Room Number	___________________	Department	_______________________
Laboratory Supervisor/Principal Investigator		________________________________
Emergency Contacts for laboratory:

Name	Office Location	Office Phone	Home Phone
___________	___________	___________	___________
___________	___________	___________	___________
___________	___________	___________	___________
___________	___________	___________	___________
___________	___________	___________	___________

Special Hazards/Instructions: ____________________________________ ____________________________________________________________ _____________________________________________________

Prepared by:

_____________

Date Posted:

__________

Note: The information in this sign must be updated at least every six months and immediately in the event of any change of emergency contacts or special hazards.