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Laboratory Compliance Manual

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Laboratory Compliance Manual Laboratory Compliance Manual November 2005 Table of Contents I. Table of Contents This section contains the table of contents for this Laboratory Compliance Manual. II. Laboratory Training Documents This section should contain any training certificates received by laboratory personnel that pertain to the laboratory environment. III. Carcinogen Acknowledgement Forms On the CD provided with the Laboratory Compliance Manual is a list of carcinogens compiled from International Agency for Research on Cancer (IARC); the National Toxicology Program (NTP); and the Occupational Safety & Health Administration (OSHA); supplied by Safety Services. For each carcinogen present in the laboratory, there should be an acknowledgement sheet in this section that everyone who works in the laboratory must sign. In signing this sheet, the individual is acknowledging they have read the MSDS and are aware of the hazards presented by the chemical. IV. Mutagen Acknowledgment Forms On the CD provided with the Laboratory Compliance Manual is a list of mutagens compiled from “Dangerous Properties of Industrial Materials” 10th ed., by N. Irving Sax and Richard J. Lewis; supplied by Safety Services. For each mutagen present in the laboratory, there should be an acknowledgement sheet in this section that everyone who works in the laboratory should sign. In signing this sheet, the individual is acknowledging they have read the MSDS and are aware of the hazards presented by the chemical. V. Teratogen Acknowledgement Forms On the CD provided with the Laboratory Compliance Manual is a list of teratogens compiled from “Dangerous Properties of Industrial Materials” 10th ed., by N. Irving Sax and Richard J. Lewis; supplied by Safety Services. For each teratogen present in the laboratory, there should be an acknowledgement sheet in this section that everyone who works in the laboratory should sign. In signing this sheet, the individual is acknowledging they have read the MSDS and are aware of the hazards presented by the chemical. VI. CDC Select Agents and Acknowledgement Forms This section should contain a list of select agents from the CDC that is compiled from CDC, HHS, and USDA. For each select agent present in the laboratory, there should be an acknowledgement sheet that everyone who works in the laboratory should sign. In signing this sheet, the individual is acknowledging they have read the MSDS and are aware of the hazards presented by the agent. VII. IBC Registration List for Biologicals TTUHSC Laboratory Compliance Manual This section should contain the IBC registration list for biologicals. For each IBC registered biological present in the laboratory, there should be an acknowledgement sheet that everyone who works in the laboratory should sign. In signing this sheet, the individual is acknowledging they have read the MSDS and are aware of the hazards presented by the agent. VIII. IBC Registration List for Hazardous Materials This section should contain the IBC registration list for hazardous materials. For each for each IBC registered hazardous material present in the laboratory, there should be an acknowledgement sheet that everyone who works in the laboratory should sign. In signing this sheet, the individual is acknowledging they have read the MSDS and are aware of the hazards presented by the agent. IX. CHP This section should contain a copy of TTUHSC Chemical Hygiene Plan (CHP) and acknowledgement sheet; supplied by Safety Services. X. ECP This section should contain a copy of TTUHSC Exposure Control Plan (ECP) and acknowledgement sheet; supplied by Safety Services. XI. HCP This section should contain a copy of TTUHSC Hazard Communication Plan (HCP) and acknowledgement sheet; supplied by Safety Services. XII. PPEP This section should contain a copy of TTUHSC Personal Protection Equipment Plan (PPEP) and acknowledgement sheet; supplied by Safety Services. XIII. IBC Registration(s) and Updates This section should contain Institutional Biohazards Committee (IBC) registrations and updates. The most recent one should be on the top of this section. XIV. Individual Laboratory SOPs This section should contain any standard operating procedures (SOPs) that pertain to this individual laboratory regarding safety, handling and disposal of the chemicals contained in this manual. XV. Shipping and Receiving of Select Agents This section should contain all documentation pertaining to this laboratories shipping and receiving of select agents. On August 31st of each fiscal year, this section should be emptied and placed in an archive binder specifically for select agent shipping and receiving documentation. If your laboratory does not have select agents, then this section should be empty. TTUHSC Laboratory Compliance Manual XVI. Incident Procedures and Emergency Response This section should contain procedures not found in the CHP and the Individual Laboratory SOPs sections. There should also be contact phone numbers for laboratory personnel in this section. XVII. Laboratory Inventory This section should contain a copy of the laboratory inventory and be updated annually. TTUHSC Laboratory Compliance Manual This form is to acknowledge that the below signed have read the MSDS and understand the hazards associated with the use of: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: TTUHSC Laboratory Compliance Manual This form is to acknowledge that the below signed have read the MSDS and understand the hazards associated with the use of: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: TTUHSC Laboratory Compliance Manual This form is to acknowledge that the below signed have read the MSDS and understand the hazards associated with the use of: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: TTUHSC Laboratory Compliance Manual This form is to acknowledge that the below signed have read the MSDS and understand the hazards associated with the use of: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: Name: Signature: Title: Date: TTUHSC Laboratory Compliance Manual BIOHAZARDOUS AGENTS REQUIRING IBC PROTOCOL REGISTRATION INSTRUCTIONS: When registering hazardous biological or chemical agents, the IBC Protocol Registration Application form (http://www.ttuhsc.edu/Admin/safety/lab/e_regform_7-04.doc) must be completed first. For any biological agent found on this list, Addendum A of the IBC Registration must also be completed and submitted for review. Please see the following link for Addendum A (http://www.ttuhsc.edu/Admin/safety/lab/e_regform_7-04_A.doc). DEFINITION: The IBC defines “biohazardous materials” as all infectious organisms (bacteria, fungi, parasites, prions, rickettsiae, viruses) that can cause disease in humans or cause significant environmental or agricultural impact, in addition to all human or non-human primate tissues, fluids, and primary cell lines, all transgenic animals and plants, recombinant DNA, and all natural or genetically-engineered human and animal cell lines that are pathogenic to humans. CDC/NIH/USDA “select agents” are highlighted in green for quick reference. The federal government decides which agents are at high risk of being used in terrorist activities and refers to them as “select agents”. Select agents can either be pathogens (listed below) or biological toxins. Even though biological toxins are derived from animals and plants, they are included in the highly hazardous chemical list because they have no pathogenic potential. NOTE: The following list should be used as a reference and does not necessarily reflect ALL BSL-2 and higher agents or materials that require IBC protocol approval. NOTE: BSL-1 and non-hazardous biological agents will be exempt from IBC protocol registration, as described above. However, a complete inventory list of biologicals must be submitted to the IBC before any use of these materials will be approved. There are no forms to fill out. The Excel file should be named as follows and submitted with the rest of the application: LastName_FirstName_Biologicals_Year Hard copies of this inventory may be kept in the lab for documentation and use, but should not be submitted as part of this registration.
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