Emergency Contact Information

Laboratory Information

Buliding Name Acad Surge Advanced Materials Research Laboratory ATIRC Bainer Hall Kemper Hall TB 207 Walker Hall Wind Tunnel Building   Room Number

Laboratory Name

Laboratory Phone

Laboratory Web Site

Personnel

Principal Investigator

PI Phone   PI email

PI Emergency Phone Contact Phone Type Mobile Land Line Other

Laboratory Safety Coordinator (LSC)

LSC Office Location Same as Lab Acad Surge Advanced Materials Research Laboratory ATIRC Bainer Hall Kemper Hall TB 207 Walker Hall Wind Tunnel Building   Room Number

LSC Phone   LSC email

LSC Emergency Phone Contact Phone Type Mobile Land Line Other

Activities & Hazards

Brief List of Activities

Potential Hazards in Laboratory: (Separate w/ commas)

Chemical

Physical

Radioactive

Bio-Hazards

Equipment

Other Precautions, e.g., type of protective clothing required, etc. (be brief):