Institutional Biosafety Renewal/Termination Form
Baylor University
For annual renewal of IBC approval:
Submit completed form at least two weeks before the scheduled IBC meeting immediately preceding your approval’s expiration date. Please consult the IBC website for IBC meeting dates.
For termination of an approved project:
If, at any time, you wish to terminate your use or possession of DNA or biohazardous material, submit this form to the IBC.
Conditions that necessitate submission of an entirely new Protocol Application rather than this Renewal Form: (see IBC website to download form)
· Change in Principal Investigator
· Change in Biosafety Level
· Change in type of biohazardous material
Example 1: You were approved for use of Risk Group 2 viruses but now you wish to use Risk Group 2 fungi (sporulation considerations)
Example 2: You were approved at BSL2 for the use of human cell cultures but now wish to use viral vectors (viral vector protocols are very specific)
If you have any questions about whether you can amend your current protocol or you need to submit a new protocol application, please contact Dr. Chris Kearney (x2131)
I. Project Personnel
A. Key Personnel
Principal Investigator:
Co-investigator:
B. Other Research Team Members
II. Request for Continuation
A. Conditions that necessitate submission of a Protocol Change Form:
(see IBC website to download form)
Will you be using any substantially different host/vector systems?
Will you be making any substantial changes to your protocols?
Will you be changing your approved decontamination protocols?
Will you be adding any new components in the category you are
approved for?
Example 1: You were approved for one RG2 virus but now you wish to add another RG2 virus.
Example 2: You were approved for expressing various proteases in E. coli, but now you wish to express a reductase
Will you be adding or deleting personnel (other than undergraduates)?
Will the biohazardous material be stored/processed in another laboratory?
I have submitted a Protocol Change form to detail the conditions I have acknowledged above [if no conditions apply, then do not check]
B. Incident Report:
Have there been any significant spills or other biohazard accidents in
your laboratory in the period since your last IBC approval?
YES NO
If “yes” please explain and describe the incident.
In submitting this form, I certify that the above information is accurate. I agree to abide by all university, state and federal guidelines and regulations regarding recombinant DNA, infectious agent, TAT protein, transgenic plant, plant pathogen, and/or human tissues and fluids work.
I understand that the Principal Investigator is responsible for all activities related to use of his/her materials.
III. Request for Termination
If you are informing the IBC that your work with all recombinant DNA, infectious agent, TAT protein, transgenic plant, and/or plant pathogen materials has ceased/will soon cease, and you wish to terminate IBC approval, please provide the following information:
Have there been any significant spills or other biohazard accidents in
your laboratory in the period since your last IBC approval?
If “checked” please explain and describe the incident.
Describe when and how the recDNA/biohazardous material you possess will be disposed of:
Requested Termination Date:
In submitting this form, I certify that the above information is accurate, and that all my work with all recombinant DNA, infectious agent, TAT protein, transgenic plant, and/or plant pathogen materials will cease on this date.
I understand that the Principal Investigator is responsible for all activities related to use of his/her materials.