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["附件2："]
["本科教学实验项目安全风险评估表"]
["项目所属学院"]
["实验项目代码"]
["实验项目名称"]
["项目负责人"]
["项目承担实验室"]
["实验室自评情况","1、是否涉及毒性、腐蚀性、易燃易爆、易制毒、易制爆等\n高危险化学物质，存在安全及环保风险？",null,"是  ","否"]
[null,"2、是否存在微生物（传染病、病原体类）、危险动物等安全风险？",null,"是","否"]
[null,"3、是否涉及放射源、射线装置，存在放射污染？",null,"是","否"]
[null,"4、是否涉及高温高压高速设备器材，存在实验操作安全风险？",null,"是","否"]
[null,"5、是否存在用水、用电及其它风险？",null,"是","否"]
[null,"6、若选择“是”，是否已制定相应措施和应急方案？",null,"是","否"]
[null,"7、安全风险等级：高危险等级（一级）、中危险等级（二级）、一般危险等级（三级）"]
[null,"主要风险因素分析及风险应对策略：（可另附）"]
[null,"项目负责人签字：",null,"年   月    日"]
["学院评估情况","1、是否具有实验安全承担能力、项目风险是否可控？",null,"是","否"]
[null,"2、是否已制定安全风险监管体系和应急措施？",null,"是","否"]
[null,"3、是否同意开展本实验项目教学？",null,"是","否"]
[null,"学院负责人签字：",null,"年   月    日"]
["专家评估意见","1、实验项目风险评估是否真实全面？",null,"是","否"]
[null,"2、安全风险是否在可控范围？",null,"是","否"]
[null,"3、是否可以安全地开展本实验项目",null,"是","否"]
[null,"4、评估结果：通过（O）、自行整改通过（A）、整改并复核（B）、不通过（C）"]
[null,"评估专家签字：",null,"年   月    日"]
["注：如需进一步说明，可另附页。"]