<li><label><input type="radio" name="1. Lab Safety Level" data-form-field="lab_bsl" value="bsl_none"> Our team is not doing any wet-lab work</label></li>
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<li><label><input type="radio" name="lab_safety_level" data-form-field="lab_bsl" value="bsl_none"> Our team is not doing any wet-lab work</label></li>
<li><label><input type="radio" name="1. Lab Safety Level" data-form-field="lab_bsl_multiple" value="bsl_multiple"> We have several different lab spaces with different Safety Levels:</label> <textarea rows="2" name="Different safety levels (describe)" data-form-field="bsl_multiple_describe" data-validation="[data-form-field = lab_bsl_multiple]" placeholder=" Please describe what experiments you do in each space"></textarea></li>
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<li><label><input type="radio" name="lab_safety_level" data-form-field="lab_bsl" value="bsl_multiple"> We have several different lab spaces with different Safety Levels:</label> <textarea rows="2" name="Different safety levels (describe)" data-form-field="bsl_multiple_describe" data-validation="[value=bsl_multiple]" placeholder=" Please describe what experiments you do in each space"></textarea></li>
<li><input type="radio" name="3. a) Safety Training" data-form-field="training_already" value="training_already"> Yes, we have already received safety training.</label></li>
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<li><input type="radio" name="safety_training" data-form-field="safety_training" value="training_already"> Yes, we have already received safety training.</label></li>
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<li><input type="radio" name="3. a) Safety Training" data-form-field="training_notyet" value="training_notyet"> We plan to receive safety training in the future: </label> <textarea rows="2" name="Plan to receive safety training in future (when?)" data-form-field="training_notyet_describe" data-validation="[data-form-field=training_notyet]" placeholder="Please specify approximately when"></textarea></li>
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<li><input type="radio" name="safety_training" data-form-field="safety_training" value="training_notyet"> We plan to receive safety training in the future: </label> <textarea rows="2" name="Plan to receive safety training in future (when?)" data-form-field="training_notyet_describe" data-validation="[value=training_notyet]" placeholder="Please specify approximately when"></textarea></li>
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<li><input type="radio" name="3. a) Safety Training" data-form-field="training_none" value="training_none"> We will not have safety training:</label> <textarea rows="2" name="No safety training (comment)" data-form-field="training_none_describe" data-validation="[data-form-field=training_none]" placeholder="Please comment"></textarea></li>
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<li><input type="radio" name="safety_training" data-form-field="safety_training" value="training_none"> We will not have safety training:</label> <textarea rows="2" name="No safety training (comment)" data-form-field="training_none_describe" data-validation="[value=training_none]" placeholder="Please comment"></textarea></li>
<input type="radio" data-form-field="antimicrobial_resistance_yes_common" value="antimicrobial_resistance_yes_common" name="antimicrobial_resistance"> Yes – the use of the resistance factor is common in research </label>
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<input type="radio" data-form-field="antimicrobial_resistance" value="antimicrobial_resistance_yes_common" name="antimicrobial_resistance"> Yes – the use of the resistance factor is common in research </label>
<p> <small> If you cannot provide such a reference you will need to complete a <a href="https://2017.igem.org/Safety/Check_In">check-in form</a> for this part. </small></p>
<p> <small> If you cannot provide such a reference you will need to complete a <a href="https://2017.igem.org/Safety/Check_In">check-in form</a> for this part. </small></p>
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<textarea rows="1" name="common_resistance_descrip" data-form-field="common_resistance_descrip" data-validation="[data-form-field=antimicrobial_resistance_yes_common]" placeholder="Please provide a reference"></textarea>
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<textarea rows="1" name="common_resistance_descrip" data-form-field="common_resistance_descrip" data-validation="[value=antimicrobial_resistance_yes_common]" placeholder="Please provide a reference"></textarea>
</li>
</li>
<li> <label>
<li> <label>
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<input type="radio" data-form-field="antimicrobial_resistance_yes_connected" value="antimicrobial_resistance_yes_connected" name="antimicrobial_resistance"> Yes – the resistance factor is connected to an antimicrobial in clinical use </label>
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<input type="radio" data-form-field="antimicrobial_resistance" value="antimicrobial_resistance_yes_connected" name="antimicrobial_resistance"> Yes – the resistance factor is connected to an antimicrobial in clinical use </label>
<p> <small>You will need to complete a <a href="https://2017.igem.org/Safety/Check_In">check-in form</a> for this part. </small></p>
<p> <small>You will need to complete a <a href="https://2017.igem.org/Safety/Check_In">check-in form</a> for this part. </small></p>
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<textarea rows="1" name="real_world_descrip" data-form-field="antimicrobial_resistance_descrip" data-validation = "[data-form-field=antimicrobial_resistance_yes_connected]" placeholder="Please provide a reference"></textarea>
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<textarea rows="1" name="real_world_descrip" data-form-field="antimicrobial_resistance_descrip" data-validation = "[value=antimicrobial_resistance_yes_connected]" placeholder="Please provide a reference"></textarea>
</li>
</li>
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<li> <label>
<li> <label>
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<input type="radio" data-form-field="antimicrobial_resistance_yes_another" value="antimicrobial_resistance_yes_another" name="antimicrobial_resistance"> Yes – it is another resistance factor </label>
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<input type="radio" data-form-field="antimicrobial_resistance" value="antimicrobial_resistance_yes_another" name="antimicrobial_resistance"> Yes – it is another resistance factor </label>
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<textarea rows="1" name="antimicrobial_other_descrip" data-form-field="antimicrobial_other_descrip" data-validation="[data-form-field=antimicrobial_resistance_yes_another]" placeholder="Please provide details"></textarea>
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<textarea rows="1" name="antimicrobial_other_descrip" data-form-field="antimicrobial_other_descrip" data-validation="[value=antimicrobial_resistance_yes_another]" placeholder="Please provide details"></textarea>
</li>
</li>
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<label> <input type="checkbox" name="I_Agree" data-form-field="submit" value="agree" id="i_agree"> I Agree </label>
<label> <input type="checkbox" name="I_Agree" data-form-field="submit" value="agree" id="i_agree"> I Agree </label>
<p>You can <a href="#" id="popwin_unsubmit">unsubmit the form</a> if you wish to make further edits.</p>
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</div>
Latest revision as of 20:44, 2 October 2017
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Safety Form
This form is for you to tell us all about your project, the organisms/parts you are using, the potential risks of your project, and what you are doing to reduce those risks.
We encourage STUDENTS, instead of instructors, to complete this form.
You will need an Instructor or PI to sign and submit this form by the October 2 deadline in order to be qualified for award and prizes at the Giant Jamboree.
As you type, this form will remember your answers - you do not need to click "Submit" until Parts 1-5 have been completed.
Deadlines
If you will not be able to complete this form before the deadline, please email us (safety AT igem DOT org) and tell us about your situation.
Complete by Friday, June 30, 2017
Part 1: Contact
Part 2: About our Lab
Part 3: About our Project
Note: you do not need to click "Submit". The form will automatically save your responses.
Complete by Monday, October 2, 2017
Part 4: New Parts
Part 5: Sign Off submitted by the Instructor or PI
Safety Insert Survey
This year, we included a Safety Insert in the Distribution Kit. We are asking each team to complete this brief survey about the insert. Please only submit one answer per team.
Complying with the safety requirements is a condition of competing at iGEM - that includes providing all the information in this form by the relevant deadlines. Failure to do so can lead to immediate disqualification from the competition and referral to the Responsible Conduct Committee.
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