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Transcript
Biological Awareness Risk Assessment Form Number/Rev # EHS-00056-F3 R1 (Information pertaining to CNSE’s Bio Safety Program can be located on the CNSE Intranet; http://intranet.cnse.albany.edu/ under Policies and Procedures selecting EHS-00056) Name of Agent: Building/Lab #: Phone #: PI: Initiator: Description of Usage: (give a brief description of the biological agent and how it will be used) Biological Agent Category: Biological Toxin Bacteria Mammalian Cell Line Virus Check if this is a stem cell line Yeast Other? Please describe: Biosafety Level and Risk Group (see Definitions, below) ** If BSL2, consult with EHS about IBC protocols** BSL 1 BSL 2 Risk Group 1 Risk Group 2 Is agent a potential human toxin or infectious agent: Y Is Vaccine Available: Y N N N/A Is there an aerosol or splash potential: Y N N/A Personal Protective Equipment: Safety Glasses w/Sideshields Lab coat / Apron Gloves: type Biological Safety Cabinet: class/type Goggles Face shield Waste Handling: Liquid Disinfection (10% bleach for 30 min) BSL 2 Waste Container (red bag) BSL 1 Waste Sharps Definitions: BSL 1: Practices, safety equipment and facilities are appropriate for projects with defined and characterized strains of viable micro-organisms not known to cause disease in healthy adult humans. BSL 2: Practices, equipment and facilities are applicable to clinical diagnostic, teaching and other facilities in which work is done with the broad spectrum of indigenous agents present in the community and associated with human disease of varying severity. This level is appropriate when work is done with any human derived blood, body fluids or tissues where the presence of an infectious agent may not be known. **Consult with EHS about IBC Protocols if BSL2** Risk Group 1: A micro-organism that is unlikely to cause human or animal disease Risk Group 2: A pathogen that can cause human or animal disease but is unlikely to be a serious hazard to laboratory workers, the community, livestock or the environment. Laboratory exposures may cause serious infection, but effective treatment and preventative measures are available and the risk of spread of infection is limited. Printed copies are considered uncontrolled. Verify revision prior to use. DCN0953 CNSE Confidential When Completed Page 1 of 1