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The form collects project scope, location, and duration, requires a hazard/risk assessment covering chemicals, risks, safety precautions, PPE and controls, and waste management. It includes signatures for the FSC EH&S Officer, Laboratory Supervisor/FSC Faculty Mentor, participating minor, and parent/guardian, plus emergency contact and medical permission details, emphasizing supervision, rule compliance, and potential removal for unsafe conduct.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/minors-safety-agreement-parental-consent-form-for-minors-participating-in-laboratories-at-farmingdale-state-college/500389/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/minors-safety-agreement-parental-consent-form-for-minors-participating-in-laboratories-at-farmingdale-state-college/500389.png","ImageObject",300,407,{"name":92,"@type":93},"Danger Angel","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-10","2026-10-03",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What information must be included in the hazard/risk assessment section?","Question",{"text":112,"@type":113},"The form requires listing hazardous chemicals, activities, devices, or microorganisms, assessing associated hazards/risks, describing safety precautions and procedures (including PPE and engineering controls), and outlining hazardous chemical or regulated medical waste disposal procedures when applicable.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Who must sign the agreement for it to be valid?",{"text":117,"@type":113},"The form requires reviews and signatures from the FSC Environmental Health and Safety (EH&S) Officer, the Laboratory Supervisor or FSC Faculty Mentor, the participating minor, and the parent or guardian.",{"name":119,"@type":110,"acceptedAnswer":120},"What does the parent or guardian consent to regarding emergency care?",{"text":121,"@type":113},"By signing, the parent/guardian authorizes Farmingdale State College to provide emergency care and treatments if deemed necessary or advisable while the minor is acting in the course of work at the College.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},500389,1791757080,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":52,"preview_page_count":4},962090769052,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","Safety Agreement and Parental Consent Form for Minors Participating in Laboratoriesat Farmingdale State College  \nTitle/Scope/Nature of the Project/Research or Volunteer Opportunity:  \nLocation where Project/Research or Volunteer Opportunity will be conducted:  \nExpected/anticipated duration of Project/Research or Volunteer Opportunity:  \nHazard/Risk Assessment (include extra pages to answer the criteria below, as necessary):  \n1. List/identify the hazardous chemicals, activities, devices or microorganisms to be used:  \n2. Identify and assess the hazards/risks involved:  \n3. Describe the safety precautions and procedures that will be used to reduce the  \nhazards/risks (include any/all personal protective equipment and/or engineeringcontrols that will be required or implemented, if applicable):  \n4. Describe the hazardous chemical or regulated medical waste management and disposal  \nprocedures that will be used (when applicable):  \n5. List the source(s) of safety information:  \nTo be reviewed and signed by the FSC Environmental Health and Safety (EH&S) Officer:  \nI agree with the risk assessment and safety precautions and procedures described above. I certify that Iwill provide technical guidance, as needed, to the Laboratory Supervisor, FSC Faculty Mentor ordesignee. If additional safety considerations are added below, they must be included as part of this riskassessment in order for it to be valid.  \nPrinted Name: Signature: Date:  \nPhone: Email:  \n# Additional Safety Considerations:\n\nTo be completed and signed by the Laboratory Supervisor or FSC Faculty Mentor:  \nI agree with the risk assessment and safety precautions and procedures described above. I certify that Iwill provide direct supervision to the above-mentioned minor.  \nPrinted Name: Signature: Date:  \nPosition at Institution: Phone: Email:  \nTo be completed and signed by the participating Minor*:  \n*For purposes of this form, a minor is a person under 18 years of age and does not apply to minors who are enrolled atFarmingdale State College in a degree-granting or credit bearing program.  \nI, , (Minor’s printed name) have read the hazard/risk assessment and safetyprecautions and procedures described above and agree to follow all of the safety rules set forth in  \nany/all applicable training and policies provided by Farmingdale State College (FSC) . I will or havealready attended a laboratory safety instruction session provided by the Laboratory Supervisor, FSCFaculty Mentor or designee and had an opportunity to ask questions. I realize that I must obey theserules and policies to ensure my own safety, and that of others also in the laboratory. I will cooperate tothe fullest extent to maintain a safe lab environment. I will also closely follow the oral and writteninstructions provided. I am aware that any violation of this safety contract that results in unsafe conductin the laboratory or misbehavior on my part may result in being removed from the laboratory and/ordismissal from the program.  \nMinor Signature:    \nDate:    \nTo be completed and signed by the Parent or Guardian:  \nYou are receiving this form because you are the parent/guardian of a child under the age of 18, who hasbeen offered the opportunity to participate in a laboratory program at Farmingdale State College (FSC) .By signing below, you acknowledge your understanding that scientific laboratories are specializedenvironments involving the use of instrumentation, chemicals and biologicals which, even under idealconditions, may involve a degree of risk which is probably greater than ordinarily encountered in dailylife and which certainly could involve greater risk if used improperly. You also understand that FSC’slaboratory personnel are mindful that they have special obligations and responsibilities to exercise careand attention in the instruction and supervision of your son/daughter, and may exclude them fromactivities they believe to be inherently dangerous or inappropriate to their experience level. No","cbCaiaJTBWUACyjK","https://ap.wps.com/l/cbCaiaJTBWUACyjK","pdf",226125,"English","# Hazard/Risk Assessment\n## Hazard/Risk criteria and required descriptions\n# Safety Agreement Signatures\n## FSC EH&S Officer review and certification\n## Laboratory Supervisor or FSC Faculty Mentor supervision\n## Participating minor acknowledgement\n## Parent/Guardian consent and emergency care permission","[{\"question\":\"What information must be included in the hazard/risk assessment section?\",\"answer\":\"The form requires listing hazardous chemicals, activities, devices, or microorganisms, assessing associated hazards/risks, describing safety precautions and procedures (including PPE and engineering controls), and outlining hazardous chemical or regulated medical waste disposal procedures when applicable.\"},{\"question\":\"Who must sign the agreement for it to be valid?\",\"answer\":\"The form requires reviews and signatures from the FSC Environmental Health and Safety (EH\\u0026S) Officer, the Laboratory Supervisor or FSC Faculty Mentor, the participating minor, and the parent or guardian.\"},{\"question\":\"What does the parent or guardian consent to regarding emergency care?\",\"answer\":\"By signing, the parent/guardian authorizes Farmingdale State College to provide emergency care and treatments if deemed necessary or advisable while the minor is acting in the course of work at the College.\"}]","Minors Safety Agreement - Parental Consent Form for Minors Participating in Laboratories at Farmingdale State College | PDF",1791011034]