Experiment Safety Risk Assessment Form （compulsories）环境科学与工程学院学生开题实验安全风险评估表 中英版.docx

环境科学与工程学院学生开题实验安全风险评估表 Experiment Safety Risk Assessment Form for Students in the College of Environmental Science and Engineering 姓名 Chinese Name ____________________ 学号 Student ID ________________ 联系方式 Contact ______________________ 课题名称 Research Topic ________________________________________________________ 序 号 NO 课题主要涉及的安全风险 Safety risks involved in the research 课题组实验室培训要求 Required laboratory training of the research group 完成课题组主要涉及的危化品种类 以及其 MSDS 文件、相关危化品的 个人防护和应急处理措施培训。 危化品 1 Hazardous chemicals Completed the training on the main types of hazardous chemicals and MSDS documents of the research group, as well as personal protection and emergency response measures for the involved hazardous chemicals. 完成课题所涉及主要实验操作步骤 和个人防护培训，经过训练考核，可 以独立或协同进行实验。 实验操作 2 Experimental operation Completed the training on the main experiment operational steps involved in the research, and personal protection, and conduct the experiment independently or cooperatively after training and assessment. 导师 签名 Mentor’s signature 仪器设备 操作 3 Instrument and equipment involved 废弃物处置 4 Waste Disposal 完成课题组主要仪器设备的规范操 作流程培训，经过训练考核，可以独 立或协同操作仪器设备。 Completed the standard operation process training of the main instruments and equipment of the research group. After training and assessment, the instruments and equipment can be operated independently or cooperatively. 完成实验室废弃物分类回收处理培 训。 Completed the training on laboratory waste classification and recycling. 课题实验安全风险防范概述（可附页） Research experiment safety risks prevention overview (attachable): 本人签名(Personal Signature)： 年 月 日(Date) 填表说明：本表适用于本科生、研究生论文开题，为必要材料。 Note: This form is a necessary document applicable to the thesis opening for undergraduate and post graduate students