Division of Research Integrity &Compliance
Institutional Biosafety Committee
Registration Document for the Use of Infectious
Agents and Biological Toxins
USF requires that all projects involving the use of infectious agents or biological toxins conducted at or
supported by this university be registered with and approved by the Institutional Biosafety Committee
(IBC) prior to initiation of the project.
If you are using infectious agents / biological toxins requiring BSL-3 containment, contact Farah Moulvi,
Institutional Biosafety Officer, at (813) 974-0954 for further instructions. The use of infectious
agents/biological toxins requiring BSL-4 containment is prohibited on the USF campus.
Instructions:
1. Provide complete information for every item. Blank or incomplete items may delay the processing of
your application.
2. Consult the following reference materials prior to filling out this form. These can be accessed
through our website at: http://www3.research.usf.edu/dric/biosafety/default.asp
a. Biosafety in Microbiological and Biomedical Laboratories, 5th Edition, J. Y. Richmond and R.
McKinney, Editors (on reserve at the Tampa campus library and Health Sciences Center library)
b. Material Safety Data Sheets (MSDS) for Infectious Agents
c. Risk Group Classification for Infectious Agents
d. USF Institutional Biosafety Manual:
3. Completed forms may be submitted by:
 E-mail to biosafety@research.usf.edu and follow with mailed hard copies of signature pages
bearing original signatures.
 Mail to Farah Moulvi, Institutional Biosafety Officer, Division of Research Integrity &
Compliance, MDC 35
 BSL-2 or BSL-3 laboratories must pass inspection before initial approval for research activities
can be granted for this proposed study. The Principal Investigator is responsible for scheduling an
inspection by contacting the Biosafety staff at biosafety@research.usf.edu or (813) 974-5091 or
(813) 974-5110.
4. For more information, contact Farah Moulvi at (813) 974-0954 or Debbie Howeth at (813) 974-5091.
Section 1 Part A – Basic Information
1.A.1
1.A.2
1.A.3
Principal Investigator:
Department:
Building:
E-mail:
Office Phone:
PI’s Study Coordinator:
Coordinator E-mail:
Type of Registration:
Single Project
Campus Mail:
Office Room#:
Fax:
Lab Phone:
Coordinator Phone:
Multi-Project
Please check one:
New Registration
3rd Year Renewal Registration Replacing Previous IBC Study #
RCDC 002.11
Registration Document for the Use of Infectious Agents and Biological Toxins
Rev. 08/09/2010
USF Institutional Biosafety Committee
Page 1
1.A.4
Project Title(s) (if multi-project, list titles of each project and assign a number to each):
1.A.5
Sponsor(s)-List intramural and/or extramural sources:
Part B – Project Information
1.B.1
Describe your research objectives in lay terminology (1 to 2 paragraphs):
1.B.2
Provide below or attach a one-page description of the research project including in vitro
and/or in vivo specific laboratory procedures (e.g., culturing, vortexing, incubating, etc)
that will be performed during the study. Detail the actual physical manipulations with
special attention towards the safe handling of the infectious agent(s) and/or toxins and
include any animal and/or animal tissue handling procedures during the experiment. (For
example: "All pipeting will be performed in a BSC will non-aerosolizing tips." Or
"Centrifugation will be performed only on tightly-capped sample vials in a rotor equipped
with safety centrifuge caps.")
RCDC 002.11
Registration Document for the Use of Infectious Agents and Biological Toxins
Rev. 08/09/2010
USF Institutional Biosafety Committee
Page 2
2.
Infectious Agents and Biological Toxins
2.1
Item
#
Type
1
Provide all requested information for each agent/toxin that will be used in this project in table below:
Name of
Material2
Strain of
Agent (if
applicable)
Source3
Risk
Group4
(RG)
Biosafety
Level4
(BSL)
Locations
of Use
Locations
of Storage
(if
different)
Maximum
amount possessed
(volume or
weight)
Maximum
concentration
to be used
(e.g pfu/ml)
1
2
3
4
5
6
7
8
9
10
1
2
3
4
P=parasite, F=fungus, B=bacteria, R=Rickettsia, V=virus (not arbovirus), A=Arbovirus, T=toxin, PR=prions, VR=viroids, O=other.
