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Biohazard Control Plan for RG 2 or BBP Agents - University of ...

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<strong>University</strong> <strong>of</strong> Col<strong>or</strong>ado at Boulder<br />

Institutional Biosafety Committee<br />

413 UCB<br />

Boulder, Col<strong>or</strong>ado 80309-0413<br />

(303) 492-6025 FAX (303) 492-2854<br />

e-mail: EHSBio@Col<strong>or</strong>ado.edu<br />

This is a “SAMPLE” <strong>Biohazard</strong> <strong>Control</strong> <strong>Plan</strong> <strong>f<strong>or</strong></strong> Human Blood, Body Fluids, and Reagents Derived<br />

from Blood <strong>or</strong> Body Fluids; human cell lines (e.g. HeLa, HEK 293, etc. Please read carefully and<br />

make sure that the “<strong>Biohazard</strong> <strong>Control</strong> <strong>Plan</strong>” that will be submitted to the IBC <strong>f<strong>or</strong></strong> review and<br />

approval is specific to your proposed research and the associated biohazards.<br />

Principal Investigat<strong>or</strong>:<br />

D. IBC Biosafety Application - <strong>Biohazard</strong> <strong>Control</strong> plan<br />

Please complete this part <strong>of</strong> the Application using W<strong>or</strong>d (“Unprotect Document”)<br />

The “<strong>Biohazard</strong> <strong>Control</strong> <strong>Plan</strong>” must be completed <strong>f<strong>or</strong></strong> research that involves Risk Group 2 agents; human<br />

blood, blood products, reagents derived from blood; human cell lines which are known <strong>or</strong> reasonably<br />

likely to contain <strong>or</strong> be infected with HIV, Hepatitis B virus, Hepatitis C virus, <strong>or</strong> that supp<strong>or</strong>t HIV<br />

replication (e.g. HeLa, HEK 293, etc.); <strong>or</strong> field w<strong>or</strong>k that involves potential exposure to infectious agents<br />

like plague, hanta virus, rabies, etc. Please visit the EH&S Campus Biological Safety Program web site:<br />

http://ehs.col<strong>or</strong>ado.edu/Biosafety.htm to view a “sample” <strong>Biohazard</strong> <strong>Control</strong> <strong>Plan</strong>.<br />

Instructions: Principal investigat<strong>or</strong> is required to develop a plan to assure adequate protection <strong>of</strong> employees,<br />

students, the community, and the environment. The plan should take into account the nature <strong>of</strong> the research<br />

and the degree <strong>of</strong> risk. General in<strong>f<strong>or</strong></strong>mation regarding biological safety can be obtained from the <strong>University</strong> <strong>of</strong><br />

Col<strong>or</strong>ado Department <strong>of</strong> Environmental Health and Safety (http://ehs.col<strong>or</strong>ado.edu/Biosafety.htm)<strong>or</strong> from the<br />

following reference sources: Biosafety in Microbiological and Biomedical Lab<strong>or</strong>at<strong>or</strong>ies<br />

(http://www.cdc.gov/od/ohs/biosfty/bmbl5/bmbl5toc.htm), Centers <strong>f<strong>or</strong></strong> Disease <strong>Control</strong> and National Institutes<br />

<strong>of</strong> Health, HHS publication no. (CDC) 93-8395, 5th ed., February 2007; "Guidelines <strong>f<strong>or</strong></strong> Research Involving<br />

Recombinant DNA Molecules (http://www4.od.nih.gov/oba/rac/guidelines/guidelines.html)," Federal Register<br />

51: 16958-16985 (1986) and current revisions.<br />

1. Exposure determination:<br />

Note: F<strong>or</strong> research involving human cell lines, blood, body fluids, and reagents derived from blood <strong>or</strong> body<br />

fluids, investigat<strong>or</strong>s are required to treat all materials as if known to be infectious <strong>f<strong>or</strong></strong> HIV, hepatitis B <strong>or</strong><br />

hepatitis C virus and/<strong>or</strong> other blood-b<strong>or</strong>ne pathogens.<br />

a. List who will be w<strong>or</strong>king with hazardous material (by name & job title).<br />

Jane Doe (graduate student), Mark Smith (graduate student), Bob Jones (research associate), Julia Jones<br />

(undergraduate student), Dana Roberts (principal investigat<strong>or</strong>)<br />

b. Describe the general types <strong>of</strong> experimental procedures that will be per<strong>f<strong>or</strong></strong>med (e.g. cell culture,<br />

protein purification, drawing blood, etc).<br />

Cell Culture. Cultures <strong>of</strong> mammalian cells will be grown, transfected <strong>or</strong> virally transduced with<br />

recombinant DNA, and imaged on a microscope. Bacterial cultures are used to propagate vect<strong>or</strong>s <strong>of</strong><br />

recombinant DNA. Cultures <strong>of</strong> pathogenic bacteria (Salmonella <strong>or</strong> Pseudomonas) will be grown and used<br />

to infect mammalian cells. This process will be visualized on a microscope.<br />

