Institutional Animal Care and Use Committee
University of California-Davis
Animal Study Areas Inspection Checklist
(Procedure Areas: Minor and Non-Survival Surgeries, Laboratories and Rodent Surgeries)
Date:_____________________
Building/room:
*Routine procedures:
Species:
*Surgical procedures:
P.I.:
Survival?
Terminal?
Multiple Survival Surgery?
Department:
Designated Contact:
Reviewed by:
Phone:
A. PROGRAMMATIC
Staff in attendance:
***
A
M
S
1.
Protocol(s) available , #
PPM 290-30
 Protocol status sheet (review)
 Protocol staff roster (review)
2. Occupational Health (Physical) –PPE, hand wash, lab coats PPM 290-25
3. Occupational Health (Preventative Med) - questionnaire
4. Training records
5. Fish and Game Permit
31. Animal Tracking System
B. GENERAL CONCERNS
6.
7.
8.
9.
10.
11.
12.
2011 ILAR Guide reference pages
Animal housing, food and water provisions (if more than 6 hours) 63-71
Sanitation of procedure area
72-73
Carcass and waste disposal
73-74
Security
151
Animal Identification
75
Vet care
105-114
Drugs/expiration dates/Pharmaceutical grade
31
13. Transportation of animals to the study area.
107-109
14. Euthanasia methods appropriate
2007 AVMA Panel/Guide 123
15. Sharps disposal
UCD Safety Net #3, 62
30. Are personnel trained on how to report a concern?
C. SURVIVAL SURGERY (rodent or minor procedures only)
2011 ILAR Guide pg. 115-120 [if yes, complete]
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
Rodent survival surgery clean and uncluttered
Records of (pre, peri, and post-operative)
Aseptic procedures
Autoclave monitoring procedures
Storage of autoclaved materials
Cold sterilization procedures
Anesthetic monitoring (including, maintenance of vaporizer)
Gas cylinders immobilized
Scavenging of anesthetic gases
Analgesics used according to protocol
* Surgery - any minor, non-survival surgery or rodent surgery
** Routine procedure - any non-surgical procedure (e.g. injections, stomach tubing, where animals are taken to the lab, etc.)
***A=acceptable; M=minor; S=significant deficiency (is or may be a threat to animal health or safety); fol/up=follow-up
Study area inspection checklist Revised April 20, 2011
n/a
Fol/up
Institutional Animal Care and Use Committee
University of California-Davis
Building/room:
COMMENTS:
Unless otherwise noted, correction of all “Minor Deficiencies” identified must occur within 30 days from
the date of inspection. Alternate dates may be negotiated at the time of the inspection, but must be identified in
writing. If “Significant Deficiencies” are noted, corrective actions are expected to be implemented
immediately, with final correction dates determined by the UC Davis IACUC.
CC:
IACUC
PI
Designated Contact
Laboratory Inspection File
Study area inspection checklist Revised April 20, 2011