If agent, list genus & species. If toxin, include agent (genus & species) it is derived from.
Specify the type and name of source (e.g., vendor – ATCC; off-campus collection – Univ. of CA; clinical specimen - human)
Refer to the NIH Guidelines, and the BMBL for RG and BSL designation.
RCDC 002.11
Registration Document for the Use of Infectious Agents and Biological Toxins
Rev. 08/09/2010
USF Institutional Biosafety Committee
Page 3
2.2
Indicate the Biosafety Containment Level (BSL) if different than the BSL specified in
Table 1.1:
BSL-1
BSL-2
BSL-3
Provide justification for the difference:
3.
Regulated Agents
3.1
Are any of the infectious agents / biological toxins (virulent or attenuated) in this
application listed in Appendix A - Regulated Agents?
No. Go to Section 4.
Yes. Notify the Institutional Biosafety Officer immediately at (813) 974-0954 to
insure compliance with all federal mandates.
3.2
Have you registered the agents/toxins as select agents with the CDC/USDA?
No. Explain the exemption/exclusion criteria.
Yes. Explain the status of the CDC/USDA select agent registration/certificate for
this project: Submit a copy of CDC/USDA registration:
A. Describe the specific security procedures that you will use to ensure secure
(a) access, (b) use, (c) storage, and (d) disposal:
B. Describe the inventory control system for the agents/toxins you plan to use
(e.g., procedures used to account for the agents and to detect missing
material):
4.
Recombinant DNA Technology
4.1 Do you plan to use an infectious agents generated by recombinant DNA technology?
Note this registration application is required for mutant infectious agents. For infectious
agents that are replication impaired used as a viral vector use the recombinant DNA
registration.
No. Go to Section 5.
Yes. Describe the recombinant infectious agent including an assessment of the
expected phenotype below
RCDC 002.11
Registration Document for the Use of Infectious Agents and Biological Toxins
Rev. 08/09/2010
USF Institutional Biosafety Committee
Page 4
4.2
Will the recombinant infectious agent be generated as part of this study?
No. It will be obtained from the following source below .
Yes. If yes, also complete the applicable rDNA registration application
5.
6.
Human Use
5.1
Will human subjects and/or human clinical specimens be used in any aspect of the
experiment?
No. Go to Section 6.
Yes.
5.2
Has this research protocol been approved by the IRB?
No. Date of Intended Submission to IRB: ________________
Yes. IRB study #: ________________
Date approved: ________________
Approval Pending; Date Submitted to IRB: ________________
5.3
Will you administer infectious agents/biological toxins to humans?
No.
Yes. Submit copies of the following documents:
A. Informed Consent form
B. USF Institutional Review Board (IRB) application or IRB approval of
exemption
C. Sponsor’s investigational brochure
D. Protocol
5.4
Does the study involve the use of human cells and/or human clinical samples?
No.
Yes. List the type of human clinical sample(s) you plan to use:
Animal Use
6.1
Will you administer infectious agents/biological toxins to animals or animal tissue in
the vivarium?
No. Go to Section 7.
Yes. Specify the animal species: ________________.
6.2
Indicate the Animal Biosafety Containment Level (ABSL) at which the project will be
conducted in the vivarium:
ABSL-1
6.3
ABSL-2
ABSL-3
Has this research protocol received USF Institutional Animal Care & Use Committee
(IACUC) approval?
