BIOSAFETY SHEET

1. Title and Summary of the project

2. Identifications          

• Principal Investigator (laboratory director) :
• Investigator :
• Biosafety Officer :

3. Cell analysis and/or sorting

3.1. Eucaryotic cells

o Human             o Non-human primate             o Rodent             o Others

Description : .................    

o Clinical sample          o Cultured cells             o Cell lines (ATCC # .........)

Genetically modified ? o Yes       o No

Infectious agent : o virus             o bacteria             o fungi     o parasite

3.2. Procaryotic cells

o bacteria             o fungi     o parasite     

Description : ............... (ATCC # .........)

o Environmental sample             o Pure culture

o Others

Genetically modified ? o Yes o No

4. Biological materials

o Fixed    o Unfixed

5. Risk assessment

6. Maximal class of risk of the sample : 1 - 2 - 3 - 4

7. Maximal class of risk of the contained use  : 1 - 2 - 3 - 4

8. Contained level : BSL1 - BSL2 - BSL3 - BSL4