{"id":1115,"date":"2026-09-21T13:55:03","date_gmt":"2026-09-21T17:55:03","guid":{"rendered":"https:\/\/www-lms.stjohns.k12.fl.us\/sciencefair\/accessible-docs\/6a-potentially-hazardous-biological-agents-pdf-8\/"},"modified":"2026-09-21T13:55:03","modified_gmt":"2026-09-21T17:55:03","slug":"6a-potentially-hazardous-biological-agents-pdf-8","status":"publish","type":"savoy_document","link":"https:\/\/www-lms.stjohns.k12.fl.us\/sciencefair\/accessible-docs\/6a-potentially-hazardous-biological-agents-pdf-8\/","title":{"rendered":"6A-Potentially-Hazardous-Biological-Agents.pdf"},"content":{"rendered":"

Potentially Hazardous Biological Agents Risk Assessment Form<\/h1>\n

This form is required for all research involving microorganisms, rDNA, fresh\/frozen tissue, blood, blood products, and body fluids. SRC\/IACUC\/IBC approval is required BEFORE experimentation.<\/p>\n

SECTION 1: PROJECT ASSESSMENT<\/h2>\n
    \n
  1. Identify potentially hazardous biological agents (PHBA) to be used in this experiment. Include the strain, source, quantity, and the biosafety level risk group of each microorganism or tissue.<\/li>\n
  2. Please indicate the BSL level of the experimentation site:\n
      \n
    • None<\/strong><\/li>\n
    • BSL-1<\/strong><\/li>\n
    • BSL-2<\/strong><\/li>\n<\/ul>\n

      If BSL-2 laboratory, not at an RRI, include the BSL-2 checklist.\n <\/li>\n

    • Describe the precautions that will be used to minimize risk.<\/li>\n
    • Describe the method of disposal of all cultured materials and other potentially hazardous biological agents.<\/li>\n<\/ol>\n

      SECTION 2: TRAINING<\/h2>\n
        \n
      1. What training will the student receive for this project?<\/li>\n
      2. Experience\/training of Direct Supervisor as it relates to the student\u2019s area of research (if applicable).<\/li>\n<\/ol>\n

        SECTION 3: For ALL CELL LINES, MICROORGANISMS AND TISSUES<\/h2>\n

        To be completed by the QUALIFIED SCIENTIST or Direct Supervisor – Check the appropriate box(es) below:<\/p>\n

          \n
        • Experimentation on the microorganisms\/cell lines\/tissues to be used in this study will NOT be conducted at a Regulated Research Institution, but will be conducted at a (check one)\n
            \n
          • BSL-1<\/strong><\/li>\n
          • BSL-2<\/strong> (include a copy of the checklist for BSL-2). [This study has been reviewed by the local SRC and the procedures have been approved prior to experimentation.]<\/li>\n<\/ul>\n<\/li>\n
          • This project involves the culturing of Multi Drug Resistant Organisms (MDROs). It has been conducted in a BSL-2 or higher lab at a Regulated Research Institution and the required IBC pre-approval is attached.
            \n Date of IBC approval:<\/strong> ___________________________\n <\/li>\n
          • Experimentation on the microorganisms\/cell lines\/tissues to be used in this study will be conducted at a Regulated Research Institution and was approved by the appropriate institutional board prior to experimentation; institutional approval forms are attached.
            \n Origin of cell lines:<\/strong> __________________________________________
            \n Date of IRC\/IBC\/IACUC approval:<\/strong> ___________________________\n <\/li>\n
          • Experimentation on the microorganisms\/cell lines\/tissues to be used will be conducted at a Regulated Research Institution, which does not require IACUC or IBC approval for this type of study.<\/li>\n<\/ul>\n

            CERTIFICATION<\/h2>\n

            To be SIGNED by the QUALIFIED SCIENTIST or Direct Supervisor<\/p>\n

            The QS\/DS has seen this project\u2019s research plan and supporting documentation and acknowledges the accuracy of the information provided above. This study has been approved as a (check one) <\/p>\n

              \n
            • BSL-1<\/strong><\/li>\n
            • BSL-2<\/strong><\/li>\n<\/ul>\n

              study, and will be conducted in an appropriate laboratory.\n<\/p>\n

              \n QS\/DS Printed Name:<\/strong> ___________________________
              \n Signature:<\/strong> ___________________________
              \n Date of review (mm\/dd\/yy):<\/strong> ___________________________<\/p>\n","protected":false},"author":429,"template":"","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-1115","savoy_document","type-savoy_document","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www-lms.stjohns.k12.fl.us\/sciencefair\/wp-json\/wp\/v2\/savoy_document\/1115","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www-lms.stjohns.k12.fl.us\/sciencefair\/wp-json\/wp\/v2\/savoy_document"}],"about":[{"href":"https:\/\/www-lms.stjohns.k12.fl.us\/sciencefair\/wp-json\/wp\/v2\/types\/savoy_document"}],"author":[{"embeddable":true,"href":"https:\/\/www-lms.stjohns.k12.fl.us\/sciencefair\/wp-json\/wp\/v2\/users\/429"}],"version-history":[{"count":0,"href":"https:\/\/www-lms.stjohns.k12.fl.us\/sciencefair\/wp-json\/wp\/v2\/savoy_document\/1115\/revisions"}],"wp:attachment":[{"href":"https:\/\/www-lms.stjohns.k12.fl.us\/sciencefair\/wp-json\/wp\/v2\/media?parent=1115"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}