Last Revised: March 20, 2020
Revised 6/2019 (original)
This form is designed to facilitate a Hazard Assessment for demonstrations, which can present unique hazardous circumstances. These surveys should be completed by the instructor performing the demonstration and will be used by EHRS to evaluate the safety of the demo and determine if further controls need to be implemented. Email the completed form to ehrs@ehrs.upenn.edu unless instructed otherwise.