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Institutional Biosafety Committee Application Form Instructions
Download Word document form
Any use of microbiological/infectious agents and/or recombinant
DNA molecules in research, must be reviewed and approved or exempted
by the Institutional Biosafety Committee (IBC) before the procedure
is initiated. The CDC/NIH manual entitled "Biosafety in Microbiological
and Biomedical Laboratories, 4th edition" contains safe practices
and laboratory requirements for research using microbiological
agents. The NIH "Guidelines for Research Involving Recombinant
DNA Molecules" contains requirements for protocol review
and safe practices for work involving rDNA.
The UTHSC-H Environmental
Health & Safety’s (EH&S) Biological Safety Program is available
to help with completion of these forms or to answer any question
you may have. You can reach the Environmental Health & Safety
Biological Safety Program at 713-500-4193.
Using This Form
Provide as much information as possible where requested. Determine
what biosafety level the protocol calls for (BSL-1, 2, or 3).
Note that microbiological agents classified as BSL-1 are exempt
from committee review. Assistance with determining your biosafety
level can be had by contacting EH&S. All levels of Recombinant
DNA work require notification and/or approval to the Institutional
Biosafety Committee. Complete the necessary information as best
you can and contact the Biological Safety Program with any questions,
713-500-4193.
Required Materials
- Completed Institutional Biosafety Committee Risk
Assessment Summary Form
- A copy of the research
protocol which should
include practices to
ensure safety and health
in the laboratory.
- Copies or citations of any relevant articles
A memorandum of understanding and agreement (MUA) form will be
generated by EH&S following submission of above materials
and prior to submission to the IBC.
IBC Meeting Date:First
Thursday of every month. Contact EH&S for time and location.
Submission Deadline:
14 days prior to facilitate review and preparation. We will work
with investigators to meet any and all grant deadlines whenever
feasible.
Obtain Forms and Submit to:
Environmental Health & Safety, OCB 1.330, 713-500-8100 or
DBB B51, 713-500-4193.
Once Approved: Protocols
are granted approval for a period of five years, but will be reviewed
on an annual basis. An annual protocol renewal form will be distributed
to you each August.
Changes in Methods, Microbiological
Agent/RDNS, or Personnel: Protocol
changes may be submitted
to EH&S at any time. Apply by memo
referencing the Institutional
Biosafety Safety Committee registration number. If changes are
extensive, include a new set of forms.
Important Notice to Principal
Investigator Applicants: The Principal Investigator (PI)
is the individual who
submits the application
to employ biological agents or recombinant DNA in his or her
work. This individual is responsible for adherence to all guidelines
and regulations. The PI is also fully responsible for the safe
use of such agents by themselves and those under his or her
direction. Other specific responsibilities of the PI are described
in the UTHSC-H Biological Safety Manual and HOOP policies.
Dual use organisms
or select agents/toxins
will require additional
information and review.
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