APPENDIX F

Perforated Ear Drum Waiver

Waiver: Hydrogen Sulfide Exposure—Perforated Ear Drum

Due to the nature of operations on Leg ____, participants face potential exposure to hydrogen sulfide (H2S) gas. Situations may develop that require air-breathing masks/respirators to be worn by personnel working in designated hazardous areas. Since the protective breathing apparatus does not cover the ears, H2S may enter the body through a perforated or punctured eardrum.

If an individual suspects or has been diagnosed to have a punctured/perforated eardrum but elects to participate on ODP Leg ____, he or she must sign the statement provided below.

My signature below (with witness) indicates that I have been informed of the dangers associated with hydrogen sulfide (H2S) exposure when a perforated or punctured eardrum condition exists. I choose not to hold the Ocean Drilling Program–Texas A&M University, Texas A&M Research Foundation, National Science Foundation, or the owners of the R/V JOIDES Resolution responsible for any accidents, illness, or medical problems that might occur as a result of H2S exposure via a punctured or perforated eardrum.

Signature:_______________ Date:________________________

Witness:_______________ Date:________________________

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