University of Alabama

Research Involving Whole Animals - Biological Safety Program

Investigator  ________________________________________________________________

Building(s)  ________________________________         Room(s)  ____________________ 

Dept  ____________________________________           Date  _______________________

IACUC Protocol Number and Approval Date:                                                                                

Submit an Animal Management Plan and complete list of species.

Briefly describe how the animals will be used:

If materials(*) are to be administered to animals, please provide the following:

        Material administered:

        Quantity administered:

        Route of administration:

*including recombinant DNA, pathogens, toxins, human tumor cell lines, viable recombinant DNA modified microorganisms, radioisotopes, etc.  Use of materials may require additional registration forms.

Is the organism/agent transmittable from animal to animal?  Y / N / NA

Is the organism/agent transmittable from animal to man?  Y / N / NA

Indicate the manner(*) and to what extent the agent, viable organisms or toxic compounds could be shed into the environment:

(*) feces, urine, lesions, exhalation, etc

Describe planned containment procedures:

Indicate any personal protective equipment needed by animal care staff :

Describe proposed waste procedures, including how animal waste and bedding should be handled and how carcasses will be disposed:

Describe the type of cage decontamination required:

Will infectious aerosols be generated in any of the animal care procedures?  Y / N / NA

If yes, describe what will be done to protect personnel or the environment.

Will you be using any transgenic animals?  Y / N   - This will require additional registration.