Suite 230
395 Pine Tree Road
Ithaca, New York 14850
t. 607.255.6375 f. 607.255.8461
e. cu_eco@cornell.edu
www.eco.cornell.edu
Research Environmental Checklist
I. General Research Information
Name of Principal Investigator:
e-mail address:
Name of Co-investigator:
e-mail address:
Lab Contact:
e-mail address:
Name of Research Project:
University Unit (College):
Date:
II. General Usage Information
Does this research involve the use of any of the following? (Circle either YES or NO):
(Provide as much detail as possible if YES):

Human Blood, Body Fluids or Other Potentially infectious material?
YES
NO

Recombinant DNA, Infectious Agents or Biological Toxins?
YES
NO

Radioactive Materials and/or Ionizing or Nonionizing radiation
Producing Equipment?
YES
NO
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
Animals?
YES
NO

Hazardous Chemicals?
YES
NO
III. Materials Used in Research
If material is not used, please answer not applicable (N/A)
How are these
Stored?

Radioactive?

Acidic or
basic?
(High or Low
pH)

Oxidizers?

Heavy Metals?

Biohazards
(i.e. frozen
tissue, etc.)?

Solvents?

Gases?

Other
(flammable,
corrosive,
reactive,
explosive, toxic)
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How are these
Packaged for removal?
How are these
Disposed and by whom?
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IV. Liquid Waste
What liquid wastes (ex. chemicals, water, bleach) will be generated? How will you
dispose of them (sink, removed by Environmental Health and Safety (EH&S) personnel)?
Please explain each:
Name chemicals

Acidic or basic?
(High or Low pH)

Waste with trace
amounts of metals?

Salt solutions?

Any other liquid
waste materials not
appropriate for sewer
disposal (i.e.,
solvents, or
concentrated solutions
of formaldehyde,
xylene)
How Disposed
Will liquid residue (from DNA and/or RNA extractions), that will be treated as tissue
culture waste and treated with bleach, be generated? How will it be removed?
Will Ethidium Bromide (or other mutigen) be used in the research? Please explain:
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V. Solid Waste
What solid waste (needles, pipettes, agar plates--glass and/or plastic will be used or
generated? Please list this waste.
Solid Waste*
How Disposed
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*Please be specific in your description of the waste and do not use generic phrases such as “plastic ware”
or “glass ware”.
Will solid waste be generated and removed as “normal trash”?
Will any waste be autoclaved first?
How will this autoclaved waste be disposed?
Please state if any waste will be placed in special bags (red bags?) or containers (i.e.,
biohazard?) and will Safety personnel remove it?
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If animal carcasses are generated from the research, please explain the removal and
disposal process.
Will filters be used in RNA/DNA extractions? How will these be removed and disposed?
VI. Air Emissions
Are there any air emissions or dust (particulates) that will result from this research? Is
research conducted in a lab hood or exhausted from the lab in any way (i.e., fume hoods
utilized)? Please be specific listing what emissions or particulates will result.
Is any other equipment or process or chemical unique to the research being used that
could result in air emissions?
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