Protocol SOP for Vivarium - Hazardous Drug/Compound/Chemical Administered in Drinking Water After completing this section, please select the "Submit Form" button located in the upper right corner to automatically send to [email protected] and save a copy for your records. Date: PI Name & Protocol # SPECIES PI Contact Information Alternate Contacts PI Name: IACUC # or Ref. #: Species in IACUC protocol: Office phone #: Evening/after hours #: Name: Email: Daytime #: Evening/After Hours #: Email: Drug/Compound/Chemical Name: Cas #: HAZARD CLASS Dose/Route: Refer to MSDS / SDS (May have more than one Check all that apply: Acutely toxic hazard class; NOTE: Sensitizer None Applicable Manufacturer's MSDS/SDS is preferred) All dosing must occur in BSC SYMPTOMS OF EXPOSURE Reset Form Excretion Expected: Carcinogenic Mutagenic Reproductive toxicity Irritant Corrosive Other, specify: Drug/Compound/ Chemical Exposure: (please limit characters to size of box) Animal Bite or Scratch: None - See Standard Operating Practices for Vivarium EHS COMPLETES ALL SECTIONS BELOW Drug/Compound/ Chemical Category PPE CAGE HANDLING Antibiotic Hazardous Drug/Compound/Chemical Chemotherapeutic Nonhazardous Drug/Compound/Chemical Hormone Undetermined Additional PPE required, per EHS: At time of first dose, Dose Card posted. Place Orange "Regulated Animal" label on cage card at time of dosing. All dosed animals are regulated for life, even if separated/transferred to another cage. SHARPS:Used syringes with fluid drug/compound/chemical in the barrel go to the lab's SAA sharps container. Follow standard vivarium practices Leftover drug/compound/chemical: All neat (non-diluted) drugs, solutions and dilutions will be taken back to lab and disposed of as Chemical Hazardous Waste in appropriate labeled containers in the lab SAA. BEDDING: Animal Care Technicians change bedding into the regular bedding disposal system. Collect into GREEN waste stream for disposal by EHS. DRINKING WATER (administered by Water Bottle): Follow standard vivarium practices WASTE DISPOSAL (SAA = Satellite Accumulation Area) COLLECT water in carboy for pickup by EHS, labeled carboy with: PI name/protocol #, Drug/Compound/Chemical in water, Concentration (ie. mg/ml of water), Dates of collection (started mm/dd/yyyy) COLLECT water in GREEN labeled carboy for pickup by EHS, labeled carboy with: PI name/protocol #, Drug/Compound/Chemical in water, Concentration (ie. mg/ml of water), Dates of collection (started mm/dd/yyyy) FOOD/CHOW: Follow standard vivarium practices Collect and Dispose of in YELLOW bags in YELLOW bins for incineration Collect in labeled GREEN bags for pick up by EHS Hazardous Materials Group. Materials used with or produced in conjunction with the drug/compound/chemical (gloves, papers towels) will be placed into YELLOW waste bags for incineration. CARCASS DISPOSAL (Containers/Bins in Vivarium Freezers) "Non-regulated": Clear zip-lock bag, clear liner. "Regulated": Cage card has Orange "Regulated Animal" label. YELLOW zip-lock bag, yellow liner. EHS HAZARDOUS WASTE": GREEN label (EHS supplies) on clear zip-lock bag, EHS picks up. "RADIOACTIVE WASTE": PURPLE bag, EHS picks up. 27January2015
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