Chemical(s) User Authorization Form
I hereby certify that I have read the Standard Operating Procedure, the MSDS and associated materials concerning the use
of_________________________________________________________________________________________________
___________________________________________________________________________________________________
in this lab. I also certify that I understand and agree to the following:
- I must follow the written Standard Operating Procedure for the chemical(s) listed above.
- I understand the requirements for the use of personal protective equipment and other safety devices required for the use of the chemical(s) listed above.
- I am aware of the location of and procedures for the use of first aid supplies for exposure to the chemical(s) listed above.
Name (Please Print) Signature Date Supervisor's
Initials
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