DEPARTMENT BIOSAFETY FORM
Instructions: The ULM Institutional Biosafety Committee requires the reporting of any teaching
laboratory protocol utilizing biological materials and/or biohazardous materials. This form must
be submitted by the Department Head to the IBC by April 1 for summer and fall semester
courses and October 1 for winter session, spring semester, and Maymester courses.
Applications and other information can be obtained from the ULM Office of Sponsored
Programs and Research. Applications can be sent by e-mail to the Chair of the IBC (Dr. Chris
Gissendanner, gissendanner@ulm.edu). A copy of the application should also be forwarded to
the Office of Sponsored Programs and Research (opsr@ulm.edu).
1. Protocols using biohazardous materials.
Protocols that fall into any of the categories below will require the submission of a standard
operating procedure (SOP) and completion of an IBC protocol submission form. Submissions
must follow the guidelines found in the “IBC Review Process” document.
-Use or generation of recombinant DNA that is propagated in a host or vector organism
-Use or propagation of infectious microorganisms (both animal and plant)
-Use or generation of biological toxins (toxins produced by an organism)
-Use of toxins applied to plants or animals as part of a research project
-Use of carcinogens or mutagens applied to plants or animals as part of a research project
-Use of human and/or other mammalian tissue including cell lines and blood/other body fluids
2. Protocols not using biohazardous materials.
Protocols that do not fall into any of the categories above do not require IBC approval. However,
the IBC requires that the Department Head submit a COURSE EXEMPT form to the IBC that
includes the course titles and numbers and a brief description of the lab activities and organisms
utilized. The COURSE EXEMPT form will only need to be submitted once unless new lab
protocols are planned or existing lab protocols are modified. Any changes must be reported to
the IBC using the COURSE EXEMPT form prior to implementing any protocol changes.
For further information, contact:
Dr. Chris Gissendanner
Department of Biology
E-mail:gissendanner@ulm.edu
Phone: 342-3314
Office: CNSB 326
COURSE EXEMPT FORM
College:
Department:
List the titles and numbers of all course protocols utilizing biological materials. Also disclose all
off-campus courses or internships involving faculty from your Department so that the committee
can determine if the activity requires IBC oversight.
List all biological materials utilized in the course protocols and a brief description of the
protocols using these biological materials. “Biological material” refers to living organisms or any
material derived from living organisms (living or dead animal and plant tissue; nucleic acids,
proteins, and other cell-derived material, etc). Descriptions can be submitted as separate
documents.
Department Head Signature
Department Head Name
Date: