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Save Print E-mail Reset Form Biological Risk Assessment Worksheet Tracking Building/Lab Room PI Name Laboratory protocols consist of one or more procedures. Each procedure in the protocol needs an agent-specific it can be used for multiple protocols by referencing its tracking number. The procedure may be performed with additional precautions if desired but must be no less stringent than what is calculated below at Section II. Keep a completed copy of this worksheet in your Biosafety Manual* The Biosafety in Microbiological and Biological Laboratories BMBL 5th Edition has additional guidance on facilities work practices PPE and medical surveillance. Section I Complete All Data Entry in this Section Agent Used Is a vaccine available Yes No Risk Group of Agent check www. absa*org Inactivated agents Risk Group 1 Procedure For Risk Group 2-3 is there a splash potential e*g* cell culture vortex centrifuge aerosol chamber sonicate Section II Data will be calculated in this Section according to the answers entered above in Section I 1. Facility and Work Practices Biological Safety Levels BSLs Facility BSL 2. Biological Safety Cabinet Class I/II Work Practices BSL 3. Personal Protective Equipment Needed for Procedure left to right increased protection a* b. c* d. Gloves Eye Lab coat Respirator latex/nitrile required safety glasses white N-95/PAPR goggles face shield blue smock/coveralls space suit 4. Medical Protection and Surveillance a* Medical Monitoring required c* Vaccine recommended b. Hearing Conservation Program d. Respiratory Protection Program 5. Comments Note Vaccines and respirators require separate risk assessments. Each procedure in the protocol needs an agent-specific it can be used for multiple protocols by referencing its tracking number. The procedure may be performed with additional precautions if desired but must be no less stringent than what is calculated below at Section II. The procedure may be performed with additional precautions if desired but must be no less stringent than what is calculated below at Section II. Keep a completed copy of this worksheet in your Biosafety Manual* The Biosafety in Microbiological and Biological Laboratories BMBL 5th Edition has additional guidance on facilities work practices PPE and medical surveillance. Keep a completed copy of this worksheet in your Biosafety Manual* The Biosafety in Microbiological and Biological Laboratories BMBL 5th Edition has additional guidance on facilities work practices PPE and medical surveillance. Section I Complete All Data Entry in this Section Agent Used Is a vaccine available Yes No Risk Group of Agent check www. Section I Complete All Data Entry in this Section Agent Used Is a vaccine available Yes No Risk Group of Agent check www. absa*org Inactivated agents Risk Group 1 Procedure For Risk Group 2-3 is there a splash potential e*g* cell culture vortex centrifuge aerosol chamber sonicate Section II Data will be calculated in this Section according to the answers entered above in Section I 1.

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