Get Select Agent Destruction Procedures And Form - Weill Medical ... - Weill Cornell

This guide provides users with detailed, step-by-step instructions for filling out the Select Agent Destruction Procedures And Form from Weill Cornell. By following this guide, you will ensure the proper management and disposal of select agents while meeting all necessary safety regulations.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to obtain the form and open it in the designated editor.
2. Begin filling in the Principal Investigator section with your full name and contact information. Ensure your phone number is accurate for any necessary communications.
3. Complete the Department/Division field, providing the name of your department or division associated with the select agent research.
4. Indicate the Laboratory Location by specifying the building and room number where the select agent is stored or processed.
5. In the Select Agent Description field, clearly describe the select agent you are disposing of, including any specific identifiers.
6. Choose the appropriate Use option, indicating whether it is for Biomedical Research, Medical, Vaccine (inactivated form), Clinical specimen, or Other. If necessary, provide additional details.
7. Select the Exemption Status from the provided options to clarify the regulatory standing of the select agent.
8. For the Destruction Procedure, outline the specific method you will be using to dispose of the select agent. Reference the initial and final disposal procedures mentioned in the guidelines.
9. Fill in the name of the person responsible for the destruction in the Destroyed By field. Make sure to provide a printed name and obtain the required signature.
10. Ensure that an EHS witness is present and fill in their printed name and signature in the designated fields.
11. Certify the accuracy of the agent description by having the Principal Investigator sign and date the form, confirming that the agent is no longer in possession.
12. Record any additional transfer details, including the Serial number of the EHS Hazardous Material Transfer Request, Transfer Request Date, and Date of EHS Collection.
13. Upon completion, forward the filled-out form to EHS and retain a copy for your records.

Complete your forms online to ensure compliance and effective management of select agents.