University of Alabama

Research Security Evaluation

Research Faculty __________________________________________________________________

Dept ____________________    Building(s) _______________    Room(s) _____________________

Date of Completion ________________________________________________________________

Prepared by _____________________________________________________________________

 

Does your lab use Biological Agents?                                            YES_______               NO________

If yes, submit an inventory with name, amount, biosafety level, and any permits/registration required. 

Do you use neutron sources or gamma producing material?            YES_______               NO________ 

Do you use or store chemicals in your lab?                                     YES_______               NO________

If yes, submit an inventory with name and amount of chemicals in lab.

______ CHECK HERE if any of your funding sources impose security requirements and/or restrictions on personnel or publication.  Additional information may be required.

Does your research involve any of the following items listed on the Technology Alert List:

Technology Alert List (please review the list before answering) Yes No
Conventional Munitions
Nuclear Technology
Rocket Systems and Unmanned Air Vehicle (UAV) Subsystems
Navigation, Avionics, and Flight Control Useable in Rocket Systems and Unmanned Air Vehicles (UAV)
Chemical, Biotechnology, and Biomedical Engineering
Remote Sensing, Imaging, and Reconnaissance
Advanced Computers/Microelectronic Technology
Materials Technology
Information Security
Laser and Directed Energy Systems Technology
Sensors and Sensor Technology
Marine Technology
Robotics
Urban Planning

If yes to any of the above, submit project protocols and/or grant application and information on the funding agency.  Additional information may be required.