SAFETYSHEET

TheIllinoisJuniorAcademyofScience

Directions: Thestudent is asked to readtheseintroductionscarefullyandfill out thebottomofthissheet.Thescienceteacherand/oradvisor

mustsignintheindicatedspace.Bysigningthissheet,thesponsorassumesallresponsibilitiesrelatedtothisproject.

Safety and the Student: Experimentation or design may involve an element of risk or injury to the student,test subjects and to
others. Recognition of such hazards and provision for adequate control measures are joint responsibilities ofthe student andthe
sponsor. Some of the more common risks encountered in research are those of electrical shock, infection from pathogenic
organisms, uncontrolled reactions ofincompatiblechemicals,eyeinjuryfrommaterialsorprocedures,andfireinapparatusorwork
area. Countering these hazards and others with suitable safetypracticesisanintegralpartofgoodscientificresearch. Inthe
chart
below,list the principal hazards associated withyourproject,ifany, andwhatspecificprecautions you haveusedassafeguards. Be
sure to read the entire section in the Policy and Procedure Manual of the Illinois Junior Academy of Science entitled "Safety
GuidelinesforExperimentation"beforecompletingthisform.

Possiblehazards
Precautionstakentodealwitheachhazard
Thepassingofhumangermsto
Lumbricusterrestris
and
Safetyglovesarewornwhenevertouchingor
Thepassingofgermsfrom
L.terrestris
tohumans
handlingworms

Wormsmaydiefromlackofnutrients
Wormsarekeptinthefarmswithanadequateamountofsoil

andwater,aswellasafoodsource.

Ethylalcoholwillbeusedwhichcanhavedangeroushealth Gloveswillbewornwhenworkingwithethylalcoholand
Effectsifitentersthebody
Theethylalcoholwillbehandledverycautiously

Specificsafetypracticesrelatedtomaterialsrequiringendorsementsheetsshouldbedetailedonthespecific
endorsementsheetandnotincludedonthissafetysheet.

Pleasecheckoffanyotherpossibleendorsementsneeded.Includethesedocumentsinyourpaperandonyourboard.
_____HumansasTestSubjectsforanyprojectsinvolvinghumansincludingsurveyadministration
_____Microorganismsforanyprojectsinvolvingbacteria,viruses,yeasts,fungiorprotazoa
_____NonHumanVertebratesforanyprojectsinvolvingfish,amphibians,reptiles,birdsormammals
_____TissueCultureforanyprojectsinvolvinggrowingeukaryotictissuesorcellcultures
_____LetterfrominstitutionwhereresearchwasdoneorIJASSRC,ifanexceptiontotheIJASruleshasbeengranted

SIGNED

StudentExhibitor(s)
SIGNED

Sponsor*

*Asasponsor,Iassumeallresponsibilitiesrelatedtothisproject.

ThisSheetMustBeTypedand
Thisform
must
bedisplayedonthefrontoftheexhibitorsdisplayboard.Itmaybe
reducedtohalfasheetofpaper8.5inches(vertical)X5.5inches(horizontal).