Page 1 <strong>of</strong> 3 IBC/EH&S rev. December 12, 2008


<strong>University</strong> <strong>of</strong> Col<strong>or</strong>ado at Boulder<br />

Institutional Biosafety Committee<br />

413 UCB<br />

Boulder, Col<strong>or</strong>ado 80309-0413<br />

(303) 492-6025 FAX (303) 492-2854<br />

e-mail: EHSBio@Col<strong>or</strong>ado.edu<br />

2. <strong>Control</strong> methods:<br />

a. Describe facility in which w<strong>or</strong>k is to be per<strong>f<strong>or</strong></strong>med.<br />

Mammalian cell culturing and viral transduction will be done in either the Tissue Culture Facility (Cristol<br />

214) <strong>or</strong> in Cristol 250 in a BSL2 Biosafety Cabinet. Bacterial culturing (E. Coli, non biohazardous) will be<br />

done in Cristol 328. Culturing <strong>of</strong> Salmonella will be done in room 328 in an area designated <strong>f<strong>or</strong></strong><br />

Salmonella BSL2 w<strong>or</strong>k. This area is marked with appropriate signs. Culturing <strong>of</strong> Pseudomonas will only<br />

be done in a BSL2 Biosafety Cabinet, either in Cristol 250 <strong>or</strong> in the lab<strong>or</strong>at<strong>or</strong>y (Benson 445) <strong>of</strong> Mary Smith<br />

(Co-PI on this project). All rooms are equipped with hand washing stations and eye washes.<br />

b. Describe who will have access to the facility and how access will be controlled (If relevant,<br />

describe signs, do<strong>or</strong>s, type <strong>of</strong> lock, separation from c<strong>or</strong>rid<strong>or</strong>s and other w<strong>or</strong>k areas, etc.)<br />

The labs will be locked and only personnel who have been properly trained (see question 7) will have<br />

keyed access. A hazard warning sign (w/ universal biosafety symbol) will be posted on the do<strong>or</strong> to the lab<br />

and again right at the BL2 w<strong>or</strong>k area. Any trash cans that contain BL2 waste will be clearly marked (again<br />

with universal symbol) so these are not changed by custodial personnel<br />

c. How and when will facility be cleaned and decontaminated? Will Facilities Management custodial<br />

personnel have routine access, and if so, how will they be protected from hazardous materials?<br />

Facility will be cleaned and decontaminated by lab<strong>or</strong>at<strong>or</strong>y personnel immediately after use. All waste will<br />

be disposed <strong>of</strong> properly. Any potentially contaminated surfaces will be cleaned with bleach and ethanol.<br />

Custodial personnel will have access to the rooms but all infectious waste will be handled by our lab and<br />

non-infectious waste will be sealed in puncture pro<strong>of</strong> containers.<br />

d. Describe safety devices that will be used. These may include some <strong>or</strong> all <strong>of</strong> the following:<br />

biosafety cabinets, hand washing facilities, mechanical pipetting devices, puncture resistant<br />

sharps containers, splash guards, self-sheathing needles.<br />

Biosafety cabinet-level II, eye-wash and hand-wash stations, autoclave <strong>f<strong>or</strong></strong> decontaminating waste, clearly<br />

labeled BSL2 waste containers, clearly labeled puncture-pro<strong>of</strong> sharps containers, mechanical pipeting<br />

devices,<br />

e. What types <strong>of</strong> personal protective equipment will be used (gloves, masks, lab coats, etc). How will<br />

the equipment be decontaminated, laundered, <strong>or</strong> disposed <strong>of</strong>?<br />

Personal protective equipment includes lab coats, gloves, and eye-protection (which are required).<br />

Contaminated gloves will be disposed <strong>of</strong> in biohazardous waste. Decontamination procedures involve<br />

chemical sterilization (bleach and ethanol) and heat (autoclave).<br />

3. Vaccination: Will it be necessary to vaccinate w<strong>or</strong>kers against infectious agents? If so, describe<br />

plans <strong>f<strong>or</strong></strong> vaccinations. (W<strong>or</strong>kers who handle human blood <strong>or</strong> other materials that may contain<br />

hepatitis B virus have the right to be vaccinated against HBV at no cost to them. HBV vaccinations<br />

can be arranged through Wardenburg Health Service at a cost <strong>of</strong> approximately $150.00 per<br />

w<strong>or</strong>ker).<br />

HBV vaccine will be <strong>of</strong>fered to all lab personnel w<strong>or</strong>king with human specimens <strong>or</strong> cell cultures. A rec<strong>or</strong>d<br />

<strong>of</strong> lab personnel who have received the HBV vaccine series will be maintained and made available to the<br />

IBC and EH&S.<br />

Page 2 <strong>of</strong> 3 IBC/EH&S rev. December 12, 2008


<strong>University</strong> <strong>of</strong> Col<strong>or</strong>ado at Boulder<br />

Institutional Biosafety Committee<br />

413 UCB<br />

Boulder, Col<strong>or</strong>ado 80309-0413<br />

(303) 492-6025 FAX (303) 492-2854<br />

e-mail: EHSBio@Col<strong>or</strong>ado.edu<br />

4. Accidents: What procedures will be followed in case <strong>of</strong> an accident? (Note that incidents<br />

involving w<strong>or</strong>ker exposure to infectious material must be rep<strong>or</strong>ted to W<strong>or</strong>ker's Compensation:<br />

