ࡱ> ] Cbjbj:/:/ 4PXEbXEb^ @@@@@TTT8ddTvzT&Lrrr 4!"\yyyyyyy$}y]@" ""y@@rr40z%%%"@r@ry%"y%%xjirrn#Rn^yFz0vz?oR#rr@us$""%"""""yy%"""vz"""""""""""""B :  IBC Annual Update Project Title FORMTEXT      Date of original approval FORMTEXT      Original IBC submission number FORMTEXT      Original risk assessment level FORMTEXT       Principal investigator: FORMTEXT       FORMTEXT  Title: FORMTEXT   FORMTEXT      Department: FORMTEXT   FORMTEXT      Building: FORMTEXT   FORMTEXT      Room: FORMTEXT      Phone: FORMTEXT   FORMTEXT      E-mail address: FORMTEXT   FORMTEXT       Select one of the following to describe the status of the project: NOTE: A minor change is one that does not change the risk assessment determination of the original application. Conversely, a significant change is one that does affect the risk assessment determination.  FORMCHECKBOX  This project has been discontinued as of  FORMTEXT       (date)  FORMCHECKBOX  This project is continuing with NO CHANGES  FORMCHECKBOX  This project is continuing with MINOR changes. *describe changes below*  FORMCHECKBOX  This project is continuing with SIGNIFICANT changes. **Submit a new application** Description of minor changes:  FORMTEXT       Principal Investigator s Certification: By signing below, I certify that I have read the following statements and agree that all participants and I will abide by these statements as well as all 鶹ԭ University policies and procedures governing the use of recombinant DNA, infectious agents and other biological materials as outline in this application and in the NIH Guidelines. I will: Ensure that listed personnel have or will receive appropriate training in safe laboratory practices and procedures for this protocol before any work begins on this project and will receive required annual refresher training thereafter. Also, all listed personnel who have potential occupational exposure to blood borne pathogens will file a declaration form with Human Resources and be trained annually; Follow the health surveillance practices as approved for this protocol and inform those working on the protocol about appropriate emergency assistance information for their location(s); Inform the IBC of any research-related accident or illness as soon as possible after its occurrence. ,.0JLNbdfprtv忳laUD8h?h5OJQJ jh?h5OJQJUh?h5OJQJh?hO OJQJ+jh?htV5OJQJUmHnHu&j\Dh?htV5OJQJUh?htV5OJQJ jh?htV5OJQJUh?hO 5OJQJh?hu5OJQJh?h(=CJ OJQJh?h $CJ OJQJh?h $OJQJjh?h $OJQJU.0LtvTkdD$$Ifl0N * 0P+44 lapytzKl & F !L$IfgdM6 & F !$IfgdM6   ( * , 6 8 : < z | ۹ۖ۹vۖbvWJh?hO CJOJQJh?h:OJQJ&jGh?h5OJQJUh?h:5OJQJ&jtFh?h5OJQJUh?h5OJQJh?h $5OJQJh?hOJQJh?h5OJQJ+jh?h5OJQJUmHnHu jh?h5OJQJU&jhEh?h5OJQJU : ziV & F !L$IfgdM6 & F !