WORKSHOP SAFETY AGREEMENT

For insurance and admin purposes, please read the agreement, complete this form and submit.

Name

First Name

Last Name

Email

Please note that Corinne uses images of participants at workshops for promotional purposes, eg website or SM. If you are NOT ok with this, please speak up when the camera comes out!

Please do not use pics of me

Phone

WORKSHOP SAFETY AGREEMENT

You will be doing many activities during this workshop that will require the use of tools, equipment and chemicals. Safety is the number one priority for everyone. To ensure a safe workshop, these rules must be adhered to at all times. Please sign below to agree to the following:

· Enclose, dispose of and store chemicals in a safe place

· Never mix or pour chemicals in sinks. Sinks are to be used only for water-based materials. Chemical solvents used by the participant are to be taken home. Check the label of all waste containers twice before adding chemical waste to the container. Handle flammable hazardous chemicals over a pan to contain spills. Never dispense flammable liquids anywhere near an open flame or source of heat. If a chemical should splash in your eye(s) or your skin, immediately flush with running water for at least 20 minutes. Notify the teacher immediately.

· Use safe handling procedures for chemicals and tools

· Limit exposure to chemicals by using protective clothing and equipment and ensuring adequate ventilation

· Wear protective clothing and footwear

· Take care when setting up easels and other equipment and furniture (the parts to hold up the art sometimes drop suddenly and can crush fingers)

· Take care to secure loose clothing or scarves

· Take time to stretch and take a break from your workstation

· Participants affected by drugs or alcohol are not permitted in the workshop

· Participants with any health problems that may affect workplace safety (e.g. medication, epileptic fits) must report these conditions to the workshop staff

· Immediately notify the workshop supervisor of any faulty or broken equipment

· Keep leads up off the floor

· Keep your work area tidy

· Clean up any spills immediately

· Wash hands after using equipment and materials

· Return all equipment clean and in working order to the proper storage area.

· When using sharp instruments, always carry tips and points pointing down and away. Always cut away from the body. Never try to catch falling sharp instruments. Grasp sharp instruments only by the handle.

· Report an accident (spill, breakage, etc) or injury (cut, burn, etc) to the teacher immediately, no matter how trivial it may appear. If you and/or your classmate are hurt, immediately get the teacher’s attention.

The undersigned agrees to defend, indemnify and hold harmless Corinne Loxton from and against all costs, losses, claims, demands, suits, actions, payments and judgments, including legal and attorney fees, arising from personal or bodily injuries, property damage or otherwise, however, caused, brought or recovered against any of the above that may arise for any reason from or during or be alleged to be caused by the undersigned's (use/occupancy of Corinne’s facilities, furniture or equipment, or nature of activity).

Unless otherwise stipulated, the above-signed agrees to allow Corinne Loxton to use photographs taken during the workshop to promote and advertise future art workshops. The photographs may need to be annotated with the name and suburb of the person pictured. In addition, he/she gives permission for Corinne to email him/her.