Arb<strong>or</strong> Occupational Medicine (303) 443-0496 <strong>or</strong> WORKWELL Occupational Medicine (303) 702-1612<br />

and to the IBC and EH&S. W<strong>or</strong>kers have the right to confidential medical evaluation, follow-up,<br />

and counseling). A Risk Management “Employee Injury Rep<strong>or</strong>t F<strong>or</strong>m” must be completed <strong>f<strong>or</strong></strong> all<br />

injuries, https://urm.cusys.edu/docs/<strong>f<strong>or</strong></strong>ms/incident_rep<strong>or</strong>t_<strong>f<strong>or</strong></strong>m.asp and a “Needle Stick <strong>or</strong> Bodily<br />

Fluid Exposure Rep<strong>or</strong>t F<strong>or</strong>m” <strong>f<strong>or</strong></strong> these types <strong>of</strong> injuries/exposures,<br />

https://urm.cusys.edu/docs/<strong>f<strong>or</strong></strong>ms/needlestick_incident_rep<strong>or</strong>t_<strong>f<strong>or</strong></strong>m.asp<br />

All accidents will be handled acc<strong>or</strong>ding to our emergency action plan (<strong>f<strong>or</strong></strong> accidents involving hazardous <strong>or</strong><br />

infectious materials, fires, gas leaks, <strong>or</strong> explosions). Briefly, personnel are instructed to take the following<br />

actions (in <strong>or</strong>der): 1) Life Safety First, 2) Evacuate immediate area, 3) Pull Fire Alarm, 4) Call 911 from a<br />

safe location, and 5) Remain available <strong>f<strong>or</strong></strong> emergency personnel. Any accidents involving infectious<br />

material <strong>or</strong> injury will be rep<strong>or</strong>ted. All personnel will be made aware <strong>of</strong> fire extinguishers, fire-alarm pull<br />

stations, eye washes and showers, MSDS, first aid and spill clean up kits.<br />

5. Waste disposal: Describe provisions <strong>f<strong>or</strong></strong> disposal <strong>of</strong> hazardous materials. If all <strong>or</strong> part <strong>of</strong><br />

hazardous material is to be decontaminated on site, specify procedures to be used. All<br />

biohazardous waste will be processed acc<strong>or</strong>ding to EH&S “Biological Lab<strong>or</strong>at<strong>or</strong>y Waste<br />

Management – Disposal Policy & Procedure”<br />

(http://ehs.col<strong>or</strong>ado.edu/Download/EHSBiowaste.pdf.).<br />

All waste will be disposed <strong>of</strong> acc<strong>or</strong>ding to the Biological Lab<strong>or</strong>at<strong>or</strong>y Waste Management guidelines <strong>f<strong>or</strong></strong> CU.<br />

Briefly, biological waste will be separated into infectious and non-infectious (we use separate clearly<br />

marked containers). Any potentially infectious waste will be chemically disinfected, placed in a Hazardous<br />

Waste autoclavable bag, and autoclaved. Non infectious biological waste will be placed in a sturdy<br />

autoclavable bag with a non-biohazardous waste certified tag and placed in designated autoclave area.<br />

Sharps will be separated acc<strong>or</strong>ding to infectious and non-infectious puncture pro<strong>of</strong> containers. Potentially<br />

infectious sharps will be autoclaved and tagged <strong>f<strong>or</strong></strong> hazardous waste pick up. Hazardous waste will be<br />

st<strong>or</strong>ed in a designated SAA and tagged <strong>f<strong>or</strong></strong> hazardous waste pick-up.<br />

6. Labeling: Describe tags, labels, <strong>or</strong> bags that will be used to identify hazardous materials. If<br />

hazardous material is to be decontaminated on site, specify how material will be labeled to<br />

indicate that it is no longer infectious.<br />

Heat resistant <strong>Biohazard</strong> autoclave bags will be used will autoclaving. These bags have built in<br />

sterilization indicat<strong>or</strong>s that indicate appropriate sterilization has taken place.<br />

Biological waste (non infectious <strong>or</strong> decontaminated) will be tagged with Non-biohazardous waste tag and<br />

placed in designated area.<br />

7. Training: Describe how w<strong>or</strong>kers will be trained to handle hazardous materials. F<strong>or</strong> training in the<br />

safe use <strong>of</strong> blood-b<strong>or</strong>ne pathogens <strong>or</strong> to properly package and ship biological materials, contact<br />

Environmental Health and Safety at 2-7072 <strong>or</strong> 2-6025.<br />

All w<strong>or</strong>kers are required to attend EH&S hazardous materials generat<strong>or</strong> training. In addition w<strong>or</strong>kers will<br />

be trained on site so they are familiar with the specific risks and safety procedures relevant to the<br />

lab/project.<br />

Page 3 <strong>of</strong> 3 IBC/EH&S rev. December 12, 2008

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