BOSTON UNIVERSITY LASER SYSTEM DISPOSAL REQUEST
Permit Name: _______________________ Location:_____________ Room: ________
Phone number: ______________________ email: _____________________
Please complete the following information and email to kurk@bu.edu
Laser Manufacturer: ________________________________________________
Serial No. (s): _____________________________________________________
BU ID Tag (if assigned): _____________________________________________
For Disposal: _____________________________________________________
To be transferred to: ________________________________________________
To be donated or sold to: ____________________________________________
Description of laser system to be disposed of shall include laser medium, emitted
wavelengths, maximum output of laser radiation, pulse duration (when appropriate) and
laser class.
Laser Classification (circle): Class 1
2M
2R
3M
3B
4
Laser Medium: ________________________ Wavelengths: ___________________
Maximum Laser Output: ____________________________
Pulsed Duration: _________________________________
Once the decision has been made to dispose of a Laser System the following actions
must be taken Prior to the actual Disposal:
1) Review the manufactures laser system manual for “CAUTION” statement that will
specify associated hazards.
2) Completely disable the laser from ever operating again. Eliminate the possibility
of activating the laser by removing all means by which it can be electrically
activated. Remove the power cord and switches.
3) Impair the laser hardware.
4) Remove any hazardous substances such as Mercury switches, Batteries, Dyes,
Oils, Solvents, biological, chemicals, radioactivity, etc., and wherever possible
recycle them.
5) Remove and separately recycle any Laser Diodes or BeO Plasma Tubes from
the Laser.
6) Recycle whatever is left of the Laser.
7) Notify the LSO to have the Laser removed from Inventory.
8) Obtain GREEN STICKER for final disposal.
______________________________________
______________
Signature of Principle Investigator/Permit Holder:
Date
_________________________________________________________________
LSO: Laser Inspected on:
Disposal approved:
Disposal disapproved:
LSO signature:
Date: