Get Pathogen Use Form - Cornell University

Filling out the Pathogen Use Form is essential for ensuring compliance with safety and regulatory standards at Cornell University. This guide provides a detailed, step-by-step approach for successfully completing the online form, ensuring that you provide all necessary information accurately.

Follow the steps to complete the Pathogen Use Form effectively.

1. Press the ‘Get Form’ button to access the Pathogen Use Form. This action will open the document for you to begin filling it out.
2. Fill in the 'Date Submitted' field with the current date. This helps track the submission timeline of your application.
3. Provide the 'Principal Investigator' name, along with their 'Phone' number and 'E-mail'. Make sure this information is accurate to facilitate communication.
4. Indicate the 'Room numbers of research activities' where work will be conducted. Include details for Laboratories, Growth Chambers, Dew Chambers, and Greenhouses, if applicable.
5. Answer the question regarding the use of recombinant pathogens in BTI Plant Growth facilities by selecting 'Yes' or 'No'. If you select 'Yes', provide the permit number of the approved IBC rDNA MUA, and attach the related documentation.
6. List all pathogens you plan to use by filling out the fields for 'Pathogen Latin Name' and 'Disease Name'. Indicate the host range by marking 'Broad' (B) or 'Narrow' (N).
7. For each pathogen listed, provide a detailed account of all hosts in the specified section.
8. Select the geographical status of the pathogen by noting if it is exotic or already exists in the NY Finger Lakes region, NY State, or the broader United States.
9. Indicate the 'Age of plant or insects at inoculation' to ensure appropriate research practices are followed.
10. Briefly describe your inoculation methods, explaining the techniques you will use, such as spray or injection.
11. Provide the room number and location of inoculation, specifying the environment where the procedure will occur.
12. Describe your transport method post-inoculation, emphasizing safety protocols to prevent pathogen escape.
13. Fill in the designated room number where infected organisms will be maintained in either growth chambers or greenhouses.
14. Outline the containment and sterilization measures you will employ to prevent pathogen spread.
15. Share the required incubation conditions such as day/night temperatures, photoperiods, light quality, and humidity levels.
16. Indicate whether pesticides are permissible by selecting 'Yes' or 'No'.
17. Describe the natural modes of pathogen transmission and outline necessary precautions for lab members or greenhouse staff when handling infected plants.
18. Specify the method for decontaminating the greenhouse or growth chamber space after use, along with the name of the individual responsible for this task.
19. Provide references for containment procedures that will assist the Patogen Use Committee in assessing the risks associated with your project.
20. List the names and obtain signatures of each lab member who will handle the pathogens, confirming their understanding of the associated precautions and methodologies.
21. Finally, complete the PI signature section, including the date to finalize your form.
22. After all information has been filled in, review the form for accuracy, then save your changes, download, print, or share the document as needed.

Complete your Pathogen Use Form online today to ensure your research complies with safety and regulatory standards.