UNIVERSITY OF ALABAMA ANIMAL MANAGEMENT PLAN

Each area which houses or utilizes live animals for the purposes of research study, academic instruction, or display shall have a written Animal Management Plan (AMP). The purpose of this written plan is to address occupational and safety concerns of the office of Environmental Health and Safety regarding the use of animals in areas other than the Animal Care Facility (ACF). In addition to this Animal Management Plan (AMP), laboratories or areas which utilize or house animals are required to comply with the Environmental Safety and Occupational Health Guidelines developed for the Animal Care Facility as well as the Chemical Hygiene Plan and Laboratory Guidelines under the Laboratory Safety and Security Program.

1. Name and Address of Laboratory/Area Supervisor

Name:___________________________________________________________

Address:_________________________________________________________

Dept:____________________________________________________________

Area where animals are housed:_______________________________________

Email address:______________________Phone #________________________

“I have received copies of the Environmental Safety and Occupational Health Guidelines developed for the Animal Care Facility as well as the Chemical Hygiene Plan and Laboratory Guide under the Laboratory Safety and Security Plan.”

Signature:____________________________________ Date:________________

2. Person directly responsible for animals if different from above:

Name:___________________________________________________________

Address:_________________________________________________________

Dept:____________________________________________________________

Email address:______________________Phone #________________________

3. Species to be housed or used:

Species No. Animals Housed/Used Location

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4. Purpose of animals

Research ________ Instruction________

Other (describe) ______________________________________________________________________________________________________________________________________________________________________________________________________

5. Describe security procedures for areas listed in question 3:

Location Security Procedures

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6. Describe housing for each species:

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7. Describe handling procedures for each species:

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8. Describe Personal Protective Equipment required for each handling procedure above:

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9. Will animals be transported? Yes No

If yes, describe procedures and the locations animals will be transported to/from:

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1. List personnel and students who will be authorized to work with animals:

Name ID # Employee/student status

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2. Who will provide training to persons working with animals?

Name:____________________________________________________________
Title:_____________________________________________________________

Training Credentials: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. How often is training provided? _______________________________________

12. List titles of all species specific training topics and attach copies of each training protocol.

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1. Name and title of person responsible for maintaining documentation:

Name:____________________________________________________________

Title:_____________________________________________________________

Name of Person Completing Plan:____________________________________________

Title:_________________________________ Date:_____________________________

Signature:_______________________________________________________________

EHS Review by:__________________________________________________________

Title:_________________________________ Date_____________________________

Comments:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________