Building:  Name:
Department:  Date of Request:
Room Number: 
Is this an update of current sign?
Yes
No
Is this a request for a new sign?
Yes
No
# New Signs Needed (Actual background signs, not labels): 

This form should be returned to Pam Fatland, Manager Chemical Safety, Office of Environmental Health & Safety, TW16, or e-mail <pfatlan@tulane.edu>. For questions, call 988-2800.
Please check which labels are needed for the laboratory door. For personal protective equipment labels, only check those items required for entry into the room. If this is an update of the current sign, please explain what changes need to be made (i.e., which labels need to be added or deleted). Note: Emergency information at the bottom of the sign is required and is also kept on file for emergency response purposes. If this information has changed, new stickers are available.

3x4 labels	1 3/4 x 1 3/4 Labels
Infectious Agent	Cancer Hazard
Radioactive Material	Oxidizer
Chemical Storage Area          (Actual storage area, not lab)	Poison
Laser Light	Flammable
Microwave Radiation	Explosive
Ultraviolet Light	Corrosive
	No Smoking
	Formaldehyde
	Biohazard
	Safety Glasses
	Splash Goggles
	Face Shield
	Face Shield and Goggles
	Gloves
	Boots
	Apron
	Splash Suit
	Full Suit
	Dust Respirator
	Vapor Respirator
	Dust & Vapor Respirator
	Air Line Hood or Mask
	Water Reactive
	Flammable Gas
	Non-flammable Gas

  Please fill in the emergency information section below. Please print.

 When you are finished filling out the form, click on the Submit Query button to send the form!