No. Date of Intended Submission to IACUC ________________
Yes. IACUC study #: ________________ Date approved: ________________
Approval Pending; Date Submitted to IACUC: ________________
RCDC 002.11
Registration Document for the Use of Infectious Agents and Biological Toxins
Rev. 08/09/2010
USF Institutional Biosafety Committee
Page 5
6.4
List the animal facility (e.g., College of Medicine, Moffitt Cancer Research, VA
Hospital, College of Public Health, LSA, SCA, SRB, ACH, IDRB) and the area/room
number (s), if known, where the animals will be housed or used:
6.5 Will the animals exposed to the infectious agents/biological toxins be transported
within the animal facility or to other areas within USF:
No.
Yes. Describe how and where the animals will be transported.
6.6
6.7
Route of agent administration:
Intravenous
Intraperitoneal
Other: [Specify]
Subcutaneous
Intramuscular
Will the infectious agents/toxins present any risk of exposure to animal care staff?
No. Go to Section 7.
Yes. Answer parts A, B, C and D.
A. What animal sources/routes (e.g., urine, feces, blood, bite/scratch), present a
potential risk of exposure to the animal care staff?
B. What Personnel Protective Equipment is required to be worn by the animal
care staff to protect them from potential risk of exposure from the animal
source(s) mentioned in part A? Check all that apply.
Face masks:
N 95 (HEPA)
Face Shield
Safety Glasses/Goggles
Lab Gown
Tyvek/Disposable Suits
Lab Coats
Surgical Mask
N 100 (HEPA)
Head Covers
Double Gloves
Gloves
Shoe Covers
Other: [Specify]
C. What safety practices are in place to protect the animal care staff from
potential risk of exposure from the animal source(s) mentioned in part A?
D. The IBC requires a minimum concentration of 10% bleach solution as the
primary disinfectant. If using 10% bleach solution as the primary disinfectant
check this box.
10% Bleach Solution (1:10 dilution bleach to water)
If using an alternative disinfectant, specify in box below, the name, active
ingredient, concentration and an exemption for use of this disinfectant.
RCDC 002.11
Registration Document for the Use of Infectious Agents and Biological Toxins
Rev. 08/09/2010
USF Institutional Biosafety Committee
Page 6
NOTE: Unless noted above on this application with an explanation and approved by
the IBC, all other disinfectants (e.g., 70% alcohol) are secondary disinfectants
to be used after the 10% bleach.
7.
Medical Information
7.1
Are there any risks of disease and/or adverse effects (Ex. - Altered immune response/
immunosuppression/allergenicity/toxicity) to humans, animals, and/or plants that
might result from exposure to these organisms/toxins?
No.
Yes. Describe the potential adverse effects to humans, animals, plants, and/or the
environment for each infectious agent/biological toxin, including:
a. The infectious dose and/or the LD50;
b. Availability of treatment or prophylaxis/vaccine (licensed or IND)
c. Known drug/vaccine resistance or prophylaxis failure rate (Please note the
specific antimicrobial or other agent to which there is resistance);
d. The symptoms/disease(s) which may result from exposure.
Note: The information needed can be found in the MSDS available at the
following website http://www.phac-aspc.gc.ca/msds-ftss/index-eng.php
7.2
By checking this box, I affirm that in the case of an exposure incident my
laboratory personnel (Faculty, staff, students and visitors) have been instructed to
follow the Exposure Management Plan, as described below:
1.
2.
Contact OptaComp at 1-877-518-2583 (24 hours a day/7 days per week) --During working hours (M-F, 8 – 5 PM) the USF Worker’s Compensation
Insurance Specialist Meica Elridge should also be contacted at (813) 9745775, or (melridge@admin.usf.edu).
In the event that follow-up is necessary following initial care from the USF
Workers’ Compensation Provider, please contact the USF Medical Health
Administration (Employee Health) office at (813) 974-3163, or pager (813)
216-0153.
If you have a protocol specific exposure management plan which is different than
above, describe in the space provided below.
7.3
Describe the process that will be used to inform the personnel working with infectious
agents/toxins of the potential hazards, including the presence of an immunological
condition that could increase the risk of infection (e.g., signage on the door, specific
training, read and initial this application, etc.).
