Unit:
SOP #: 2.0
Revision #: 1.2
IBC Office
Page #: Page 1 of 3
Expiration Date:
Current Version Implementation
Date:
3/11/2009
Last Reviewed/Update Date:
6/16/2009
Approval Authority: AVP-RC
Title: IBC Protocol Closure
Form
IBC Protocol Closure Form
IBC Office (ibc@bu.edu)
85 East Newton Street, Room 810
Principal Investigator (PI) Name:
Associate Investigator/s (AI) If any:
1. Protocol to be closed
IBC Protocol Title:
IBC Protocol Number:
Effective Date to Close Protocol:
Building and Room Number:
Biological materials:
2. Disposition of the materials
Do you currently have, please check :
2.1. any of the biological materials listed in the protocol; Yes:__ No:__
2.2. any samples containing any of the biological materials listed in the protocol Yes:__
No:__
If yes, to either question:
2.3. Do you plan to retain any of the biological materials listed on the protocol:
2.3.1. No: __; Please describe how you plan to dispose of the materials [Note:
materials must be disposed of prior to the closure of the existing protocol]:
Unit:
SOP #: 2.0
Revision #: 1.2
IBC Office
Page #: Page 2 of 3
Expiration Date:
Current Version Implementation
Date:
3/11/2009
Last Reviewed/Update Date:
6/16/2009
Approval Authority: AVP-RC
Title: IBC Protocol Closure
Form
2.3.2. Yes:__; Please complete the appropriate section below:
2.3.2.1.
___I plan to submit a new application for their possession
2.3.2.2.
___I plan to transfer the biological materials to the following protocols
2.3.2.2.1.
PI Name:
2.3.2.2.2.
IBC Protocol Number:
2.3.2.2.3.
Infectious Agent(s):
2.3.2.2.4.
Storage Location (Room Number) of Infectious Agent(s):
3. Laboratory Decontamination
3.1. Have the following items been decontaminated?
3.2. Equipment as applicable:
3.2.1. Biosafety Cabinet ___;
3.2.2. Incubator___;
3.2.3. Centrifuge___;
3.2.4. Freezer, Refrigerator___;
3.2.5. Other: Identify_______________
3.3. Indicate decontamination procedures:
3.4. State when decontamination was completed: Date
3.5. State if biohazardous waste has been disposed: Yes___No___
Unit:
SOP #: 2.0
IBC Office
Page #: Page 3 of 3
Expiration Date:
Revision #: 1.2
Current Version Implementation
Date:
3/11/2009
Last Reviewed/Update Date:
6/16/2009
Approval Authority: AVP-RC
Title: IBC Protocol Closure
Form
PI Signature:
Date:
AI Signature (If any):
Date:
Note: A representative from the Office of Environmental Health & Safety (OEHS) will contact
you to follow-up on completion of the IBC Protocol Closure Process.