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Laboratories shall establish, implement, and maintain an effective written local Biosafety Plan (BSP) to minimize employee exposure to ATPs-L that may be transmitted by laboratory aerosols. The BSP may be incorporated into an existing local Exposure Control Plan for bloodborne pathogens and shall do all of the following:

  • Include a list of all job classifications in which all or some employees have occupational exposure, and a list of all tasks and procedures in which employees have occupational exposure. [5199(f)(4)(B)]
  • Include a list of ATPs-L known or reasonably expected to be present in laboratory materials and the applicable biosafety measures. [5199(f)(4)(C)]
  • Include a requirement that all incoming materials containing ATPs-L are to be treated as containing the virulent or wild-type pathogen, until procedures have been conducted at the laboratory to verify that a pathogen has been deactivated or attenuated. [5199(f)(4)(D)]
  • Identify and describe the use of engineering controls, including containment equipment and procedures, to be used to minimize exposure to infectious or potentially infectious laboratory aerosols. [5199(f)(4)(E)]
  • Establish safe handling procedures and prohibit practices, such as sniffing in vitro cultures, that may increase employee exposure to infectious agents. [5199(f)(4)(F)]
  • Establish effective decontamination and disinfection procedures for laboratory surfaces and equipment. [5199(f)(4)(G)]
  • Identify and describe the use of the appropriate personal protective equipment to be used to minimize exposure to infectious or potentially infectious laboratory aerosols. [5199(f)(4)(H)]
  • Identify any operations or conditions in which respiratory protection will be required.
  • Establish emergency procedures for uncontrolled releases within the laboratory facility and untreated releases outside the laboratory facility. These procedures shall include effective means of reporting such incidents to the local health officer. [5199(f)(4)(J)]
  • Include procedures for communication of hazards and employee training that complies with Section 3.4 of this program. This shall include training in the Stanford University ATD Program, the Local Biosafety Plan, and emergency procedures. [5199(f)(4)(L)]
  • Include an effective procedure for obtaining the active involvement of employees in reviewing and updating the Local Biosafety Plan with respect to the procedures performed by employees in their respective work areas or departments on an annual (or more frequent) basis. [5199(f)(4)(M)]
  • Include procedures for inspection of laboratory facilities, including an audit of biosafety procedures. These inspections shall be performed at least annually. Hazards found during the inspection, and actions taken to correct hazards, shall be recorded. [5199(f)(4)(O)]