Forms


PROJECT REGISTRATION AND AMENDMENTS

Institutional Biosafety Committee (IBC) members review projects; non-exempt projects are sent to the full IBC for review, comment, and approval.
The project submittal deadline is 5 pm on the first Wednesday of each month. [IBC Meeting schedules]
Summary of the NIH Guidelines will assist you in determining which category/categories your experiments fall under. 


Type of Work

Form

All experiments involving the use of recombinant DNA (rDNA)

Word Recombinant/Synthetic Nucleic Acid rDNA       

Experiments involving synthetic nucleic acids that 
  a) are designed to integrate into DNA,
  b) are replication competent or able to replicate in a living cell or
  c) code for a vertebrate toxin with an LD50 of <100 nanograms/kilogram body weight.

Word Recombinant/Synthetic Nucleic Acid rDNA 

Experiments involving:
  a) BSL-2 or BSL-3 human, animal, or plant pathogens,
  b) Unknown human and animal pathogens, 
  c) Primary human tumor cells, 
  d) Cell lines immortalized with a virus (e.g. EBV, SV40) or
  e) Human blood, body fluids, or tissues known to be positive for human
     disease-causing agents

Acrobat Biological Agent   Word Word      

Any work with biological toxins with a mammalian LD50 ≤ 100 µg/kg body weight

Acrobat Acute Toxin   Word Word

Addition or deletion of project personnel or project location; termination of project

Word Administrative Amendment

Change to experimental plan (i.e. addition or deletion of genes, hosts, agents) for any
existing registration.  Note that major changes may require a new registration.

Word Technical Change Amendment*

*The new use of rDNA in animals or new use of agents which fall under a different section of the NIH Guidelines for Research Involving Recombinant DNA Molecules than the original project approval will need to be reviewed and approved by the Institutional Biosafety Committee (IBC).


BIOPATH FORMS

BioPath:

Biohazards Medical Monitoring Program

Authorization Form as fillable Word template

Acrobat Medical Assessment Questionnaire

Acrobat BioPath Renewal Form


 

BLOODBORNE PATHOGENS

 

2012 Bloodborne Pathogen Program and
Biomedical Waste Training Compliance

Acrobat Receipt of BBP Materials  and Training Coordinator Designation Form   Word Word

Acrobat List of Individuals Trained   Word Word

Acrobat Acceptance/Declination of HBV Vaccination  (Training & Vaccination Form)   Word Word

Acrobat Standard Operating Procedures   Word Word 


 

ANIMAL CONTACT

Animal Contact Medical Monitoring Program

Acrobat Risk Assessment for Animal Contact   Word Word

Acrobat Renewal Risk Assessment for Animal Contact   Word Word