The purpose of this survey is to identify the biohazards within Acadia's research and teaching laboratories and who is utilizing them. This is required so that we can support and sustain our work in a manner that meets our health and safety obligations.

A biological hazard (biohazard) is an agent of biological origin that has the ability to produce deleterious effects on human beings. Biohazards can include bacteria, viruses, fungi, parasites (protozoa and helminths), insects and plants. Biohazards may not be as well known or as visible as chemical or physical hazards, however they are capable of causing very serious health effects to exposed workers including infections, allergies, various forms of cancer and other illnesses. Depending on the communicability of the infectious agent, secondary infections in non-laboratory workers may also occur.

Please take a few minutes of your time to complete one questionnaire for all your research activities, and a second questionnaire for all of your teaching laboratories for which you are responsible. You may need to complete an additional questionnaire if you should happen to conduct research or teaching in more than one building on campus.

1. Personal Information
Last Name: Phone: 585-
First Name:
Department/School/Centre:
 
2. Laboratory Information
Research Teaching
Building:
Room Number:
Note: Please fill out one questionnaire for each research or teaching laboratory
 
3. Does your teaching or research laboratory store, handle or otherwise use any of the following organisms?
Yes No
If yes, please inicate all that apply, below:
Bacteria Viruses Fungi Parasitic protozoa or helminths
Microbial toxins Fungal toxins Insects Biohazardous plants
 
4. Does your teaching or research laboratory use materials derived from humans or non-human animals?
Yes No
If yes, please inicate all that apply, below:
Animal tissues and cells Animal body fluids Animal blood or blood fractions
Human tissues and cells Human body fluids Human blood or blood fractions
 
5. Does your teaching or research laboratory use primary or established cells?
Yes No
If yes, please inicate all that apply, below:
Primary animal cell cultures Established animal cell lines Primary human cell cultures Established human cell lines
 
6. Does your teaching or research laboratory work with DNA or RNA?
Yes No
 
7. Does your teaching or research laboratory work with recombinant DNA or RNA?
Yes No
 
8. Does your teaching or research laboratory use any of the molecules, cells, tissues or organisms, in parts 3 to 7 above, in experimental animals?
Yes No
 
If you answered YES to any questions in sections 3 to 8 above, please proceed to fill out sections 9 and 10.
 
If you answered NO to all questions in sections 3 to 8 above, then you are not working with biohazards and are finished the questionnaire.
Note -- before exiting the survey, please complete this declaration:
I declare that my teaching and research activities DO NOT involve the use of biohazards.
 
9. List all organisms used in your research or teaching laboratory:
*Please separate each item with a comma (,)
 
10. Description of the work:

Briefly describe the nature of the work carried out in your lab or other research/teaching setting. Each course is considered to be separate work. If your laboratory includes teaching activities please indicate the course number.

Here's an example of the level of detail being requested: KINE 2423 X2: Human Blood lab utilizes studentsŐ own blood to analyze blood glucose, hematocrit, hemoglobin and determination of blood type.
Research
Teaching
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