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The Department of Environmental Health & Safety is requesting your participation in this survey that will be used to gather information on usage of Biological Safety Cabinets (BSCs) and laminar flow hoods across the campus.  This information may be used to develop targeted safety training modules for users of  BSCs and laminar flow hoods.  Thank you for your time and effort.  Frank Cantone, Biological Safety Officer, EH&S Administration/ Keane Leitch, Consultant, EH&S

A little About You:    
1
Name:
  
2  College/ lab Group:  
3  I would like to participate in future studies of this type?



Comments:
       
4 My research involves work with (Check all that apply):

Recombinant DNA/ Transgenic Materials
(plants/ animals)
Human/ Animal Pathogens
Non-Pathogenic Bacteria/ Viruses/
Fungi
Animal Tissue Culture
specimen
Plant Tissue Culture

  
5  My biosafety device can best be described as :  
6  My biosafety unit is estimated to be between:  
7 My biosafety device is located: Near the front of the laboratory
Next to an egress point
Next to an air supply register
Next to a large centrifuge or vacuum pump
Near another biosafety device or fume hood
8 The biosafety device is used:  
9 My biosafety device is equipped with a UV light:




 
10  The UV light is:          
11 The UV bulb is changed out:          
12 The sash of the  biosafety unit can best be described as a:  
13 Surface decontamination occurs: Prior to use
Following use
As needed
  
14   Surface decontamination involves the use of:



Chemical Only
Chemical Only:
(Check all that apply)
Bleach
15 Pipette boxes, sharps containers,  squeeze bottles etc. are stored in the unit:  
16 My sharps containers/ biohazard bags are located:  
17 Volatile, flammable chemicals are used in the biosafety cabinet:  
18 I use the following devices to sterilize tools in the biosafety unit:

Bunsen burner
Fireboy
Bactcinerator
Alcohol lamp
None, I use pre-sterilized tools
Other

  
19 There is a Standard Operating Procedure (SOP) governing biosafety device operations in our lab:



 
20  This assessment was:  
Additional Comments: