Biosafety Inspection Checklist Reviewed 09/22/2016 4600 Health phone 949.824.6200 | fax 949.824.1325 | ibc@uci.edu http://www.ehs.uci.edu Date of Walkthrough Date of followup walkthrough N/A Biosafety Inspector Proposed Agents Animal/Arthropods Laboratory Information Department Principal Investigator (PI) IBC application # Other IBC applications PI Phone Number PI Email Alternate Contact Alternate Number Alternate Email Training And Occupational Health Select Applicable Trainings Required Per IBC Application: Training are available at UC Learning Center (UCLC) Laboratory Core (every 3 years) Hazardous Waste (once) Bloodborne Pathogens (annually) Aerosol Transmissible Disease/Pathogens (annually) Select Agents (annually) Viral Vectors (once) Shipping (every two years) Animal Research at UCI (once onsite only) – Other specify: Select Applicable Occupational Health Services: None Hepatitis B Vaccine Respirator Other Vaccine (specify): Other (specify): Locations Of Study Location (Bldg, Rm #) Shared Room Functions Biosafety Level work Tissue Culture yes No Animal Procedure Animal Housing If yes, PI’s name: Agent Storage Other (specify): Bench work Tissue Culture yes No Animal Procedure Animal Housing If yes, PI’s name: Agent Storage Other (specify): Bench work Tissue Culture yes No Animal Procedure Animal Housing If yes, PI’s name: Storage Other (specify):
Biosafety Inspection Checklist Reviewed 09/22/2016 4600 Health phone 949.824.6200 | fax 949.824.1325 | ibc@uci.edu http://www.ehs.uci.edu Date of Walkthrough Date of followup walkthrough N/A Biosafety Inspector Proposed Agents Animal/Arthropods Laboratory Information Department Principal Investigator (PI) IBC application # Other IBC applications PI Phone Number PI Email Alternate Contact Alternate Number Alternate Email Training And Occupational Health Select Applicable Trainings Required Per IBC Application: Training are available at UC Learning Center (UCLC) Laboratory Core (every 3 years) Hazardous Waste (once) Bloodborne Pathogens (annually) Aerosol Transmissible Disease/Pathogens (annually) Select Agents (annually) Viral Vectors (once) Shipping (every two years) Animal Research at UCI (once – onsite only) Other specify: Select Applicable Occupational Health Services: None Hepatitis B Vaccine Respirator Other Vaccine (specify): Other (specify): Locations Of Study Location (Bldg, Rm #) Shared Room Functions Biosafety Level yes No If yes, PI’s name: work Tissue Culture Animal Procedure Animal Housing Agent Storage Other (specify): yes No If yes, PI’s name: Bench work Tissue Culture Animal Procedure Animal Housing Agent Storage Other (specify): yes No If yes, PI’s name: Bench work Tissue Culture Animal Procedure Animal Housing Storage Other (specify):