High School Student Safety Culture Survey

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This is a 20 question survey for high school students who have already taken or are currently taking a laboratory course. The aim of this questionnaire is to gain a deeper understanding of students and their perspective on laboratory safety practices.

I know the location of the safety showers and eyewash stations in my class laboratory.

Yes

Clear selection

I am confident I know the emergency exit routes from my class laboratory.

Agree

Disagree

Clear selection

I should wear lab coats/safety goggles if someone nearby is doing lab work, but not me.

Agree

Disagree

Clear selection

There is clear labeling to indicate which surfaces require or do not require gloves in my class labs.

True

False

Clear selection

The proper time to wear a lab coat is:

As I enter the lab

Only before I begin any experiment

Only if I plan to use chemicals

They are not necessary for lab work

Clear selection

I am always very familiar with the hazards of any chemical I work with.

Agree

Disagree

Clear selection

I can positively identify hazard pictograms.

Agree

Disagree

Clear selection

Loose clothing or long and untied hair can be a hazard in a laboratory setting.

Agree

Disagree

Clear selection

What are the potential hazards with wearing contact lens in a laboratory setting?

There are no serious hazards

Contacts moving from the center of the pupil and obstructing vision

Potential for prolonged chemical exposure

Goggles eliminate hazards when wearing contacts

Clear selection

I know where and how to dispose of laboratory waste in class.

Agree

Disagree

Clear selection

I feel comfortable talking with my teacher or peers about any potential hazards or unclear instructions in the laboratory.

Agree

Disagree

Clear selection

Submit

Clear form

This form was created inside of University of Minnesota Twin Cities. Report Abuse

Forms