UNIVERSITY OF ALASKA FAIRBANKS BIOSAFETY LEVEL 2 LABORATORY SELF-AUDIT CHECKLIST Checklist developed from the 5th Edition of Biosafety in Microbiological and Biomedical Laboratories, U.S. Centers for Disease Control Administrative Practices Applicable to Biosafety Level 2 Laboratories __Yes __No The laboratory has doors for access control and the lab is locked when no one is present. __Yes __No Access to the laboratory is limited or restricted at the discretion of the PI or laboratory director when experiments or work with cultures and specimens are in progress. __Yes __No The PI or laboratory director has established policies and procedures whereby only persons who have been advised of the potential hazards and meet specific entry requirements (e.g., immunizations, immune-competent) may enter and/or work in the laboratory. __Yes __No Laboratory procedures been incorporated into standard operating procedures and are in a biosafety manual prepared specifically for the laboratory by the laboratory director. __Yes __No Personnel are advised of special hazards and required to read and follow instructions on practices and procedures. __Yes __No The biosafety manual described above is available for review at the following location(s):__________________________________________________________________ ___________________________________________________________________________ __Yes __No __Yes __No __Yes __No __Yes __No __Yes __No __Yes __No __Yes __No __N/A __Yes __No __N/A __Yes __No __N/A __Yes __No A sign incorporating the universal biohazard symbol is posted on the entrance to the laboratory when infectious agents are present. The sign includes the name of the agent(s) in use, the name and phone number of the PI and/or other responsible personnel. Housekeeping and maintenance activities adequately address pest management issues. The PI and/or Laboratory Supervisor has ensured that all laboratory personnel have received appropriate training regarding their duties, the necessary precautions to prevent exposures, and exposure evaluation procedures. Personnel receive annual updates and/or additional training when procedural or policy changes occur. All laboratory personnel, including women of child-bearing age, are provided with information regarding immune competence and conditions which may predispose them to infection. Personnel with conditions which predispose them to infection are encouraged to selfidentify to the UAF Industrial Hygienist or Biosafety Officer for guidance and assistance with obtaining counseling from the university’s occupational health provider. Laboratory personnel have received appropriate immunizations or tests for all agents handled or potentially present in the laboratory (e.g., hepatitis B vaccine or TB skin testing). Baseline serum samples for laboratory and other at-risk personnel have been collected and stored (when appropriate, based on the agent(s) handled). Medical evaluation, surveillance, and treatment are provided as appropriate and written records are maintained. Animals and plants not involved in the work being performed are not permitted in the lab. Standard Microbiological Practices Applicable to Biosafety Level 2 Laboratories General Lab Hygiene __Yes __No Persons wash their hands after they handle viable materials, after removing gloves, and prior to leaving the laboratory, even for short breaks. __Yes __No Eating, drinking, smoking, handling contact lenses, applying cosmetics, and storing food for human use is prohibited in the work areas. 1|Page __Yes __No __Yes __No Food is stored outside the work area in cabinets or refrigerators designated and used for this purpose only. Mouth pipetting is prohibited and mechanical pipetting devices are available. Sharps Management __Yes __No __N/A Needles are not bent, sheared, broken, recapped, removed from disposable syringes, or otherwise manipulated before disposal. __Yes __No __N/A Used disposable needles are carefully placed in conveniently located puncture-resistant sharps containers prior to disposal. __Yes __No __N/A Non-disposable sharps are placed in a hard-walled container for transport to the autoclave or other decontamination area. __Yes __No __N/A A high degree of precaution is always taken with any contaminated sharp items, including needles and syringes, slides, pipettes, capillary tubes, and scalpels. __Yes __No __N/A The use of needles and syringes or other sharp instruments is restricted in the laboratory except when there is no alternative (e.g. parenteral injection, phlebotomy, or aspiration of fluids from laboratory animals and diaphragm bottles). __Yes __No __N/A Only needle-locking syringes or disposable syringe-needle units (i.e., needle integral to the syringe) are used for injection or aspiration of infectious materials. __Yes __No __N/A Syringes which re-sheathe the needle, needleless systems, and other safety devices are used when appropriate. __Yes __No __N/A Broken glassware is not handled directly. Tongs, brushes, and dustpans are used to clean up broken glass. __Yes __No __N/A Plastic labware is used whenever feasible. Work Practices __Yes __No __Yes __No __N/A Procedures are performed carefully to minimize the creation of splashes or aerosols. All procedures involving the manipulation of infectious materials that may generate an aerosol should be conducted within a certified biosafety cabinet or other physical containment device. Decontamination and waste management __Yes __No __N/A Work surfaces are decontaminated with an effective disinfectant on a routine basis, after work with infectious materials is finished, and especially after overt spills, splashes, or other contamination by infectious materials. __Yes __No __N/A Laboratory equipment is decontaminated with an effective disinfectant on a routine basis, after work with infectious materials is finished, and especially after overt spills, splashes, or