RCDC 002.11
Registration Document for the Use of Infectious Agents and Biological Toxins
Rev. 08/09/2010
USF Institutional Biosafety Committee
Page 7
Occupational Health Requirements
7.4 Indicate the Occupational Health Requirements for personnel who will be actively
taking part in this research project (check all that apply):
Not Applicable
Baseline Serum Banking - This is suggested for any disease process potentially
found in the community that is most effectively treated by monitoring a rise in serum
antibody titer(s).
Baseline Status Testing - This is suggested for any disease process potentially
found in the general community and is also the focus of this research. The current,
appropriate exposure/infected/immune status of the individual(s) will be determined.
General Vaccine(s) (Hepatitis B, Influenza, etc.) - Hepatitis B vaccination is
recommended for any individual working with human tissue. Additional, appropriate
vaccines may be available, depending upon the research agent.
Agent Specify Vaccine –specify in box
Respiratory Health Evaluation and Respirator Fit-Testing – Respirator (N-95, N100, etc.) use is recommended when there is the possibility for infectious aerosol
exposure and/or potentially toxic chemical inhalation exposure during the conduct of
this research project.
Other [Specify]
8.
Experimental Procedures
8.1
Will any of the procedures described in the protocol result in acquisition of a new
characteristic, such as enhanced virulence, infectivity, drug resistance, or change in
host range?
No.
Yes. Explain:
8.2
Does the study involve the generation or use of more than 10 liters of culture?
No.
Yes. Explain the culture procedures, including identification of:
(a) The culture room.
(b) The types of equipment used for culture growth/handling.
(c) Any special precautions to handle such large volumes.
RCDC 002.11
Registration Document for the Use of Infectious Agents and Biological Toxins
Rev. 08/09/2010
USF Institutional Biosafety Committee
Page 8
8.3
Indicate the types of experimental manipulations which you will use that have
the potential to generate aerosols/splashes (check all that apply):
Homogenization
Centrifugation
Sonication
Dissection
Pipetting
Other: [Specify]
Cell sorter and or Flow cytometry
None.
Safety Precautions
8.4
Indicate the Safety Equipment you will use (check all that apply).
Stomachers
Safety blender (e.g. shatter proof jar-double walled; blender rotors leak proof)
Low aerosolization pipette tips
Mechanical or electronic pipettors
Chemical fume hood (for biological toxin use)
Centrifuge with safety cups or sealed rotors heads
Other: [Specify]
Use of Sharps
8. 5 Indicate the safety practices to be used with Sharps (needles, scalpels, etc.)
Substitute glassware with plastic ware, when possible
Do not bend, break or recap needles
Do not bend, break or recap scalpels
Dispose of sharps in red Sharps containers
Use of safer sharp devices/engineered sharps
Not Applicable
NOTE: An engineered sharp has a physical attribute built into the sharp device that
effectively reduces the risk of an exposure incident. Examples of such devices include
retractable needles, hinged needle shields, needless IV connectors, sliding
sheath/sleeve and needle guards).
For a list of Safety-Engineered Sharp Devices and other products designed to prevent
occupational exposures
8.6
Do you intend to use a Biological Safety Cabinet (BSC)?
No. Explain what safety procedures you will use instead of the BSC to eliminate
the risk of aerosols exposures:
Yes. Answer A:
A. BSC must be certified annually. Provide the date of the last certification:
[Specify]
8. 7 Indicate the Personnel Protective Equipment that will be used (check all that apply):
Particulate respirators:
N 95 (HEPA)
N 100 (HEPA)
RCDC 002.11
Registration Document for the Use of Infectious Agents and Biological Toxins
Rev. 08/09/2010
USF Institutional Biosafety Committee
Page 9
Face Shield
Double gloves
Safety Glasses/Goggles
Gloves
Lab coats (front buttoned)
Lab gown (Tie backs)
Disposable Suits/coveralls with attached hood and boots
Other: [Specify]
NOTE: The use of particulate masks such as N-95 requires medical evaluation, fit
testing and training prior to its use per OSHA regulations.