$Ifgd $kdE$$Ifl0N * 0P+44 lapytzKl: < z ziV & F !L$IfgdM6 & F !$IfgdM6kdF$$Ifl0N * 0P+44 lapytzKl $ 2 zmdddd $IfgdO  & F !gdO kdG$$Ifl0N * 0P+44 lapytzKl    " 2 4 H J L V X Z n p r q`T@`&jIh?htV5OJQJUh?htV5OJQJ jh?htV5OJQJU#jlIh?hO OJQJUh?hO OJQJmHnHu#jIh?h`TOJQJUjh?hO OJQJU(jh?htVOJQJUmHnHu#jHh?htVOJQJUh?htVOJQJjh?htVOJQJUh?hO OJQJr | ~    " $ 8 : < F H V X l ;ͬؐ|;jؐVؐ&jLh?htV5OJQJU#j Lh?hO OJQJU&jKh?htV5OJQJUh?htV5OJQJh?hO OJQJmHnHu#jKh?hO OJQJUjh?hO OJQJUh?hO OJQJ jh?htV5OJQJU+jh?htV5OJQJUmHnHu J V ~ JAAAAAA $IfgdO kdXJ$$Ifl\p* 044 lap(yt $l n p z |  ۺ~maMm7m+jh?h}e5OJQJUmHnHu&jNh?h}e5OJQJUh?h}e5OJQJ jh?h}e5OJQJUh?h}eOJQJmHnHu#jbNh?h}eOJQJUjh?h}eOJQJUh?h}eOJQJh?hO OJQJ+jh?htV5OJQJUmHnHu jh?htV5OJQJU&jLh?htV5OJQJU~ kdlM$$IflֈP(#R&*f *J044 lap<yt $ J L N A<gdO kd.P$$Ifl\,,"Fb0p44 lap(yt $ $IfgdO    " $ 8 : < F H L N ޽|o_O_A3h?hzKl5OJQJaJh?h5OJQJaJh?h:5CJOJQJaJh?h5CJOJQJaJh?hO CJOJQJh?h}eOJQJ+jh?h}e5OJQJUmHnHu&jOh?h}e5OJQJUh?h}e5OJQJ jh?h}e5OJQJUh?h}eOJQJmHnHujh?h}eOJQJU#jBOh?h}eOJQJUN vx$RXqnkdS$$Ifl*+ t0644 lap yt? h$Ifgd? hgdzKl hgd!A tvxz"$&BDFHƹƹƹmƘ^ƹJƹƹ'jQh?huOJQJUaJh?hCJOJQJaJ,jh?huOJQJUaJmHnHu'jhQh?huOJQJUaJh?hOJQJaJ'jPh?huOJQJUaJh?huOJQJaJ!jh?huOJQJUaJh?h5OJQJaJh?hzKl5OJQJaJh?hzKlOJQJaJ NPRTprtvXZnpr͕yfXBf*j:Sh?h $5OJQJUaJh?h $5OJQJaJ$jh?h $5OJQJUaJh?h $5OJQJaJh?h5OJQJaJ'jRh?huOJQJUaJh?h $OJQJaJh p}OJQJaJh?hOJQJaJh?huOJQJaJ!jh?huOJQJUaJ'jRRh?huOJQJUaJr|~6BOei2BJ::t;ĸ{rhr_r_r_r_r]rThvhkJCJUhvhi%gCJhvh(=6CJhvh(=CJ h?hi%g h?h@ h?hOu h?hzg h?h#U h?h> h?h(=hvh(=5CJaJh?h(=5CJaJh?h $5CJOJQJaJ$jh?h $5OJQJUaJ/jh?h $5OJQJUaJmHnHu J:t;<6?8?P?R?klkd2T$$Ifl*+044 lap yt?  & F$Ifgd?gd(=" & F,gdi%g" & F,gd(="gd(= Submit in writing a request for approval from the IBC of any significant modifications to the study, facilities or procedures; Submit in writing an updated proposal annually to the IBC. Abide by all Federal, State and local regulations governing research including the NIH guidelines on recombinant DNA and OSHA on Blood Borne Pathogens; and Report potentially toxic exposure to recombinant DNA materials, any incident releasing recombinant DNA materials into the environment, any problem with physical or biological containment and new information related to my research on the safety and biological hazard of the recombinant DNA molecules being studied to the IBC. Signatures:Principal investigator FORMTEXT      Date: FORMTEXT      Shared space principal investigator: FORMTEXT      Date: FORMTEXT       It is agreed upon that this form may be electronically initialed and signed. It is agreed upon that the electronic signatures appearing on this documents are the same as handwritten signatures for the purposes of validity, enforceability and admissibility.     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