Safety/Check In Text Version

From 2014.igem.org

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<div class="grid_9">
<div class="grid_9">
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<h3>This is a TEMPORARY version of the Check-In form.</h3>
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<div class="underconst">
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<h4>Do not use this page</h4>
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</div>
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<h4>You can submit Check-Ins by email before we finish the final Check-In form.</h4>
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<h3>This is a PLAIN TEXT VERSION of the Check-In form.</h3>
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<h4>If the Check-In form is not working, you can use this Text Version to submit a Check-In by email.</h4>
<h4>Instructions:</h4>
<h4>Instructions:</h4>
<ol>
<ol>
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<li>Copy all the text inside the green box, and paste it into a word processor (such as MS Word) or a text editor (such as Notepad).</li>
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<li>Copy all the text inside the green box, and paste it into a text editor, such as Notepad (Windows) or TextEdit (Mac). (It is a bad idea to use Microsoft Word for this task.)</li>
<li>Fill in answers to the questions. Remember to save your work frequently!</li>
<li>Fill in answers to the questions. Remember to save your work frequently!</li>
<li>Open a new email. Address it TO: safety (at) igem (dot) org.</li>
<li>Open a new email. Address it TO: safety (at) igem (dot) org.</li>
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</ol>
</ol>
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<p>We will respond as quickly as we can. For most Check-Ins, we should be able to respond within a few days, but we promise to respond to all Check-Ins within one week.</p>
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<p>We will respond as quickly as we can. For most Check-Ins, we should be able to respond within a few days, but we promise to respond to all Check-Ins within one week, unless you are sending your Check-In after September 30th.</p>
<div style="width: 90%; margin-left: auto; margin-right: auto; padding: 10px; border: 4px solid #337f53; border-radius: 7px; font-family: monospace;">
<div style="width: 90%; margin-left: auto; margin-right: auto; padding: 10px; border: 4px solid #337f53; border-radius: 7px; font-family: monospace;">
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<p>TEMPORARY CHECK-IN FORM</p>
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<p>CHECK-IN FORM / TEXT VERSION</p>
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<p>QUESTION 0: Your Information</p>
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<p>Your Information</p>
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<ul style="list-style: none;">
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<ul>
<li>Name:</li>
<li>Name:</li>
<li>Username on iGEM web site:</li>
<li>Username on iGEM web site:</li>
<li>Email address:</li>
<li>Email address:</li>
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<li>Team name:</li>
</ul>
</ul>
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<p>QUESTION 1: Is this Check-In for a whole organism, or a part (DNA sequence, protein, etc.)?</p>
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<p>1. Is this Check-In for a whole organism, or a part (DNA sequence, protein, etc.)?</p>
<ul>
<ul>
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<li>( ) Whole</li>
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<li>( ) Whole (skip question 2)</li>
<li>( ) Part</li>
<li>( ) Part</li>
</ul>
</ul>
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<p> ---------- 2. Part Questions ---------- </p>
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<p>a) Part name:</p>
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<br />
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<p>b) What is the natural function of the part in its parent organism?</p>
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<p>ANSWER:</p>
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<br />
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<p>c) Does the part, by itself, present any safety risks? If yes, what are the risks? If no, why is the part not dangerous?</p>
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<p>ANSWER:</p>
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<br />
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<p> --------------------------------------- </p>
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<br />
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<p>3. a) What organism are you using? (Or, if this Check-In is for a part, what organism does the part come from?) Include the name of the strain, if applicable.</p>
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<p>ANSWER:</p>
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<br />
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<p>b) What is the Risk Group of this organism? (Check the <a href="https://2014.igem.org/Safety_Hub">Safety Hub</a> for help determining Risk Group.)</p>
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<ul>
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<li>( ) 1</li>
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<li>( ) 2</li>
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<li>( ) 3</li>
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<li>( ) 4</li>
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<li>( ) Other</li>
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</ul>
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<p>If you answered "Other", please explain here:</p>
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<br />
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<p>c) What source did you use to get the Risk Group information?</p>
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<ul>
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<li>( ) DSMZ spreadsheet</li>
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<li>( ) ABSA risk group database</li>
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<li>( ) NIH Guidelines</li>
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<li>( ) Other</li>
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</ul>
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<p>If you answered "Other", please explain here:</p>
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<br />
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<p>4. What will you use the part/organism for?</p>
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<p>ANSWER:</p>
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<br />
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<p>5. How do you plan to acquire the organism or part?</p>
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<p>ANSWER:</p>
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<br />
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<p>6. How will you ensure that you handle the organism/part safely? What safety actions will you take to protect members of your team, other people at your school, and members of the public?</p>
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<p>ANSWER:</p>
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<br />
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<p> ---------- 7. Your Lab Facilities & Safety Practices ---------- </p>
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<p>Question 7 is a short version of the About Our Lab form. If your team has already submitted an About Our Lab form, place an X here: [ ], and skip Question 7.</p>
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<p>a) What is the BioSafety Level of the laboratory area in which you will handle this organism/part?</p>
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<ul>
 +
<li>( ) 1</li>
 +
<li>( ) 2</li>
 +
<li>( ) 3</li>
 +
<li>( ) 4</li>
 +
<li>( ) Other</li>
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</ul>
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 +
<p>If you answered "Other", please explain here:</p>
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<br />
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<p>b) What type of work environment will you use to handle this organism/part?</p>
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<ul>
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<li>( ) Open bench top</li>
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<li>( ) Laminar flow hood / biosafety cabinet with open front</li>
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<li>( ) Glove box (biosafety cabinet with closed front)</li>
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<li>( ) Other</li>
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</ul>
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<p>If you answered "Other", please explain here:</p>
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<br />
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<p>c) What personal protective equipment will you use when you handle this organism/part? Please check all that apply.</p>
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<ul>
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<li>[ ] Appropriate clothes (long pants/skirts, shoes that cover your toes, etc.)</li>
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<li>[ ] Lab coats</li>
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<li>[ ] Gloves</li>
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<li>[ ] Safety glasses / goggles</li>
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<li>[ ] Full face shields</li>
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<li>[ ] Surgical masks</li>
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<li>[ ] Respirators</li>
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<li>[ ] Other</li>
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</ul>
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<p>If you checked "Respirators", what kind of respirators will you use?</p>
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<p>ANSWER:</p>
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<br />
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<p>If you checked "Other", please explain here.</p>
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<p>ANSWER:</p>
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<br />
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<p> --------------------------------------------------------------- </p>
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<br />
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<p>8. Further Comments</p>
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<br />
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<br />
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<br />
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<br />
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<p>END OF CHECK-IN FORM / TEXT VERSION</p>
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</div>
</div>

Latest revision as of 17:22, 9 May 2014


Questions or feedback?
Email safety AT igem DOT org!

Do not use this page

This is a PLAIN TEXT VERSION of the Check-In form.

If the Check-In form is not working, you can use this Text Version to submit a Check-In by email.

Instructions:

  1. Copy all the text inside the green box, and paste it into a text editor, such as Notepad (Windows) or TextEdit (Mac). (It is a bad idea to use Microsoft Word for this task.)
  2. Fill in answers to the questions. Remember to save your work frequently!
  3. Open a new email. Address it TO: safety (at) igem (dot) org.
  4. (If you so desire, add other team members to the CC: line.)
  5. In the Subject: line of your email, please include your team name.
  6. Copy the whole text of your form (including all the questions and answers), and paste it into the body of the email.
  7. Send your email!

We will respond as quickly as we can. For most Check-Ins, we should be able to respond within a few days, but we promise to respond to all Check-Ins within one week, unless you are sending your Check-In after September 30th.

CHECK-IN FORM / TEXT VERSION

Your Information

  • Name:
  • Username on iGEM web site:
  • Email address:
  • Team name:

1. Is this Check-In for a whole organism, or a part (DNA sequence, protein, etc.)?

  • ( ) Whole (skip question 2)
  • ( ) Part

---------- 2. Part Questions ----------

a) Part name:


b) What is the natural function of the part in its parent organism?

ANSWER:


c) Does the part, by itself, present any safety risks? If yes, what are the risks? If no, why is the part not dangerous?

ANSWER:


---------------------------------------


3. a) What organism are you using? (Or, if this Check-In is for a part, what organism does the part come from?) Include the name of the strain, if applicable.

ANSWER:


b) What is the Risk Group of this organism? (Check the Safety Hub for help determining Risk Group.)

  • ( ) 1
  • ( ) 2
  • ( ) 3
  • ( ) 4
  • ( ) Other

If you answered "Other", please explain here:


c) What source did you use to get the Risk Group information?

  • ( ) DSMZ spreadsheet
  • ( ) ABSA risk group database
  • ( ) NIH Guidelines
  • ( ) Other

If you answered "Other", please explain here:


4. What will you use the part/organism for?

ANSWER:


5. How do you plan to acquire the organism or part?

ANSWER:


6. How will you ensure that you handle the organism/part safely? What safety actions will you take to protect members of your team, other people at your school, and members of the public?

ANSWER:


---------- 7. Your Lab Facilities & Safety Practices ----------

Question 7 is a short version of the About Our Lab form. If your team has already submitted an About Our Lab form, place an X here: [ ], and skip Question 7.

a) What is the BioSafety Level of the laboratory area in which you will handle this organism/part?

  • ( ) 1
  • ( ) 2
  • ( ) 3
  • ( ) 4
  • ( ) Other

If you answered "Other", please explain here:


b) What type of work environment will you use to handle this organism/part?

  • ( ) Open bench top
  • ( ) Laminar flow hood / biosafety cabinet with open front
  • ( ) Glove box (biosafety cabinet with closed front)
  • ( ) Other

If you answered "Other", please explain here:


c) What personal protective equipment will you use when you handle this organism/part? Please check all that apply.

  • [ ] Appropriate clothes (long pants/skirts, shoes that cover your toes, etc.)
  • [ ] Lab coats
  • [ ] Gloves
  • [ ] Safety glasses / goggles
  • [ ] Full face shields
  • [ ] Surgical masks
  • [ ] Respirators
  • [ ] Other

If you checked "Respirators", what kind of respirators will you use?

ANSWER:


If you checked "Other", please explain here.

ANSWER:


---------------------------------------------------------------


8. Further Comments





END OF CHECK-IN FORM / TEXT VERSION

Retrieved from "http://2014.igem.org/Safety/Check_In_Text_Version"