Biological Safety Health & Safety Doc No: TBC Issue: Final HAS-BIO-0001 Date: November 2009 Page: 1 of 3 Risk Assessment for work involving Biological Materials Before completing this form please read the accompanying guidance notes. 1 Proposer Name: Department: Contact number(s): E-mail: Staff / students involved in the project: 2 Description of the proposed work Provide a brief description of the aims and objectives of the work 3 What is the nature of the biological material? a) Describe all the biological materials likely to be used in the work b) Briefly describe how and where the materials will be obtained from and where these will be used. c) Describe how the materials will be treated and stored Document1 Biological Safety Health & Safety Doc No: Issue: V1.0 Date: Page: 2 of 3 4 What biological agents might be present in these biological materials? a) Name each biological agent which may pose a risk of harm to human health, animals or the environment b) Indicate the hazard group that the agent has been assigned to (see guidelines). c) For each named agent provide information (if available) on the likelihood and prevalence in the material d) Provide information (if available) on the mode of transmission of the named agents, diseases caused and symptoms. e) Provide information (if available) on the viability of the agent. f) Environmental risk 5 What other harmful substances might be present in these biological materials? a) Name any toxin or biologically active substance which might be present and may pose a hazard to human health. Indicate routes of exposure b) Indicate the likely harmful effects of these substances on human health. c) For each substance provide information (if available) on its likely concentration in the material and what level has an effect on human health. Biological Safety Health & Safety Doc No: Issue: V1.0 Date: Page: 3 of 3 6 Specify risk controls for the work a) Considering the factors detailed in the previous sections suggest the level of containment required for the work (usually CL1-3) b) Suggest any special precautions required for equipment or operations (codes of practice) c) Provide details of training of staff / students who will be involved in the work d) List and attach any supporting documentation and codes of practice 7 Does the import, production and use of the biological material require a special licence, notification or specific permission from a legislative body or a Council committee? Signature: NAME: Date: