Report of Incident Involving Recombinant DNA – Stanford Environmental Health & Safety

Last updated: March 11, 2024

Tool Type

Form

How to Use

To comply with National Institutes of Health (NIH) regulations, the Stanford University Biosafety Office helps employees report possible laboratory exposures, spills, and other incidents¹ to the NIH Office of Biotechnology Activities (OBA). If an incident (sharps injury, splash, spill, unauthorized work, etc.) occurs, the Principal Investigator (PI) must:

Report the incident within 24 hours by phone to (650) 724-7818 or email (sevleck@stanford.edu) to Stanford University Biosafety
Submit additional information to Biosafety using this form within 10 working days of the initial incident

Complete and submit the form below. Biosafety uses the information provided to submit a final report to NIH.

Exposure/Incident Reporting (rDNA or Biohazard)

¹The NIH Guidelines for Research Involving Recombinant DNA Molecules (NIH Guidelines) states that you must report “any significant problems, violations of the NIH Guidelines, or any significant research-related accidents and illnesses” to NIH Office of Biotechnology Activities (OBA) within 30 days. You must report certain types of incidents quicker than this. Immediately report to NIH OBA spills or accidents in Biosafety Level 2 (BL2) laboratories that cause an overt exposure and in high containment (Biosafety Level (BL3) or Biosafety Level (BL4)) laboratories that cause an overt or possible exposure.

Webform

Form Steps

1 Start 2 Review your Submission 3 Complete

Institution name *

Date of incident *

Is this an NIH funded project? *

Name of principle investigator *

What was the nature of the incident? *

Did the Administrative Panel on Biosafety (APB) approve this research? *

What section(s) of the NIH Guidelines is the research subject to? *

Has the root case for this incident been identified? *

Possible issues include level of training, communication, awareness of hazards etc.

Describe measures taken to mitigate any problems identified. *

For measures identified but not yet taken, please include a timeline for their implementation.

Please provide a narrative of the incident including a timeline of events. *

PI Electronic Signature *

Date Signed *

Verification *

By checking this box I verify that I am the Principal Investigator responsible for the research above.

Recaptcha