LSUHSC Institutional Biosafety Committee (IBC)
IBC Annual Update Form
Revision 9/01/2015
Instructions: Email the completed form in WORD format to IBCoffice@lsuhsc.edu.
Designees replying on behalf of the PI must cc the PI’s email address for IBC acceptance.
The IRB/IACUC will be notified of IBC expiration which may result in your IRB/IACUC approval
being administratively withdrawn.
Electronic Submission Date:
PI:
PI email:
cc email to my coordinator/assistant:
IBC#
Title: «Title»
IRB#
IACUC#
email:
Last IBC approval:
As Principal Investigator, I attest that the information contained in this renewal is accurate and complete. I accept the
responsibility for the safe conduct of work with this study at the Biological Safety Level practices and procedures. I will inform all
personnel, who may be at risk of potential exposure of the conditions of this work and assure that all personnel complete all safety,
biological, animal and/or human research training requirements. I will not introduce any new biological materials or make any
changes without obtaining IBC approval.
1) Were there any incidents which compromised the biosafety status during the current approval period? If yes,
describe the events including any corrective actions taken.
.
2) Do you wish to continue this project as currently approved by the IBC for another year? If laboratory/clinical work
continues to use biological or research materials after the closure of the IACUC or IRB protocol or while the IRB is
“closed to accrual”, this IBC must be renewed.
Yes, continue as currently approved.
No, project can be closed.
Request a change status to “Exempt from IBC Oversight” as project is open but all biological and/or
laboratory activities are completed.
Explain any other changes to support an exempt status.
Submit an amendment for IBC review prior to making any changes that could affect the status of your IBC approval.
3) Are all previously approved personnel in this protocol current with all Training Required to Participate in Research
(http://www.lsuhsc.edu/administration/academic/ors/training.aspx )?
Submit a Change in Personnel to add/remove personnel:
http://www.lsuhsc.edu/administration/academic/ors/docs/ChangeInPersonnel.docx
4) Enter the last date of your Bioagent Review of your laboratory’s On Site Bio-inventory. (LSUHSC EH&S On Site
database: http://172.20.240.20:1568/)
Not Applicable or Date:
If added since the last IBC approval, list any new agents and/or organisms classified as Biosafety Level 1 that
are specifically associated with this protocol. To add BL-2 or higher, you must submit an amendment.
Agents/Organisms
(Biosafety Level 1 Only)
(by GENUS species for bacteria, virus, parasites, etc.;
i.e. Escherichia Coli)
Place “X” if
Agent or
Organism is
Dual Use
Place “X” if bioagents
have been received
and input into On
Site*5
Building and Room #
Where stored
(if not on LSUHSC
campus, include
physical address)
Where used
Place “X” if
room is
shared
TAB to
add lines
Biological Materials Inventory and Control is required to ensure compliance with federal regulations; investigators
must maintain an accurate inventory detailing the type, amount and location of ALL biological materials under their
supervision. The inventory must be updated when new biological materials are added or materials are removed from the
laboratory, when there is a significant change in quantity of biological materials or a change in location of the storage or use of
biological materials, and must be updated at least annually. To review the complete LSUHSC policy, click on: Biological Materials
and Inventory Policy. For assistance selecting biological material(s) risk group and biosafety level, visit the on line American
Biological Safety Association (ABSA) resource page at http://www.absa.org/riskgroups/index.html
******* This section is to be completed upon review by the LSUHSC IBC *******
___ Update in BSL-1 biological materials/location was approved.
___ Change in status to “Exempt from IBC Oversight” was approved. Annual reviews will no longer be
required. Submit an amendment to return to an active status.
___ IBC# _______ was re-approved by the LSUHSC Institutional Biosafety Committee for another
year. Annual re-approval will be required and routine inspections should be expected. You must submit
an amendment prior to implementing any changes.
Approved by _____________________________________
IBC Chairman
___________________
Date of Approval