8.8
Have all personnel working with infectious agent(s) been instructed and trained
in lab-specific clean up procedures for biohazardous spills (that is both USF Biosafety
Training Course and PI provided training)?
No.
Yes.
NOTE: For general biohazard spill procedures access following website
http://www3.research.usf.edu/dric/biosafety/resources.asp . Print and post the
Biological spill response in the laboratory.
8.9
As part of the research procedures will the organism/toxin be inactivated/lysed
before subsequent manipulation outside containment?
No.
Yes. Answer parts A, B, and C:
A. Method of inactivation (heat, chemical, other)
B. At what stage of the experiment will the agent/toxin be inactivated/lysed:
C. Will you verify inactivation/lysing and if so how?
8.10 The IBC requires a minimum concentration of 10% bleach solution as the primary
disinfectant. If using 10% bleach solution as the primary disinfectant check
this box.
10% Bleach Solution (1:10 dilution bleach to water)
If using an alternative disinfectant, specify in box below, the name, active
ingredient, concentration and an exemption for use of this disinfectant
NOTE: Unless noted above on this application with an explanation and approved by
the IBC, all other disinfectants (e.g., 70% alcohol) are secondary disinfectants
to be used after the 10% bleach.
RCDC 002.11
Registration Document for the Use of Infectious Agents and Biological Toxins
Rev. 08/09/2010
USF Institutional Biosafety Committee
Page 10
8. 11 Indicate how biohazardous solid waste will be decontaminated and disposed.
Autoclaved Time: [Specify] minutes Temp: [Specify] Celsius (for example
greater than equal to 121°C and greater than equal 45 minutes)
Packaged as biohazardous waste per USF policy
Other: [Specify]
8. 12 Indicate how biohazardous liquid waste will be decontaminated and disposed.
Autoclaved Time:
minutes
Temp:
Celsius
Chemically inactivated: [Specify]
Other: [Specify]
8.13 If using a toxin(s), describe how the toxin(s) will be inactivated and disposed. In
addition provide documented literature regarding the effectiveness of the inactivation
procedure.
Storage and Transport
8.14 Will any of these agents/toxins be transported or transferred outside of the room in
which they are stored?
No.
Yes. Answer A and B below:
A. To what location(s) outside of your laboratory will you transport/transfer
these agents/toxins?
B. When transporting/transferring materials the materials must be placed inside
a watertight primary container, which is then placed into a watertight, leak
proof and durable secondary container for transportation, with absorbent
material placed between the two containers to absorb contents of the container
in case of possible spill.
I will transport material in accordance with the above described
procedure.
8.15 Will any of these agents/toxins be shipped via commercial carrier (e.g., Federal
Express)?
No.
Yes. Identify the person(s) that will be preparing the agents/toxins for shipping
and provide their Transportation of Dangerous Goods training dates.
RCDC 002.11
Registration Document for the Use of Infectious Agents and Biological Toxins
Rev. 08/09/2010
USF Institutional Biosafety Committee
Page 11
8.16 Will any of these agents/toxins be imported from or exported to one or more foreign
countries?
No.
Yes. All shipments must meet federal and state transportation regulations and
USF policies. Respond to A, B, C, and D below:
A. List the agents/toxins to be imported and/or exported.
B. List the country of origin or destination for each.
C. Indicate whether this is a one-time shipment or part of a series of shipments.
D. Attach a copy of the USDA permit.
9.
Diagram of Laboratory Areas
9.1
Attach a clearly labeled diagram of the laboratory that shows the following:
1) Where the agent(s)/toxin(s) will be manipulated and stored;
2) Location of biological safety cabinets, eye-wash, sink, and other equipment (such as
centrifuge, incubators, freezers, cell sorters etc);
3) Room entry/exit;
4) Location of the nearest available autoclave (if autoclave is not available in
laboratory, list the location using text).