other contamination by infectious materials. __Yes __No A method for decontaminating all laboratory wastes is available in the facility (autoclave, chemical disinfection, incineration, or other validated decontamination method). __Yes __No All cultures, stocks, and other regulated wastes are decontaminated before disposal by an approved decontamination method such as autoclaving. __Yes __No __N/A Materials to be decontaminated outside of the immediate laboratory are placed in a durable, leak-proof container and closed for transport from the laboratory. __Yes __No __N/A Cultures, tissues, specimens of bodily fluids, or potentially infectious wastes are placed in a container with a cover that prevents leakage during collection, handling, processing, storage, transport, or shipping. __Yes __No __N/A Contaminated equipment is decontaminated before removal from the facility before it is sent for repair or maintenance, and is packaged for transport in accordance with applicable state or federal regulations. __Yes __No Spills and accidents that result in overt exposures to infectious materials are immediately reported to the laboratory director. 2|Page Biosafety Level 2 Safety Equipment (Primary Barriers) __Yes __No Laboratory coats, gowns, or uniforms are worn to prevent contamination or soiling of street clothes. __Yes __No __N/A Protective laboratory coats, gowns, smocks or uniforms designated for lab use are laundered in the building’s laundry facility according to established procedures and is never taken home by personnel. __Yes __No __N/A Protective eyewear is worn when conducting procedures that have the potential to create splashes of microorganisms or other hazardous materials. __Yes __No Persons who wear contact lenses in laboratories wear safety glasses, splash goggles, or a face shield, depending on the procedure(s) being performed. __Yes __No Gloves are worn if the skin on the hands is broken or if a rash is present. __Yes __No Alternatives to powdered latex gloves are available. __Yes __No Gloves are changed when they are contaminated or when their integrity has been compromised, or when otherwise necessary. __Yes __No Disposable gloves are not washed or reused. __Yes __No Contaminated gloves are disposed of with other contaminated laboratory waste. __Yes __No An eyewash station is readily available and is flushed at least monthly. __Yes __No An emergency shower is readily available and is flushed at least monthly. __Yes __No __N/A A biosafety cabinet is available in this laboratory. Provide a description of the cabinet, including manufacturer, class and serial number: ___________________________________________________________________________ ___________________________________________________________________________ __Yes __No __N/A Properly maintained Class II biological safety cabinets or other appropriate personal protective equipment or physical containment devices are used whenever: a) Procedures with a potential for creating infectious aerosols or splashes are conducted, including i. Centrifuging ii. Grinding iii. Blending iv. Vigorous shaking or mixing v. Sonic disruption vi. Opening containers of infectious materials whose internal pressures may be different form ambient pressures vii. Inoculating animals intranasally viii. Harvesting infected tissues from animals or embryonate eggs b) High concentrations of large volumes of infectious agents are used. Such materials may be centrifuged in the open laboratory if sealed rotor heads or centrifuge safety cups are used, and if these rotors or safety cups are opened only in the biological safety cabinet. __Yes __No __N/A Face protection (goggles, mask, face shield or other splatter guard) are used for anticipated splashes or sprays of infectious or other hazardous materials to the face when the microorganisms must be manipulated outside of the biosafety cabinet. Biosafety Level 2 Laboratory Facilities (Secondary Barriers) __Yes __No __N/A Lockable doors are provided for facilities that house restricted agents (as defined in 42 CFR 72.6), and doors are locked when no one is present in the laboratory. __Yes __No The laboratory has a sink for hand washing. Foot, knee, or automatically operated sinks are recommended. __Yes __No The laboratory is designed so that it can be easily cleaned (no carpets or porous surfaces). 3|Page __Yes __No __Yes __No __Yes __No __Yes __No __Yes __No __N/A __Yes __No __N/A __Yes __No __N/A __Yes __No __N/A __Yes __No __N/A __Yes __No __N/A __Yes __No __N/A __Yes __No __N/A Bench tops are impervious to water and resistant to moderate heat and the organic solvents, acids, alkalis, and other chemicals used to decontaminate work surfaces and equipment. Laboratory furniture is capable of supporting anticipated loading and uses. Spaces between benches, cabinets, and equipment are accessible for cleaning. Chairs and other furniture used in laboratory work are covered with a non-fabric material that can be easily decontaminated. Biological safety cabinets are installed is such a manner that fluctuations of the room air supply and exhaust air do not cause biological safety cabinets to operate outside their parameters for containment. The biological cabinets are located away from doors, windows that can be opened, heavily traveled laboratory areas, and from other potentially disruptive equipment so as to maintain the air flow parameters for containment. All lab personnel who are required to use the biological safety cabinet have successfully completed Biosafety Cabinet training. Vacuum lines are protected with a High Efficiency Particulate Air (HEPA) filter or the equivalent. HEPA filters on vacuum lines are replaced as needed. A liquid disinfectant trap is used. Illumination is adequate for all activities, avoiding reflections, and glare that could impede vision. Laboratory windows that open to the exterior are fitted with fly screens. 4|Page