Laser Warning Sign Request

Last Revised: November 16, 2017

Each laboratory has a room sign that provides safety information to visitors and housekeeping personnel. In addition, Class 3b and 4 laser labs must also have signs that meet ANSI Z136.1–2014 requirements. The principal investigator is responsible for assuring that appropriate warning information is included on the sign. Please allow 2-4 weeks for processing.

EHRS provides Laser Warning Signs to University of Pennsylvania Laboratories ONLY. No outside requests please.

A red asterisk indicates a required field.

Type of Sign Needed

UV radiation is produced.

UV Radiation Room Number(s)

IR radiation is produced

IR Radiation Room Number(s)

There is a non-enclosed beam

Non-enclosed Beam Room Number(s)

Knock Before Entering

"Knock Before Entering" Room Number(s)

Do not enter when light is on

"Do not enter when light is on" Room Number(s)

Type(s) of Laser(s) in Your Lab

Room #	Class	Wavelength	Optical Density (OD)	Max Power Output	Operations
Room #	Class	Wavelength	Optical Density (OD)	Max Power Output

more items

Who Is Submitting This Form

Requester's First Name

Requester's Last Name

Requester's Email

Requester's Phone Number

School

Department

Room Number

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