Revised on
03/07/17 12:09pm

Biohazard Incident Report

Contact information

Incidents

  • Any spill of recombinant DNA or infectious agents must be reported as soon as possible to the Biological Safety Officer.  Consult EH&S SafetyNet #127 "Biological and Biohazardous Spill Response" for further information.
  • Report all injuries and accidental autoinoculation, ingestion, or inhalation of infectious agents to the laboratory director or supervisor, EH&S (use the form below or call 530-752-1493) and the UC Davis Occupational Health physician (530-752-6051) for evaluation and possible treatment.
  • Any accidental release of recombinant plants or plant pathogens to the environment must be reported to the Biological Safety Officer (use form below or call the Biosafety Office).

Incidents should be reported to the principal investigators (and laboratory supervisor), as well as to the UC Davis Biological Safety Officer.

Other entities or agencies may also need to be notified (e.g. IRB, IACUC, NIH RAC, USDA-APHIS, CDFA), if required.

Please give us your contact information so that we may contact you if we need further information.

Contact Information
555-55-5555
Lab Information:
Incident Information
:
Please indicate the location where the incident occurred (be specific - e.g. "in the biological safety cabinet located in the north east corner of room ## in building ABC").
Please indicate the name and type of materials (rDNA or infectious agents, etc) that were involved in the incident.
Please provide a detailed description of the events surrounding the incident.