RCDC 002.11
Registration Document for the Use of Infectious Agents and Biological Toxins
Rev. 08/09/2010
USF Institutional Biosafety Committee
Page 12
10.
Personnel
The Institutional Biosafety Committee (IBC) must be notified of any new personnel who will be directly involved in the conduct of the
experiment and/or for whom a potential risk exists by virtue of their presence within the research environment.
10.1 List the names of all personnel involved and have each person initial the following assurance:
 I have read and understand the nature of these experiments.
 I have the knowledge and training required to safely handle the materials described.
 I agree to conduct these experiments in accordance with all USF IBC policies and the USF Biosafety Manual:
 http://www3.research.usf.edu/dric/biosafety/docs/biosafety-manual.pdf
 I have attended/will attend the annual USF biosafety training indicated.
Name
Initial
here
Date
Biosafety
Training*
Training Date
E-mail
Occupational Health Evaluation
Completed
Yes
No
Yes
No
NA
Yes
No
Yes
No
NA
Yes
No
Yes
No
NA
Yes
No
Yes
No
NA
Yes
No
Yes
No
NA
Yes
No
Yes
No
NA
Yes
No
Yes
No
NA
Yes
No
Yes
No
NA
Yes
No
Yes
No
NA
Yes
No
Yes
No
NA
*The following types of training classes are required:
 Core – Must be completed by those who have not completed it previously.
 Continuing Education – Must be completed annually.
 Special Topics – Required for persons involved in certain types of work.
 For current Biosafety training information, go to: http://www3.research.usf.edu/dric/biosafety/education.asp
RCDC 002.11
Registration Document for the Use of Infectious Agents and Biological Toxins
Rev. 08/09/2010
USF Institutional Biosafety Committee
Page 13
11.
Laboratory Inspection
BSL-2 or BSL-3 laboratories must pass inspection before initial approval for research
activities can be granted for this proposed study. The Principal Investigator is responsible
for scheduling an inspection by contacting the Biosafety Staff at biosafety@research.usf.edu
or (813) 974-5091 or (813) 974-5110.
Information on biosafety containment levels and other guidance is available in the NIH
Guidelines for Research Involving Recombinant DNA Molecules, the Biosafety in
Microbiological and Biomedical Laboratories, 5th Edition , and the USF Institutional Biosafety
Manual. Investigators are encouraged to consult these sources to ensure that their laboratories
meet the required standards for sound biosafety practices.
A Sample BSL-2 Checklist is provided to help you prepare for a laboratory inspection.
11.1 Has your laboratory been scheduled for inspection?
Yes. Provide the date:
No. Inspection is pending due to:
Does not apply because the laboratory involved is BSL-1.
12.
Investigator Assurance
 I agree to use lab practices that meet the highest biosafety level (BSL) specified in Table
1.1 with all work with infectious agents/biological toxins in this project.
 I have read the Biosafety in Microbiological and Biomedical Laboratories, 5th Edition and




I acknowledge my responsibility for the conduct of this research in accordance with the
procedures described in it.
I have the knowledge and training required to safely handle the materials described.
I acknowledge my responsibility for the conduct of this research in accordance with
University Policy, Section IV-B-7 of the NIH Guidelines and/or the recommendations of
the CDC/NIH published in Biosafety in Microbiological and Biomedical Laboratories, 5th
Edition and the USF Institutional Biosafety Manual .
I acknowledge my responsibility to secure and control the biological agents used in this
project.
Entry doors to the laboratory will be closed and locked when the laboratory is
unattended.
