Biosafety Research Risk Assessment Form

Project Information

Project Title Principal Investigator Department Contact Email Project Start Date Project End Date

Personnel Involved

List all personnel involved in project

Biological Agents

Describe all biological agents/materials to be used (organisms, cell lines, recombinant DNA, etc.)

Risk Assessment

Describe potential hazards (risk to personnel, environment, community, etc.) Containment/Biosafety Level Required BSL-1 BSL-2 BSL-3 BSL-4 Describe control measures (PPE, procedures, engineering controls, waste disposal, etc.)

Emergency Procedures

Describe procedures in case of spills, exposures, or other emergencies

Additional Information

Any additional comments or relevant information