Get Colorado State University Biosafety Incident/near Miss Report Form 2018

Filling out the Colorado State University Biosafety Incident/Near Miss Report Form is an important step in ensuring safety and accountability in biosafety practices. This guide will provide clear instructions for users to effectively complete the form online.

Follow the steps to successfully complete the online form.

1. Press the ‘Get Form’ button to access the report form and open it for editing.
2. Fill in your personal information. Include today’s date, your CSU ID, first and last name, email address, phone number, and an alternative phone number if applicable.
3. Provide emergency contact information. Enter the name and phone number of your emergency contact, as well as an alternative phone number.
4. Enter the name of your principal investigator or supervisor responsible for the project.
5. Fill out the incident information section. State the pathogen you were working with and indicate whether it contains recombinant DNA or synthetic nucleic acid molecules by checking 'Yes' or 'No'.
6. Specify the location of the incident, including the building and room number, and provide the date and time when the incident occurred.
7. Select the type of incident from the options provided (exposure, physical injury, etc.), and provide a detailed incident description. Include any external events that may have contributed to the incident.
8. Check all applicable methods and locations of injury, including needlesticks, spills, and other categories listed.
9. Describe any actions taken to control the incident, such as hand washing or spill clean-up.
10. Indicate the personal protective equipment (PPE) worn at the time of the injury, selecting all that apply.
11. If there was a PPE failure, provide a detailed explanation.
12. Once all fields are completed, save your changes. You may also download, print, or share the form as necessary. Ensure to email scanned copies to BSO_Incident_Report@mail.colostate.edu.

Complete your biosafety incident report online today to ensure safety and compliance.