____________________________________________
Signature of Principal Investigator
___________________
Date
RCDC 002.11
Registration Document for the Use of Infectious Agents and Biological Toxins
Rev. 08/09/2010
USF Institutional Biosafety Committee
Page 14
Appendix A – Biosafety References







Biosafety in Microbiological and Biomedical Laboratories, 5th Edition
Material Safety Data Sheets (MSDS) for Infectious Agents
Risk Group Classification for Infectious Agents
USF Institutional Biosafety Manual
NIH Guidelines for Research Involving rDNA Molecules
Biological Spill Response
CDC Regulated Agents
Appendix B – Response to Laboratory Personnel Bloodborne Pathogen (BBP)
Exposure
The following emergency response guidelines shall be followed when a laboratory worker has been
exposed to potentially infectious agents, including bloodborne pathogens to ensure prompt and
appropriate care. BBP Exposure is defined as
“A percutaneous injury (a needlestick or cut with a sharp object) or contact of mucous membrane or nonintact skin with blood, tissue or other body fluids that are potentially infectious”. Some post-exposure
treatments must be started within
1-2 hours of exposure, so time is critical.
If Percutaneous and/or Non-Intact Skin Accidental Exposure Occurs:
Secure sharp device in sharps container
Wash the exposed site thoroughly with soap and water
Remove contaminated clothing
Report exposure to supervisor immediately
If Mucous Membrane Accidental Exposure Occurs:
Flush eyes, nose and/or mouth with copious amounts of water at the nearest faucet or eye wash station.
Remove contaminated clothing
Report exposure to supervisor immediately
If you are exposed to a Bloodborne Pathogen:
Immediately report all possible work-related exposures to potentially infectious agents, including BBP’s
to your supervisor. Exposures are to be reported immediately by the supervisor or department designee by
telephone to OptaComp 1(877)518-2583 (24 hours a day/7 days per week). During working hours (M-F,
8-5PM) the USF Worker’s Compensation Insurance specialist Meica Elridge should also be contacted at
(813) 974-5775 or by email at melridge@admin.usf.edu. In the event that follow-up is necessary
following initial care from the USF Workers’ Compensation provider, please contact the USF Medical
Health Administration (Employee Health) office at (813) 974-3163 or by pager (813) 216-0153.
If you become ill or injured on the job:
An employee who becomes ill or is injured as the result of a job-related incident must report the incident
to the supervisor immediately no matter how minor the injury may appear to be. Effective January 1,
2009, all work-related injuries or illnesses are to be reported by the supervisor or department designee by
telephone to:
OptaComp 1(877)518-2583 (toll free). For additional information on how to report a work-related
injury or illness go to the USF Worker’s Compensation website at: http://usfweb2.usf.edu/humanresources/employee-relations/workers-comp.asp
RCDC 002.11
Registration Document for the Use of Infectious Agents and Biological Toxins
Rev. 08/09/2010
USF Institutional Biosafety Committee
Page i
USF Employees, Residents, and Student Assistants classified as “Volunteers”: You must report all
potential BBP exposures to your supervisor and then call OptaComp.
USF Students not on official “Volunteer” status and not employed by the University: Your care must be
paid for through your student/personal insurance or by some other means
If you are the supervisor:
When an employee reports a work-related injury or illness, take prompt action to
1. Ensure the employee receives necessary medical attention. In case of emergency, call 911 or
immediately send the employee to a hospital emergency room. Call OptaComp as soon as
practicable at 1-877-518-2583 to report the work-related injury or illness.
2. With the injured or ill employee, immediately call OptaComp at 1-877-518-2583 to report the
work-related injury or illness so the employee can receive appropriate care. Except in cases of
emergency, the injured or ill employee must be present with the supervisor when the injury or
illness is reported.
3. Complete the Accident Investigation Report for Supervisors and forward to Human Resources
within 24 hours.
4. Take action to correct any safety hazards to prevent the same or similar injury or illness from
occurring again.
For questions on how to report a work-related injury or illness or other workers’ compensation issues,
contact Workers’ Compensation Insurance Specialist Meica Elridge at (813) 974-5775 or
melridge@admin.usf.edu. Reports may be faxed to (813) 974-7535.
RCDC 002.11
Registration Document for the Use of Infectious Agents and Biological Toxins
Rev. 08/09/2010
USF Institutional Biosafety Committee
Page ii