APPROVED BY
THE IFC
3/7/2006
Access to Laboratories with Hazardous Materials or Laboratory Animals by Visitors
Section 1. Preamble
Research in the University’s laboratories often requires use of hazardous materials, such as chemicals, biological agents and toxins or radioactive materials. Misuse of any of these materials can result in serious harm to persons and property. Similarly, working with animals in laboratories can pose serious safety risks. For this reason, federal law and university policies require that persons who have contact with, or use, hazardous materials or laboratory animals in the course of their employment or University activities are:
(i) inoculated against certain infections and diseases;
(ii) trained in the safe and secure use of the hazardous material and animals; and
(iii) allowed access to laboratories under the federal law.
Often in an university research
environment, researchers from other research institutions will collaborate with
or wish to observe
Section 2. Access for Visitors
The deans of the schools on each campus shall be responsible for assuring that any visitor who will be given access to laboratories that house hazardous materials* or laboratory animals (even if not in use at that time or to be used by the particular visitor) meets the requirements of this Policy and the procedures adopted to implement this policy, as such procedures may be amended from time to time to reflect changes in the law or good research safety practices. Such visitors must also meet the requirements, if applicable, of the Minors in Hazardous Work Areas Policy.
Each visitor shall be given a copy of this policy, the procedures for the relevant campus, and a copy of the University’s Intellectual Property Policy.
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* The term “hazardous” materials includes chemicals (as defined by OSHA in 29CFR 1910.1450(b)[http://www.ilpi.com/msds/ref/hazardous.html]; biological agents and toxins on the CDC and USDA lists of select agents [http://www.cdc.gov/od/sapldocs/salist.ldf]; and radioactive material of a type and sufficient amount to require that the laboratory entrance be posted with the appropriate warning sign. Anyone with a question as to whether a particular agent is hazardous should call the Campus Environmental Health and Safety Office.
Section 3. Covered Persons
A. This policy and the procedures adopted pursuant thereto cover access to laboratories by “Visitors,” which include the following categories of persons:
(i)
persons who are neither paid, permanent members of the
(ii) persons who volunteer their services in laboratories; and
(iii)
those employees or students at
B. The term “Visitor” does not include:
(i) short term (up to five hours), supervised visits to the laboratories by non-employees or by students of the University, provided that the purpose of any such visit is not participation in any research activity; or
(ii) inspections by University or appropriate government officials charged with oversight of the laboratories and programs.
C. (i) Procedures shall be adopted by the campuses to implement this policy. Any campus procedures must contain provisions set forth in form of “Laboratory Access Procedures,” attached as Appendix A. The procedure may be changed by the Vice President for Research to reflect changes in laws and regulations that relate to hazardous materials and laboratory safety.
(ii) If a campus does not adopt procedures to implement this policy, the procedures adopted by the Bloomington Campus shall apply.
Section 4. Minors
The provisions of this policy are supplemental to and do not supercede the provisions of Minors in Hazardous Work Areas Policy of the University http://ehs.indiana.edu/resources/MinorsHazardousAreas.pdf.
Section 5. Other Access Policies
The provisions of the policy are supplemental to and do not supercede the provisions of campus specific limitations on access to certain areas, such as animal facilities.
Appendix A
Model Procedures for Access to Laboratories with Hazardous Materials or Laboratory Animals
by Visitors
Section 1. Application
A. These procedures implement
B. The term “Visitors” shall mean:
(i) persons
who are neither paid, permanent members of the
(ii) persons who volunteer their services in laboratories; and
(iii) those employees or students at
C. The term “Visitor” does not include:
(i) short term (up to five hours), supervised visits to the laboratories by non-employees of by students of the University, provided that the purpose of any such visit is not participation in any research activity; or
(ii) inspections by University or appropriate government officials charged with oversight of the laboratories and programs.
Section 2. Criteria for Access
A Visitor may be given access to the laboratories that house hazardous materials, as that term is used in the Policy, if all of the following criteria are met:
(i) Such Visitor has received, and demonstrated an ability to understand, the appropriate safety training provided to the University’s faculty, staff and students related to the use of hazardous materials in the laboratory(ies) or animals, as the case may be, to which such Visitor will have access.
(ii) Any Visitor shall be of sixteen (16) years of age or older.
(iii) A Visitor can document that he or she has obtained the proper clearance from the U.S. Justice Department, should such visitor want access to laboratories or the surrounding areas of laboratories that contain biological agents and toxins listed as Select Agents by the Centers for Disease Control [http://www.cdc.gov/cd/sap/docs/salist.pdf], or by the United States Department of Agriculture [http://www.usda.gov].
(iv) A Visitor from a foreign country can provide appropriate documentation of such Visitor’s immigration status in the United States to the campus’s International Services office, which must confirm that the Visitor’s proposed activities would not violate his or her visa status. The dean of the school in which the Visitor will be located must have written confirmation from the International Services Office of this before the Visitor’s access may begin.
(v) A Visitor for whom English is not his or her first language must demonstrate to the person providing safety training that such Visitor can communicate in English sufficiently well that the Visitor could alert others as to any problems that might arise in the laboratory. The successful completion of the safety training must be documented in writing. It is the responsibility of the faculty member in whose laboratory the Visitor will be located to ensure that the Visitor has the training and ability to deal with any emergency that may occur in the laboratory.
(vi) The Visitor and the faculty member in whose laboratory the
Visitor will be working must sign a declaration, in the form attached as
Appendix I acknowledging that the Visitor has received training in accordance
with the Policy, has satisfied the other requirements of the Policy that apply
to such Visitor. Copies of the signed
declaration shall be maintained by the school for a period of 5 years from the
date of the declaration. Any Visitor who
is also an employee of
Section 3. Compliance with Federal Export Control Laws
In addition to satisfying the criteria set forth in Section 2 above, any Visitor who is
neither
a
Section 4. HIPAA/Confidentiality Requirements
The faculty member in whose laboratory a Visitor will be working shall inform the Visitor of any HIPAA restrictions that may apply to the private health information retained in the laboratory; and any other confidentiality provisions contained in the consent forms of human subjects participating in research connected with that laboratory.
Section 5. Intellectual Property
Any intellectual property created by a Visitor using Indiana University resources and facilities is subject to the University’s Intellectual Property Policy [http://www.indiana.edu/~ovpr/respol/intprop.html], a copy of which shall be given to each Visitor, along with a copy of the Policy on Access to Laboratories with Hazardous Materials or Laboratory Animals by Visitors and these procedures.
Section 6. Registration
A. The dean of the school shall send to the Office of Risk Management at [http://rmweb.indiana.edu/secure/IU/ADS/LabAccess/LabAccessRegistration.cfm] the name and status of each Visitor who will be allowed access to a laboratory pursuant to this Policy in that school upon satisfaction of the criteria in Sections 2 and 3 above.
B. Such permission for access shall be effective for one year from the date of registration, unless federal law requires an earlier expiration.
Section 7. Exceptions
A. The dean of a school may, upon request of a faculty member, allow exceptions to this policy; provided, no exceptions can be made for: (i) persons to be given access to laboratories that contain select agents; (ii) minors who under the University’s Minors in Hazardous Work Areas Policy would not be allowed access to the premises in question and (iii) persons, who under the applicable campus access to animal facilities policy, would not be allowed access to the animal facilities.
B. Any person for whom an exception to this Policy is made shall, nevertheless, be registered with the Office of Risk Management pursuant to Section 6 above.
Appendix I
Form of
Declaration of Compliance
The undersigned declare that [Name of Visitor]
1. has received a copy of the University’s Policy and Procedures with respect to
Access to Laboratories with Hazardous Materials or Laboratory Animals;
2. has successfully completed the necessary chemical, biosafety or radiation safety
training, and
3. meets all the other requirements that apply to him/her as set forth in Sections 2 and 3 of the Procedures.
[For visitors who are also
employees] By signing this declaration [ ] consents to have the University
conduct a background employment check prior to his/her having access to
[Faculty member’s Name] laboratories in accordance with
_____________________________
Name of Visitor
_____________________________
Name of Faculty Member
Date _____________ , 200__