Title Page
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Principal Investigator
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Department
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Location
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Phone
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Conducted on
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Prepared by
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Materials or agents used:
- Recombinant DNA
- Transgenic organisms
- Viral or host systems vectors
- Infectious Agents; bacteria, virus, fungus, prion, etc.
- Biotoxins, allergens or other biohazardous material
- Human/non-human primate blood, serum or fluid
- Human/non-human primate tissue or cell lines
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Personnel
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Used daily?
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Bloodborne pathogen and/or Tuberculosis training required?
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Infectious shipping training required?
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Hepatitis B vaccine recommended?
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Advised and trained for specific hazards/procedures?
Engineering Controls
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Hand washing facilities?
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Readily available with appropriate (antimicrobial) soap?
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Eyewash/shower?
Personal Protective Equiment
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Disposable (single use) gloves available and in use?
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Gloves are not worn outside of laboratory
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Lab coats or gowns?
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Protective eyewear and face shields?
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Masks/respirators?
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Removed before leaving work area?
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Cleaned by professional laundry service?
Work Practice Controls
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No eating, drinking, smoking, applying cosmetics, or handling contact lenses in laboratory?
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Food or drink is not stored in areas where potentially infectious materials are present?
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Appropriate pipetting devices in use?
Sharps
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Policies are in place for the safe handling of sharps, such as needles, scalpels, pipettes, and broken glassware.
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Are needles used?
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Safe devices in use?
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Are there procedures where safer devices cannot be used?
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Needle recapping using approved methods?
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Are sharps boxes available within arms reach, in sight and routinely replaced when 3/4 full?
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Have glass capillary tubes and vacuum tubes been replaced by plastic?
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Have blood drawing personnel been advised not to reuse blood tube holders?
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Has the practice of injecting blood through a stopper into a vacuum tube using an exposed needle been discontinued?
Work Areas
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Absorbent paper in use?
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Disinfectants:
- 1% bleach
- 10% bleach
- 70% ethanol
- Dispatch
- Clidox
- Quatricide
- other
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Work surfaces are decontaminated after completion of work and after any spill or splash of potentially infectious material?
Biohazard Postings
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Door
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Refrigerators/Freezers
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Equipment
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Waste containers
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Emergency response procedures
Biological Safety Cabinets
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Biosafety Cabinets?
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Type
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Used when potential for aerosols exist?
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Clear of all nonessential equipment?
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Shared with others
Biohazardous waste
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Liquid and solid waste is decontaminated or sterilized before disposal using an effective method?
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Autoclaved prior to disposal?
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Autoclave SOP and verification of biological effectiveness log?
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Containers clearly labeled and covered?
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Sharps and broken glassware?
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Mechanical devices available for broken glass?
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Comments/recommendations