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RPSS Form | Expedited RPSS Form | IBC rDNA Questionnaire
All VA Principal Investigators (PI) who are conducting research in laboratories located at the LSCDVAMC
or in off-site space are required to complete a Research Protocol Safety Survey (RPSS), VA Form 10-0398.
This includes any research being conducted by VA Investigators, regardless of performance site,
while on their official VA duty time.
Hazards that require identification on the RPSS include: Biological Agents;
Select Agents * (as identified
Title 42 Code of Federal Regulations (CFR) 72.6) *; Human/Non-Human cell or tissue samples; Recombinant DNA;
Select Chemicals; Controlled Substances; Ionizing/Non-Ionizing Radiation; Physical Agents and Use of Animals.
Recombinant DNA: If a protocol involves rDNA, whether exempt or non-exempt, the Principal
Investigator must complete an Institutional Biosafety
Committee (IBC) rDNA questionnaire.
If a protocol does not involve the above noted hazards, use the
Expedited RPSS Form.
For additional information, contact:
John {dot} Schaffer {at} va {dot} gov **
Research Safety Coordinator
(216) 791-3800 ext. 4263
Fax: (216) 229-8509
** These links use regular e-mail and are not secure. Do not send personal or medical information unprotected over the Internet. If you wish to send personal information please use the secure Ask a Question form.
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