Laboratory Information: Biosafety Level 4 Checklist - BEI Resources

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Are laboratory personnel trained prior to assuming their duties and on an annual basis or when policies change on the hazards associated with the material they are manipulating and the precautions to prevent exposures, and exposure evaluation procedures B. Special Practices YES NO Are all persons entering the laboratory advised of entry/exit requirements and potential hazards Are the proper facilities in place to allow for laboratory personnel to change clothes and to shower prior to exit from the facility Does your organization have an occupational health and medical surveillance program which includes offering appropriate immunizations for the agents handled Is a baseline serum sample stored for laboratory employees Is there a biosafety manual available that is laboratory specific Does the laboratory supervisor ensure that all personnel working with BSL-4 agents have the appropriate knowledge and can demonstrate proficiency in standard and special laboratory practices on an annual basis Are procedures in place for the use of durable, sturdy, leak proof containers during the collection, handling, processing, storage, or transport of infectious materials Are the appropriate procedures in place for the removal of viable or intact BSL 4 material What decontamination method is used for the routine decontamination of equipment ______________________________________________________________________ ______________________________________________________________________ x_______ Biosafety Officer Initials x_______ x_______ x_______ x_______ x_______ x_______ x_______ x_______ x_______ Is this method used after all spills and splashes and prior to maintenance on equipment How are materials and supplies brought into the BSL 4 laboratory Are interlocks present ______________________________________________________________ ______________________________________________________________________ How often are checks of essential containment and life support systems completed ______________________________________________________________________ x_______ x_______ Are they documented Are there animals or plants in the laboratory not associated with the work being performed C. Safety Equipment (Primary Barriers and Personal Protective Equipment) Biosafety cabinets are required for the manipulation of infectious material. Please indicate type of BSC, air i filtration, and certification schedule: x_______ ____________________________________________________________________________________________ ____________________________________________________________________________________________ BEI Resources www.beiresources.org Doc ID: 58161 Effective Date: 05/10/2012 Page 2 of 3 Revision: 1.0
Do you have a cabinet or suit laboratory Based on the type of laboratory of your facility, what are the personal protective equipment requirements ____________________________________________________________________________________________ ____________________________________________________________________________________________ What personal protective equipment is required by your laboratory when infected animals are in the laboratory ____________________________________________________________________________________________ ____________________________________________________________________________________________ D. Laboratory Facilities (Secondary Barriers) Based on the type of BSL 4 laboratory of your facility, cabinet or suit; please indicate how your facility meets the laboratory facility guidelines for a BSL 4 laboratory. Please use the space below and/or attach a separate sheet of paper if needed. Please list method of waste disposal: _________________________________________________________________ _______________________________________________________________________________________________ We acknowledge that the information listed in this facility description is current, complete and accurate to the best of our knowledge. We understand the hazards associated with the material we are requesting and we will work with it under the appropriate laboratory containment as determined by our institutional policies and procedures. _________________________________________ Registrant’s Name (print) _______________________________________________ Registrant’s Signature and Date _________________________________________ Biosafety Officer’s Name _______________________________________________ Biosafety Officer’s Signature and Date _________________________________________ Responsible Official’s Name _______________________________________________ Responsible Official’s Signature and Date BEI Resources can only accept BEI Level 4 registration documents by postal mail with original ink signatures. Please send this document to: BEI Resources Customer Service: Registration 10801 University Boulevard Manassas, VA 20110-2209 If you have questions about this application or related documents, contact us at contact@beiresources.org or call (800) 359-7370. BEI Resources www.beiresources.org Doc ID: 58161 Effective Date: 05/10/2012 Page 3 of 3 Revision: 1.0
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Laboratory Information: Biosafety Level 4 Checklist - BEI Resources

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