Lab Safety Quiz Accommodated Document
LAB SAFETY QUIZ
Accommodated Dual-Track Version
Name:
Date:
How to Complete this Quiz:
๐ฃ๏ธ Listen to teacher
๐๏ธ Look at picture
โ๏ธ Check OK or NO
1
Eat or drink snacks inside the lab room.
Do not eat or drink during experiments.
๐ ๐ฅค ๐ฌ ๐ซ
OKAY
NO
2
Taste any science liquid or chemicals.
Never put science supplies in your mouth.
๐
๐งช โ
OKAY
NO
3
Take lab supplies out of the classroom.
Keep science materials at school.
๐งช ๐ฆ ๐ โก๏ธ ๐
OKAY
NO
Lab Safety Quiz Page 1 of 3
LAB SAFETY QUIZ
Accommodated Dual-Track Version
Student Copy
4
Play pranks, joke, or run in the lab.
Keep classmates safe and stay calm.
๐คช ๐ ๐ฅ ๐งช
OKAY
NO
5
Copy what others do if you are confused.
Stop and ask your teacher instead.
โ ๐ค ๐ ๐ฅ
OKAY
NO
6
Clean up broken glass with bare hands.
Use a brush and dustpan to clean.
๐๏ธ โ ๐ฅ ๐ฅ
OKAY
NO
7
Touch lab tools before the teacher says to start.
Wait for your teacher's signal to begin.
โฐ ๐ ๐๏ธ ๐งช
OKAY
NO
Lab Safety Quiz Page 2 of 3
LAB SAFETY QUIZ
Accommodated Dual-Track Version
Student Copy
8
Listen closely and follow all instructions.
Pay attention to written and verbal safety rules.
๐ ๐๏ธ ๐ โ
OKAY
NO
9
Leave messy supplies for the teacher to clean.
Always clean up your own lab area.
๐งน โ ๐งช ๐๏ธ ๐ฅ
OKAY
NO
10
Tell the teacher immediately about accidents.
Report any spill, injury, or break right away.
๐ฅ ๐ฉน ๐ฃ๏ธ โก๏ธ ๐ฉโ๐ซ
OKAY
NO
My feeling about lab safety: ๐ ๐ ๐
Page 3 of 3
Lab Safety Teacher Guide
TEACHER GUIDE
Accommodated Lab Safety Quiz Facilitation
Page 1: Protocols
Inclusion Focus
This accommodated document matches the exact 10 concepts tested in the standard Google Forms Lab Safety Quiz. It translates verbal instructions into visual equations to help students with reading barriers (including ELL and dyslexic students) process each concept, while incorporating larger clickable targets for students with fine motor or writing barriers.
Oral Reading Protocol (For Non-Readers)
Read each prompt aloud slowly. Avoid reading the "True or False" language from the standard quiz, which increases cognitive load. Instead, read the simplified scenario and direct their eyes to the visual symbol equation.
Suggested Prompt Script:
"Let's look at Number ____. Look at the icons next to the number. They show [explain visual equation, e.g., eating food in the lab]. If you think this is safe and okay to do, mark the green OKAY box. If you think this is dangerous or bad to do, mark the red NO box."
Writing & Motor-Skill Accommodations
For the student with writing barriers, use the following interactive, low-writing tools to mark the large boxes on this quiz sheet:
๐ข Dot Stickers / Stamps
Allow the student to place a colored circle sticker or stamp inside the circular targets.
๐จ Plastic Cover & Marker
Place the quiz inside a dry-erase clear pocket. The student can make a simple mark with a dry-erase marker.
Prep Checklist for Test Day
Print the 3-page student quiz single-sided to make page turns easy and prevent pencil bleed-through.
Prepare an opaque guide sheet (a plain colored card) to block out other questions if students get distracted.
Lab Safety Accommodations Page 1 of 2
ANSWER KEY & ALIGNMENT
Accommodated Lab Safety Quiz Facilitation
Page 2: Key
| No. | Concept / Standard Question | Visual Code | Correct Key | Score |
|---|
| 1 | No eating, drinking, or tasting lab materials. | ๐ ๐ฅค โก๏ธ ๐ฌ | NO โ | 1 pt |
| 2 | No tasting chemicals or laboratory liquids. | ๐
โก๏ธ ๐งช โ | NO โ | 1 pt |
| 3 | Do not take materials out of the classroom. | ๐งช โก๏ธ ๐ โก๏ธ ๐ | NO โ |