Scout Name ______________________________________________________________ Unit # ____________ Date ____________

Safety Merit Badge Worksheet

Requirement 1
Inspect your home for safety hazard using a list approved by your Unit Leader and Counselor

What hazards did you find, why are they a hazard, and how they can be removed?

Hazard Why Correction

Requirement 2
List down ten-(10) safety rules to be observed in your home.

1. __________________________________________________________________________________________________

2. __________________________________________________________________________________________________

3. __________________________________________________________________________________________________

4. __________________________________________________________________________________________________

5. __________________________________________________________________________________________________

6. __________________________________________________________________________________________________

7. __________________________________________________________________________________________________

8. __________________________________________________________________________________________________

9. __________________________________________________________________________________________________

10. _________________________________________________________________________________________________

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Scout Name ______________________________________________________________ Unit # ____________ Date ____________

Requirement 3
Do one of the following:

Take active part in the safety work in school over a period of at least 10 weeks, at all times doing your best by example and
attitude, to interest your schoolmates in safety work.

Build a cabinet for the safe and proper storage of medicines or poisons OR a suitable play pen for a baby OR recommended
safety device for the home or the unit and with approval of the Counselor, make such a device.

Requirement 4
How do you make yourself visible while walking on the road at night? ___________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________

On which side of the road you should walk, day or night? Why? ________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________

Explain how to correctly carry a full-sized bolo. _____________________________________________________________________

____________________________________________________________________________________________________________
____________________________________________________________________________________________________________

How to handle, carry, and store safely various kinds of farm tools in the home or shop? _____________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________

Show good knowledge of local traffic regulations and basic rules of the road.

Familiarity and ability to operate common types of fire extinguishers.

Requirement 5
Submit and comment on newspaper accounts which you have gathered within the past six months, describing at least three kinds of
accidents due to any one of the following causes: Getting on and off moving vehicles, cross streets or highways, reckless driving, and
failure to observe traffic laws.

Accident __________________ Comment _________________________________________________________________________

____________________________________________________________________________________________________________
____________________________________________________________________________________________________________

Accident __________________ Comment _________________________________________________________________________

____________________________________________________________________________________________________________
____________________________________________________________________________________________________________

Accident __________________ Comment _________________________________________________________________________

____________________________________________________________________________________________________________
____________________________________________________________________________________________________________

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Scout Name ______________________________________________________________ Unit # ____________ Date ____________

Requirement 6
Explain in discussion with your Counselor OR dramatize with members of your Patrol/Crew, what you consider as the main hazards
involved in:

Modern Transportation
Industry
Recreation
Home

Requirement 7
How do you deal safely with the following:

Wire dangling from the electric line. ______________________________________________________________________________

____________________________________________________________________________________________________________
____________________________________________________________________________________________________________

Safe storage and use of gasoline. _________________________________________________________________________________

____________________________________________________________________________________________________________
____________________________________________________________________________________________________________

Running engine in a closed garage. _______________________________________________________________________________

____________________________________________________________________________________________________________
____________________________________________________________________________________________________________

Dangers of firecrackers. ________________________________________________________________________________________

____________________________________________________________________________________________________________
____________________________________________________________________________________________________________

Three ways of turning on a fire alarm 1. ________________________________________________

2. ________________________________________________
3. ________________________________________________

Give exact location of fire alarm nearest to your home, school, and unit meeting place.

Requirement 8
Explain in discussion with your Counselor how you can contribute to the safety of yourself, your family, and your community, as
proof of your understanding and appreciation of safety.

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