Returning Research Staff to BMC or BU Medical Campus

My Email

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Name of PI

PI Email

Department/Section

Center: Based on physical location, is your lab within a Research Center?

YesNo

Personnel Justification: For any personnel who are ready to return to on-campus work, please explain why their in-person presence is considered a priority.

Personnel Travel: Do you have lab members that recently traveled to other states or outside the US during the last 4 weeks?

YesNo

Safety Training: Are you and all members of your staff up to date on safety training?

YesNo

Building: Please enter the building where research staff are located

Room and Floor: Please provide the floor/s and list all and room numbers where research staff are located.

Use of Shared Space: Do you use any shared spaces?

YesNo

If you share space, what shared space? Please explain the function and how frequently it is utilized? If you do not, please enter “N/A”

Staff Interactions: How do research staff interact with each other?

Social Distancing: Are research staff able to maintain 6' social distancing while working(bench space and desk space)?

YesNo

Equipment Checks: Have you been able to check on the status of any lab equipment (i.e., freezers, refrigerators, incubators, centrifuges, fume hoods, biological safety cabinets, and autoclaves)?

YesNo

Equipment Status: Is all equipment in working order?

YesNoN/A - I have not been able to check equipment

Does your research include human subjects coming into direct contact with equipment? If yes, please describe cleaning/disinfectant process.

NoYes: Description of cleaning / disinfectant process:

Lab Supply Level: Do you have sufficient Laboratory Supplies/Reagents?

YesNo

Supply Resupply: When will laboratory supplies and reagents need to be replenished? Give time frame relative to the date of completion of this form.

PPE: Do you have sufficient PPE?

PPE Resupply: When will PPE need to be replenished? Give time frame relative to the date of completion of this form.

Cleaning Supply Level: Do you have sufficient cleaning and disinfecting supplies?

Cleaning Supply Resupply: When will cleaning and disinfecting supplies need to be replenished? Give time frame relative to the date of completion of this form.

Core Facilities Use: Will you need access to core facilities to resume research?

YesNo

If yes, which core facilities do you need access to? Do you require assistance to operate the instruments?”If you do not need access to core facilities enter “N/A”

Animal Use: Do you use animals in your work?

YesNo

Animal Timeline: Please describe the timeline for animal colony regeneration and what needs you will have for services from the ASC, including routine and specialty services. If no Animal Use, please enter “N/A”

Animal Order: When will you need to order animals again? Give time frame relative to the date of completion of this form.

Animal Housing Access: When do you anticipate entering the animal housing facility? Give an estimated time frame based on the date of resumption of research activity.

Human Subjects: Does your research involve in-person interactions with human subjects at BMC or BU Medical Campus?

YesNo

Study #1

Allowed file types: pdf.

Study #2

Allowed file types: pdf.

Study #3

Allowed file types: pdf.

Study #4

Allowed file types: pdf.

Study #5

Allowed file types: pdf.

Grants: What is the status of your grant support and timelines associated with each grant? Example: NIH Award R01xxxxx; project period through mm/dd/yy: Brief notes on grant status if applicable

Recovery Plan: Please upload a completed copy of the planning template. You can find a link to the PDF template at the top of this page

Returning Research Staff to BMC or BU Medical Campus

Personnel

Space and Equipment

Animal Research

Human Research

Grant Support

Recovery Plan