The Franklin and Marshall College

Annual Renewal forBSL2 Biosafety Review Form – No Changes

1. Instructions

This form may be used for the annual renewal of IBC approved research registrations when there are no revisions or updates to be included. If there are any changes (such as the addition or removal of infectious agents, viral vectors, human cell lines, etc.) to your research registration you should use the Annual Renewal and Revision - BSL2 Biosafety Review Form.

You must also electronically sign (that is, type your signature) thisAnnual Renewal Form, which includes the Acknowledgement of Your Responsibilities, prior to submission.

Table 1. PI Information
PI name / e-mail address / Department / Previous IBC protocol no.

17. Acknowledgement of Your Responsibilities

I the undersigned Principal Investigator recognize that I am responsible for

A) developing and making accessible SOPs describing appropriate means for working with each biohazard in my lab;

B) ensuring that everyone entering my lab

i) is appropriately instructed and trained to work with all biohazards they handle or encounter in the lab,

ii) performs all experiments with biohazards with appropriate biosafety precautions, and

iii) has received any required vaccinations or other specific safeguards necessary for any biohazard they handle or encounter in the lab;

C) maintaining appropriate documentation of training and safeguards for everyone in my lab who works with or encounters biohazards;

D) making available to the IBC all SOPs and documentation (e.g., of training) as requested and permitting inspection of my lab by members of this Committee and other appropriate personnel;

E) maintaining certification of biosafety cabinets as necessary and ensuring appropriate operation of all equipment;

F) appropriately describing the biosafety concerns related to my experiments to individuals in charge of other labs or facilities in which work with these biohazards is conducted;

G) immediately reporting to the Biosafety Officer (Debra Frielle, X3600; ) and to EHS (Denise Freeman, X 4153, )

i) any spill of biohazardous materials or any equipment failure that could potentially result in exposure of anyone to biohazardous materials;

ii) any signs, symptoms, or illnesses consistent with exposure to any biohazardous materials in my lab;

H) updating this application when changes are made including adding new biohazards or new people working with biohazardous materials and reviewing this application as requested;

I) ensuring that initiation of work with the biohazards being registered occurs in accordance with the appropriate sequence of submission and/or approval of this protocol as described in the ‘NIH Guidelines for Research Involving Recombinant DNA Molecules’; and

J) adherence to the ‘NIH Guidelines for Research Involving Recombinant DNA Molecules’, guidelines in the current edition of the ‘Biosafety in Microbiological and Biomedical Laboratories’, and the Institutional policy by everyone working with these biohazards in my lab or under my direction.

‘Electronic’ (typed) signature of PIDate

Table 17 PI information
PI e-mail address / Phone / Office/room number / PI status
(e.g., faculty, post-doc, student)

18. Additional Comments (optional)

Table 18. Additional information or comments

SUBMIT THIS FORM AS A WORD DOCUMENT to the BIOSAFETY OFFICER.

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