University of Rochester Institutional Biosafety Committee Checklist for Biosafety Level 3 Information about biosafety assessment and the Institutional Biosafety Committee (IBC) can be found on the IBC web site http://www.safety.rochester.edu/ibc/ P.I. _________________________________ Dept. ____________________ Phone____________________ Office Location ________________________e-mail______________________________________________ Project or Grant Title_______________________________________________________________________ Award Number ___________________________________________________________________________ UCAR Number____________________________________________________________________________ Technician _____________________________________ Phone ___________________________________ Recombinant DNA and non-mammalian virus vectors (rDNA plasmids, bacteriophages, baculovirus, insect cells, yeast, lab strains of E. coli) Host(s) (whole animals or microbes) _____________________________________________________ Non-human Cell Line(s) and Their Origin _________________________________________________ Vector(s)___________________________________________________________________________ Gene(s) ____________________________________________________________________________ Source of DNA (organism) ____________________________________________________________ Room(s) Number(s) where constructs are used______________________________________________ Laboratory Biosafety Level_________________ Animal Biosafety Level _____________________ Mammalian cells, cell lines and unfixed tissues (this section should include information on tissues or cells which you intend to harvest from vertebrate animals, in the course of your experiments) Name of Cell(s), Cell Line(s) and unfixed tissues, and their species of origin______________________ Source of cell line (Vendor; Vendor part number)_____________________________________ _____________________________________________________________________________ (see http://www.atcc.org; note that ATCC recommends specific containment levels for all cells) Is the cell line known to harbor any infectious agent? If so, please identify the agent. ____________________________________________________________________________ Are you using primary human cells, unfixed human tissues or human body fluid?____________ (If the answer is yes, your work must proceed at BSL2 or higher) Room(s) Number(s) where cells are used______________________________________________ Laboratory Biosafety Level_________________ Animal Biosafety Level _____________________ Biohazards (infectious agents, mammalian virus vectors; for investigators who intend to use mammalian virus vectors, the necessary IBC registration form should also be completed; see: http://www.safety.rochester.edu/ibc/ibcvirus.htm. Name of Agent(s) ____________________________________________________________________ Room(s) Number(s) where biohazards are used______________________________________________ Laboratory Biosafety Level_________________ Animal Biosafety Level _____________________ A summary or abstract must accompany this form for IBC approval. I understand that the attached forms are subject to approval by the Institutional Biosafety Committee. A site visit is part of the approval process for biosafety level 3 containment. If there are any changes to the protocol, I understand that it is my responsibility to notify the IBC Executive Secretary using the IBC Biosafety Update Form http://www.safety.rochester.edu/ibc/ibcforms.htm. _________________________________________ ________________________________ Principal Investigator Date IBC SIGNOFF Facilities and procedures have been reviewed and are adequate and consistent with the appropriate guidelines. _________________________________________ Biosafety Officer ________________________________ Date _________________________________________ IBC Chair (Required for BSL-3) ________________________________ Date _________________________________________ IBC UCAR Coordinator (Required for ABSL-2 and 3) ________________________________ Date _________________________________________ BSL-3 Director (Required for BSL-3) ________________________________ Date _________________________________________ Full IBC Committee Approval ________________________________ Date General Questions for Experiments using Recombinant DNA Circle “Yes” or “No” for the following questions: Experiments that require RAC review; NIH and IBC approval. (Yes/No) 1. Deliberate formation of rDNAs containing genes for biosynthesis of toxic molecules. (Yes/No) 2. Deliberate release into the environment of any organism containing rDNA. (Yes/No) 3. Deliberate transfer of drug resistance trait to microorganisms such that drug control might be compromised. (Yes/No) 4. Deliberate transfer of rDNA into human subjects. Experiments that require IBC approval before initiation. Circle "Yes" or "No": (Yes/No) 1. Use of other than a Risk Group 1 agent as host-vector system (see Appendix B of NIH Guidelines). (Yes/No) 2. Will you use a Risk Group 2, 3, or 4 viral vector? If so, will: (Yes/No) A. greater than 2/3 of genome be used? (Yes/No) B. helper virus or packaging cells be used? (Yes/No) C. your experiment enhance pathogenicity (e.g., insertion of oncogene, extend host range)? (Yes/No) 3. Will whole animals or plants be used as hosts? (Yes/No) 4. Will experiments involve more than 10 liters of culture? (Yes/No) 5. Will a deliberate attempt be made to obtain expression of a foreign gene? If so, what protein/RNA will be produced? If you require more information, please read the NIH Guidelines. These are available online at: http://www4.od.nih.gov/oba/rac/guidelines/guidelines.html Specific Regulations for Use of Recombinant Virus Vector Systems If you are intending to use recombinant virus vector systems (in vitro or in vivo), the vectors must be registered with the IBC using our online virus vector registration form. This form is completed online at: http://www.safety.rochester.edu/ibc/ibcvirus.htm . Checklist Instructions To fill out the Checklist for Biosafety Level 3, start with question 1. Please read carefully and check yes or no. Feel free to add notes of explanation in the margins. IBC Approval must be completed PRIOR to initiation of biosafety level 3 experiments. All individuals working at BSL-3 containment must be BSL-3 Authorized Users as per the BSL-3 Program. Contact the Biosafety Officer (x5-3014 or jives@safety.rochester.edu) for more information. Compliance with the BSL-3 Program and medical surveillance program is required. Personal protective equipment (PPE) must be provided to employees, and must be suitable for the task(s) performed. PPE includes lab coats, gloves, face protection (if appropriate/necessary) and other protective measures (if appropriate/necessary). A plan for containment of sharps should be in place (e.g., use of sharps containers; no re-capping of needles, etc). Changes in the proposed of recombinant DNA materials or biohazards must be documented: Use in Whole Animals (includes lab work on animal specimens): Submit UCAR “Sections A and C” to IBC Executive Secretary. Use in the Laboratory ONLY: Submit “IBC Biosafety Update Form” to IBC Executive Secretary OR Submit a revised Checklist Return completed checklist with an ABSTRACT or summary of the research to Janet Ives, Biosafety Officer, Executive Secretary at Environmental Health & Safety, 300 East River Road, Room 23. If you need help completing this form, contact Janet Ives, Biosafety Officer, Executive Secretary, jives@safety.rochester.edu, Telephone: 275-3014. Biosafety Level 3 Checklist YES 1. The Principal (Co) Investigator is familiar with the most current “NIH Guidelines for Research Involving Recombinant DNA Molecules” (NIH Guidelines), the CDC/NIH “Biosafety in Microbiological and Biomedical Laboratories”, and with the UR Biosafety Level 3 Program. (Available on-line at http://www.safety.rochester.edu/ibc/ibclinks.htm) 2. The PI reports within 30 days to the IBC and NIH (ORDA) all significant problems with and violations of the NIH Guidelines and all significant research related illnesses. 3. The PI immediately reports all laboratory related incidents resulting in personnel injury or exposure to the Biosafety Officer. 4. The PI controls access to the laboratory and restricts access to persons whose presence is required for programs or support purposes. The PI is responsible for assessing each circumstance and determining who may enter or work in the laboratory. All individuals working at BSL-3 must comply with the BSL-3 Program. 4. The PI has established policies and procedures whereby only persons who have been advised of the potential biohazard and meet specific entry requirements may enter the laboratory or animal rooms. 5. A plan for emergencies has been developed and is available for laboratory employees. Emergencies to be planned for include fire, hazardous material spills (chemical, biological, radiological), injuries, and exposures. Spill plans must specifically address the hazards in the laboratory. 6. Lab specific biosafety information is available, and personnel are required to be familiar with it. Information should be included: general information regarding biohazardous agent, routes of disease transmission, recommended vaccinations, signs and symptoms of disease, required personal protective equipment, waste handling protocol, spill clean up procedures for inside and outside containment equipment including centrifuges, exposure follow-up procedure, aerosol control procedure, and general biosafety information (NIH Guidelines and/or CDC/NIH “Biosafety in Microbiological and Biomedical Laboratories”). 7. The PI ensure proper instruction of laboratory staff in microbiological techniques, approved protocols, and emergency procedures, and that these instructions are followed. Documentation of training is kept by the PI (contents, trainer, attendees, and date). 8. The PI ensured that before working at biosafety level 3 containment personnel demonstrate proficiency in standard microbiological practices and techniques, and in the practices and operations specific to the laboratory facility. Documentation of this training is kept by the PI (contents, trainer, attendees, and date). 9. All persons working with human blood, body fluids, or tissues receive the OSHA Bloodborne Pathogens Training annually and have been offered the hepatitis B vaccination series. 10. Laboratory personnel receive appropriate immunizations or tests for the agents handled or potentially present in the lab. 11. Persons under 16 years of age do not enter the laboratory. NO YES 12. BL-3 laboratory doors are closed while experiments are in progress. 13. The universal biohazard sign is posted on all laboratory access doors and is posted on all units used to store biohazardous materials. The sign includes agents(s), name and telephone numbers of responsible individuals, and specific entry requirements. 14. The BL-3 laboratory is separate from areas that are open to unrestricted traffic flow within the building. Passage through two sets of doors is the basic requirement for entry into the laboratory from access corridors or other laboratories. Physical separation may be achieved by a double-door clothes change room (showers may be included), airlock, or other access facility which requires passage through two sets of doors before entering the BL-3 laboratory. 15. Access doors to the BL-3 laboratory are self-closing. 16. The interior surfaces of walls, floors, and ceiling are water resistant and smooth so that they can be easily cleaned. Penetrations in these surfaces are sealed or capable of be sealed to facilitate decontaminating the area. 17. Bench tops are impervious to water and resistant to acids, alkalis, organic solvents, and moderate heat. 18. Laboratory furniture is sturdy and spaces between benches, cabinets, and equipment are accessible for cleaning. 