High voltage  _______                            Biohazards   ________                        oxygen  _________

UV light __________                              poisons_________                               Radiation* ___________

hard hat area ________                          compressed gases _________            Other _________

Carcinogens present_________           combustible metals  __________        Other _________

Flammables __________                       eye protection as needed ________    Laser(s), class** _________

Ear protection required _________      eye protection required _________    Laser(s), class** _________

pyrophorics ________                           explosives ________

peroxides__________                            reactives _________

*Radiation decals will merely indicate that a lab is subject to the Radiation Safety Program.  All lab diagrams are maintained by EHS.

** Laser decals will merely indicate that there is a laser in the area and that the lab is subject to the Laser Safety Program.  Additional signage will be required.

Depending on the research being conducted, non-standard hazards could be present in the lab area.  Please indicate below if you need any additional signage or hazard decals, beyond those listed above:

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