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Biosafety Forms

Biosafety forms communicate required information to Environment, Health & Safety. Check the list below to find the form you need.

Aerosol Transmissible Diseases
ATD Biosafety Plan
Animal exposure / Vivarium
Form A – Risk Assessment Work Evaluation Questionnaire for Employees or Affiliates with Animal Contact
Form B – Medical History Questionnaire for Employees or Affiliates with Animal Contact
 
Autoclave
Autoclaving Log
 
Biohazard Use Authorization Forms
Biohazard Use Authorization (BUA) Application
BUA Verification Letter for Funding Agencies
 
Biological Safety Cabinets
BSC Open Flame Exception form
 
Bloodborne Pathogens Program
Exposure Control Plan
Hepatitis B Vaccine Acceptance/ Declination Info
 
Containment Plans 
Gene Drive Containment Plan 
Generator Labels
Campus Address Label Template
Medical Center Address Label Template
 
Vaccine Accept / Decline Forms for Research Lab Use 
(UC San Diego Employees Only - Contact the EHSBIO Team for forms not provided here.)
Diphtheria Vaccine Acceptance/ Declination  
Hepatitis B Vaccine Acceptance/ Declination Info
Influenza Vaccine Acceptance/ Declination
Measles Vaccine Acceptance/ Declination
Mumps Vaccine Acceptance/ Declination
Pertussis Vaccine Acceptance/ Declination
Pneumococcal Vaccine Acceptance/ Declination
Rabies Vaccine Acceptance/ Declination
Rubella Vaccine Acceptance/ Declination
Typhoid Vaccine Acceptance/ Declination
Varicella Zoster Vaccine Acceptance/ Declination
Contact EH&S Biosafety.