19. The BL-3 laboratory contains a sink for hand washing. The sink is foot, elbow, or automatically operated and is located near the laboratory exit. 20. The BL-3 laboratory contains a readily available plumbed eyewash station. The eyewash is activated weekly. 21. Windows in the BL-3 laboratory are closed and sealed. 22. Vacuum lines are protected with HEPA filters and liquid disinfectant traps, or the equivalent, which are routinely maintained and replaced as needed. 23. A ducted exhaust air ventilation system is provided. This system creates directional airflow that draws air into the laboratory through the entry area. The exhaust air is not recirculated to any other areas of the building, is discharged to the outside, and is dispersed away form occupied areas and air intakes. All exhaust air from the laboratory is HEPA filtered. 24. Personnel verify that the direction of the airflow (into the laboratory) is proper and records are kept. 25. If the HEPA filtered exhaust air from a Class II biosafety cabinet is discharged to the outside through the building exhaust air system, it is connected to this system in a manner (e.g., thimble unit connection) that avoids any interference with the air balance of the cabinets or building exhaust system. NO YES NO 26. Biosafety cabinets are decontaminated and certified annually. Certifier: __________________________________________________________________________ Manufacturer: ______________________________ Model: _________________________________ Class II Type: ______________________________ Serial No.: _______________________________ Certifier: __________________________________________________________________________ Manufacturer: ______________________________ Model: _________________________________ Class II Type: ______________________________ Serial No.: _______________________________ 27. Continuous flow centrifuges or other equipment that may produce aerosols are contained in devices that exhaust air through HEPA filters before discharge into laboratory. 28. All wastes from BL-3 laboratories and animal rooms are appropriately decontaminated before disposal. Procedure: ___________________________________________________________ 30. An autoclave for decontaminating laboratory wastes is available preferably within the laboratory. Autoclave location:___________________________________________________ 30. Materials to be decontaminated away from the laboratory are packaged in durable leak-proof containers, which are closed before removal from the laboratory. 31. Pipetting by mouth is prohibited. Mechanical pipetting devices are used. 32. Eating, drinking, smoking, handling contact lenses, and applying cosmetics are not permitted in the lab. Persons wearing contacts also wear goggles or a face shield. Food storage is prohibited in the BL-3 laboratory. 33. Hand washing facilities are available, and persons wash their hands after handling recombinant DNA or other biohazardous materials and before leaving the BL-3 laboratory. 34. Other experiments conducted concurrently are performed following BL-3 precautions even if such experiments are approved for a lower biosafety level. 35. Care is taken to minimize the creation of aerosols. 36. Appropriate combinations of personal protective equipment and containment equipment are used for all activities with organisms containing recombinant DNA or infectious materials. No work in open vessels is conducted on the bench. 37. Laboratory equipment and work surfaces are decontaminated daily and immediately following spills of viable material. Decontaminant :________________ _____________________________________ 38. Spills of infectious materials are contained, decontaminated, and clean up by appropriate professional staff, or other properly trained and equipped to work with concentrated infectious materials. YES 39. Equipment is decontaminated before it is sent for repair or maintenance and packaged for transport in accordance with applicable local, state, or federal regulations, before removal from facility. 40. Needles and syringes are used only for parenteral injection and fluid aspiration from animals and diaphragm bottles. Only locking or integral-type syringes are used. 41. Extreme caution is used when handling needles and syringes to avoid autoinculation and generation of aerosols during use and disposal. 42. Contaminated needles are not sheared, bent, or recapped. 43. Sharps including needles, razors, scalpels, contaminated broken glass and pasteur pipettes are disposed of in a sharps shelter. 44. Wrap around or closed front laboratory clothing, shoe covers, head cover, and gloves are worn at all times in the BL-3 laboratory while BL-3 experiments are in progress. Open-toes shoes are not worn by any personnel entering the BL-3 laboratory. Additional personal protective equipment may be necessary based on the particular activity. 45. Reusable laboratory clothing is decontaminated before being laundered. Procedure: ___________________________________________________________ 46. Face protection is worn for manipulations of infectious materials outside the biosafety cabinet. 47. Respiratory protection is worn when aerosols cannot be contained such as outside the biosafety cabinet. Enrollment in the University Respiratory Protection Program is required. 48. Wearing personal protective equipment outside the BL-3 laboratory is prohibited. 49. Street outer-wear is not kept in the BL-3 laboratory. 50. The laboratory is kept neat and clean. NO Experimental Animals: Complete only if applicable. YES 51. Laboratory animals held in the ABSL-3 Suite are housed in total containment. The Vivarium Management, the Biosafety Officer, the BSL-3 Director, and the IBC UCAR Coordinator must approve all other caging. 52. All laboratory personnel housing animals in the ABSL-3 Suite must be BSL-3 Authorized Users as per the BSL-3 Program. 53. All laboratory personnel housing animals in the ABSL-3 Suite must successfully complete the ABSL-3 training program. 54. When required, approved respirators are worn in rooms containing experimental animals. Enrollment in the University Respiratory Protection Program is required. NO