University of Hawai‘iResearch Compliance Menu About Animal and Veterinary Services Training and First Time User Information Veterinary Services Rates, Supply Orders and Special Services Order or Transfer Animals Occupational Health and Safety Program Policies Templates and Forms Resources Contact AVS Policy 15 Form Principal Investigators (PIs) are required to consult with the AV or designee on the following: Original or full three year renewal protocol reviews Protocol amendments which add the use of biohazards or chemical hazards, anesthesia and/oranalgesia, surgery (survival and non-survival) or increase in the level of pain which the animal mayexperience Annual renewal protocols that utilize USDA-covered species or DoD funding. Consultation is no longer required for annual renewals of protocols that do not utilize USDA covered species or DoD funding and/or do not include any of the amendments described above. Contact Dr. Wong with any questions wongmich@hawaii.edu PI INFORMATION PI First Name PI First Name PI Email PROTOCOL INFORMATION Topaz reference number Type of protocol NewAmendmentRenewal Experimental Design/Changes (Brief but thorough description) Is this a Category D or E protocol? YesNo Will you perform surgery? YesNo Are there any special requirements for housing your animals? YesNo Are you requesting to house animals in an area not currently approved by the IACUC? YesNo Will this protocol include hazardous materials (chemical, radioactive, or biological commodities)? YesNo Will you or your staff perform physical methods of Euthanasia? YesNo ADDITIONAL INFORMATION For Biomedical Sciences, Neurosciences, and Biotechnology-related Studies Utilizing University of Hawaii Animal & Veterinary Services (AVS) Facilities and Resources Is PPE required beyond gloves, shoe covers, and scrubs? YesNo Is a biosafety cabinet required for handling your caging or animals? YesNo Do we have to autoclave the bedding/cages prior to disposal and washing? YesNo If the digester is down, do we have to autoclave carcasses prior to storing? YesNo Is clidox a sufficient disinfectant? YesNo Do the cages require a biohazard or chemical hazard label? YesNo Will there need to be an active sign on the door during manipulations? YesNo Are you using any type of rodent derived product in your live animal experiments, e.g. rodent derived cell lines, rodent sera, rodent tissues, etc.? YesNo About Animal and Veterinary Services Training and First Time User Information Veterinary Services Rates, Supply Orders and Special Services Order or Transfer Animals Occupational Health and Safety Program Policies Templates and Forms Resources Contact
