Safety Manual and Standard Operating Procedures

UVM's Biosafety Level 3 and Animal Biosafety Level 3 facilities

January 2022

SECTION 1: RESPONSIBILITIES

1.1   PRINCIPAL INVESTIGATOR

1.2  RESEARCH PERSONNEL 

1.3  UVM BIOSAFETY OFFICE 

1.4  UVM BIOLOGICAL SAFETY COMMITTEE (IBC)

1.5 UVM COLLEGE OF MEDICINE & VERMONT DEPARTMENT OF HEALTH  (VDH)

1.6 OFFICE OF ANIMAL CARE MANAGEMENT (OACM)

SECTION 2: MEDICAL SURVEILLANCE PROGRAM

2.1  MEDICAL SURVEILLANCE 

2.2  IMMUNIZATIONS

2.3   MEDICAL RESTRICTIONS

2.4   POST-EXPOSURE EVALUATION AND FOLLOW-UP

SECTION 3: LABORATORY PROCEDURES

3.1 ENTRY/EXIT PROCEDURES

3.2 PPE DONNING/DOFFING PROCEDURES 

3.3 WORK PRACTICES 

3.4 GENERAL A/BSL-3 LABORATORY PRACTICES & PROCEDURES 

3.5 [vacated]

3.6  PERSONAL PROTECTIVE EQUIPMENT (PPE) 

3.7  HANDWASHING 

3.8  PROCEDURES FOR CENTRIFUGATION 

3.9  BIOLOGICAL SAFETY CABINET (BSC) PROTOCOL 

3.10   WASTE HANDLING AND DISPOSAL PROCEDURES

3.11  EQUIPMENT REPAIRS, SERVICE, OR DISPOSAL

3.12  SEMI-ANNUAL SHUTDOWNS

3.13   PROCEDURE FOR LAUNDERING LABORATORY CLOTHING (SCRUBS)

3.14   TRANSPORT OF POTENTIALLY INFECTIOUS MATERIALS BETWEEN A/BSL-3 LABS 

3.15  TRANSPORT OF INACTIVATED MATERIALS TO A/BSL-2 LABS

3.16  INACTIVATION OF BIOLOGICAL SAMPLES

SECTION 4: SPILL RESPONSE PROCEDURES

GENERAL 

4.1  SPILLS IN BSC 

4.2  SPILLS IN THE LABORATORY 

4.3  COMPOSITION OF A/BSL-3 SPILL KIT 

4.4 SPILLS IN INCUBATOR

4.5 SPILLS IN CENTRIFUGE

4.6 CHEMICAL SPILL PROCEDURES

4.7 DECONTAMINATION OF AN A/BSL-3 SPILL

SECTION 5: EMERGENCY RESPONSE PROCEDURES

5.1 EMERGENCY PROCEDURES FOR EXPOSURE INCIDENTS

5.2   EMERGENCY PROCEDURES FOR PERSON DOWN/MEDICAL EMERGENCY (NO SPILL INVOLVED)

5.3   EMERGENCY PROCEDURES FOR MEDICAL EMERGENCY INVOLVING A BIOLOGICAL SPILL

5.4 AFTER HOURS EMERGENCIES

5.5 PROCEDURES FOR FIRE ALARM, HVAC FAILURE, BSC FAILURE, OR POWER LOSS

SECTION 6: MAINTENANCE PERSONNEL AND VISITOR PROCEDURES

6.1  VACCINATION REQUIREMENTS 

6.2  PROCEDURES FOR ENTERING A/BSL-3 FACILITY 

6.3  PERSONAL PROTECTIVE EQUIPMENT (PPE) 

6.4  RESPONSIBILITIES OF THE A/BSL-3 FACILITY USERS 

6.5 RESPONSIBILITIES OF BIOSAFETY STAFF

6.6  RESPONSIBILITIES OF MAINTENANCE PERSONNEL AND VISITORS

SECTION 7: REGISTERING YOUR WORK

7.1  REGISTRATION OF BIOLOGICAL MATERIALS 

7.2  REGISTRATION OF RECOMBINANT DNA 

7.3 REQUIREMENTS FOR BSL-3 EXPERIMENTATION IN ANIMALS 

7.4 RISK ASSESSMENT

SECTION 8: AUTOCLAVE OPERATION

8.1   A/BSL-3 AUTOCLAVE USE

8.2   AUTOCLAVE VALIDATION

SECTION 9: A/BSL-3 PERSONNEL TRAINING

9.1  A/BSL-3 PERSONNEL TRAINING REQUIREMENTS

9.2  MEMORANDUM OF UNDERSTANDING (MOU) AND AGREEMENT FOR PI 

9.3  A/BSL-3 USERS MEMORANDUM OF UNDERSTANDING (MOU) AND AGREEMENT

SECTION 10: FORMS

10.1 A/BSL-3 PERSONNEL TRAINING RECORD

10.2  STANDARD OPERATING PROCEDURES (SOP) TEMPLATE FOR A/BSL-3 RESEARCH LABORATORIES 

10.3  A/BSL-3 VISITOR CLEARANCE FORM

10.4  RESEARCHER EXPERIENCE FORM

SECTION 11: A/BSL-3 CHECKLISTS

11.1  A/BSL-3 LABORATORY INSPECTION CHECKLIST 

11.2  A/BSL-3 FACILITY CHECKLIST 

11.3   CHECKLIST FOR MAINTENANCE WORK IN BSL-3 FACILITIES

11.4  A/BSL-3 OBSERVATION CHECKLIST 

11.5  SEMI-ANNUAL A/BSL-3 SHUTDOWN CHECKLIST

SECTION 12: GUIDELINES AND REGULATIONS

12.1  CDC/NIH LABORATORY BIOSAFETY LEVEL CRITERIA - BIOSAFETY LEVEL 3 

12.2  CDC/NIH VERTEBRATE ANIMAL BIOSAFETY LEVEL CRITERIA - ANIMAL BIOSAFETY LEVEL 3  

12.3  CLASSIFICATION OF HUMAN ETIOLOGIC AGENTS