Uc Davis Biological Use Authorization Laboratory Audit Form
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1
2UC Davis Biological Use Authorization Laboratory Audit Form
Biological Use
Principal Investigator:
Authorization #:
Building and Room #:
BSL:
Department:
Reviewer:
Laboratory contact:
Date:
Dept. Safety Coord.
Name:
E-mail:
Pathogens:
No pathogens
Human Pathogens
Animal Pathogens
Plant Pathogens
rDNA Host:
No rDNA
Animal
Microbe
Plant
Viral Vector
Human source material
Non-human primate source material
Other materials:
Other cell lines (non-primate)
Clinical/diagnostic samples (non-human)
Toxins (list):
Permitted materials (e.g. APHIS, CDFA)
BUA documentation
Current BUA, amendments and training sheet are
There are no changes to the BUA.
available. Exp date:
Changes to BUA:
materials
project
personnel
/
New/renewal BUA submitted to IBC :
month
year
location
Training and other safety documentation available and current
Laboratory training is documented with date of training, name, title, signatures of trainer and trainee, training
topics, and materials used.
NIH Guidelines training for
Bloodborne Pathogen Exposure Control Plan
Biological Spill Training
Principal Investigators
Last review date:
(SN#127)
Safe use of Biological Safety
Aerosol Transmissible Diseases
Greenhouse Safety Training
Cabinet Training
Last review date:
Biosafety & Medical Waste
Medical Waste Management Plan
CDFA/APHIS/CDC permits
Management Training
Last review date:
Biohazardous materials
Shipping training
inventory
Containment and equipment
Yes No N/A
Door signage is accurate and legible.
Doors are self-closing and lockable.
Access to lab is limited or restricted when work with biohazardous materials is in progress.
PPE appropriate for the biological agent and task is utilized when working with hazardous materials.
Laboratory has negative airflow with respect to public areas.
Laboratory windows have screens or do not open.
Laboratory furniture is sturdy and has non-porous work surfaces.
Biohazardous materials are handled within approved containment.
Agents are adequately contained during centrifugation.
Liquid biohazardous waste is appropriately contained.
Equipment and work locations are appropriately labeled to communicate the biological hazard.
Biohazardous materials are transported in containers that would prevent release or exposure.
Biological Safety Cabinets are certified annually (list room number, serial number and certification date)
Comments:
Page 1 of 2
Revision: February 9, 2016, supersedes: September 23, 2015
U:\Biosafety\1. UCD IBC\1. All BUA Related Info\5. FORMS\BUA Lab Audit Form (Rev. 2-9-2016).Docx
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