DOD SEMIANNUAL PROGRAM REVIEW/
FACILITY INSPECTION CHECKLIST
ORGANIZATION
DATE OF REVIEW (YYYYMMMDD)
Completion of this checklist by the IACUC during the semi-annual program review and facility inspection is mandatory.
Mark X in the most appropriate category for each item. KEY: A = Acceptable; M = Minor deficiency; S = Significant deficiency (is or
may be a threat to animal health or safety). Reference The Guide for the Care and Use of Laboratory Animals, 8th edition, for
category details.
CATEGORIES
A
M
S
N/A
SECTION I - ANIMAL CARE AND USE PROGRAM
1. PROGRAM MANAGEMENT
a. PROGRAM MANAGEMENT RESPONSIBILITY
(1) The Institutional Official
(2) The Attending Veterinarian
(3) The Institutional Animal Care and Use Committee
(4) Collaborations
b. PERSONNEL MANAGEMENT
(1) Training and Education
(a) Veterinary and Other Professional Staff
(b) Animal Care Personnel
(c) The Research Team
(d) The IACUC
(2) Occupational Health and Safety of Personnel
(a) Control and Prevention Strategies
(b) Hazard Identification and Risk Assessment
(c) Facilities, Equipment, and Monitoring
(d) Personnel Training
(e) Personal Hygiene
(f) Animal Experimentation Involving Hazards
(g) Personal Protection
(h) Medical Evaluation and Preventive Medicine for Personnel
(3) Personnel Security
(4) Investigating and Reporting Animal Welfare Concerns
2. PROGRAM OVERSIGHT
a. THE ROLE OF THE IACUC
(1) IACUC Constitution and Function
(2) Protocol Review
(3) Special Considerations for IACUC Review
(a) Experimental and Humane Endpoints
(b) Unexpected Outcomes
(c) Physical Restraint
(d) Multiple Survival Surgical Procedures
(e) Food and Fluid Regulation
(f) Use of Non-Pharmaceutical Grade Chemicals and Other Substances
(g) Field Investigations
(h) Agricultural Animals
b. POSTAPPROVAL MONITORING
3. DISASTER PLANNING AND EMERGENCY PREPAREDNESS
SECTION II - ENVIRONMENT, HOUSING, AND MANAGEMENT
4. TERRESTRIAL ANIMALS - ENVIRONMENT
a. MICROENVIRONMENT AND MACROENVIRONMENT
b. TEMPERATURE AND HUMIDITY
c. VENTILATION AND AIR QUALITY
d. ILLUMINATION
e. NOISE AND VIBRATION
DD FORM 2856, MAY 2012
PREVIOUS EDITION IS OBSOLETE.
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