[Title 32 CFR H]
[Code of Federal Regulations (annual edition) - July 1, 2002 Edition]
[Title 32 - NATIONAL DEFENSE]
[Chapter V - DEPARTMENT OF THE ARMY]
[Subchapter H - SUPPLIES AND EQUIPMENT]
[Part 627 - THE BIOLOGICAL DEFENSE SAFETY PROGRAM, TECHNICAL SAFETY REQUIREMENTS (DA PAMPHLET 385-69)]
[Subpart H - Engineering Controls]
[From the U.S. Government Printing Office]


32NATIONAL DEFENSE32002-07-012002-07-01falseEngineering ControlsHSubpart HNATIONAL DEFENSEDEPARTMENT OF THE ARMYSUPPLIES AND EQUIPMENTTHE BIOLOGICAL DEFENSE SAFETY PROGRAM, TECHNICAL SAFETY REQUIREMENTS (DA PAMPHLET 385-69)
                     Subpart H--Engineering Controls



Sec. 627.49  Introduction.

    As required by the OSHA and recommended by the American Industrial 
Hygiene Association (AIHA) and the CDC, engineering controls and proper 
microbiological techniques are the primary means of protecting personnel 
who work with potentially hazardous biological materials. In situations 
of potentially higher hazard, these engineering controls are 
supplemented by personal protective clothing and equipment. Thus, the 
engineering controls discussed in this chapter will be the primary means 
of personnel and environmental protection when working with etiologic 
agents. Because of the importance of these engineering controls, this 
chapter contains not only requirements for the engineering and 
construction of these controls, but also requirements for their 
certification and continuous satisfactory performance. These will be 
described for each engineering control.



Sec. 627.50  Class I biological safety cabinet.

    (a) Description. The Class I biological safety cabinet (figure H-I 
in appendix F to this part) is a ventilated cabinet for personnel 
protection only. The cabinet provides an uncirculated inward flow of air 
away from the operator. The exhaust is passed through a HEPA filter. It 
may be discharged into the laboratory or vented out of the laboratory 
and dispersed away from occupied spaces or air intakes. When the exhaust 
is recirculated in a BL-2 or BL-3 facility, the cabinet must be tested 
and certified annually. In a BL-4 facility, if the exhaust is 
recirculated, the cabinet must be tested and certified semiannually.
    (b) Uses. These cabinets are used if personnel protection against 
the microorganisms is required; for modest quantities of volatile, 
toxic, or radioactive chemicals (in concentrations and quantities 
associated with biological systems) if vented to the outside; and when 
sterility is not required. They are commonly used for housing tabletop 
centrifuges, in the necropsy of small animals, and for changing animal 
bedding.
    (c) Prohibitions. This class of cabinet is not to be used when 
sterility must be maintained. In addition, volatile, toxic, or 
radioactive materials can not be used in this class of cabinet when the 
exhaust air is not exhausted to the exterior.
    (d) Certifications and requirements. (1) The inward air velocity on 
these cabinets will be an average of 100 plus or minus 20 linear feet 
per minute (lfpm). Each cabinet must be certified before use and 
semiannually thereafter by a face velocity test. Additionally, smoke 
tests will be performed annually to verify containment.
    (2) The exhaust system will have a HEPA filter, which will be tested 
initially upon installation, after repair or replacement, and every 2 
years thereafter (except when required more often). Filters will be 
certified to be 99.97 percent effective in capturing particulate matter 
by a leakage test using mineral oil or other appropriate aerosol 
dispersed as 0.3 micron droplets.



Sec. 627.51  Class II biological safety cabinet.

    All Class II biological safety cabinets (figure H-II in appendix F 
to this part) are ventilated cabinets for personnel and product 
protection, having an open front with inward air flow for personnel 
protection.
    (a) Operating standards. (1) All of these cabinets must conform and 
be certified to meet National Sanitation Foundation (NSF) Standard No. 
49 revised, June 1987, for the applicable type of cabinet.
    (2) After installation and before use, and annually thereafter, the 
cabinets will be tested in accordance with NSF Standard No. 49 (latest 
revision June 1987) as follows:
    (i) Primary (required) tests--
    (A) Velocity profile test.
    (B) Work access opening airflow (face velocity) test.
    (C) HEPA filter leak test.

[[Page 566]]

    (D) Cabinet integrity test (soap bubble test) for cabinets with 
positive pressure internal plenums.
    (ii) Secondary (optional) tests--
    (A) Vibration test.
    (B) Electrical leakage and ground circuit resistance tests.
    (C) Noise level test.
    (D) Lighting intensity test.
    (E) UV light intensity test.
    (3) After repairs or alterations to the cabinetry or ventilation 
system that affect the cabinet, the tests listed in Sec. 627.51(a)(2) 
will be performed for the relevant parameters.
    (4) The work access opening airflow (face velocity) test, as 
specified in NSF Standard No. 49 (latest revision, June 1987), will be 
performed to check that the cabinet is within specifications on an 
annual basis for BL-1 and BL-2 and toxin use. This test will be 
performed semiannually on cabinets used for BL-3 and BL-4 as well as for 
work with dry forms of toxins.
    (5) When the exhaust is recirculated in a BL-4 facility, the cabinet 
must be tested and certified semiannually.
    (b) Class IIA biological safety cabinets.--(1) Description. A Class 
IIA biological safety cabinet is one in which typically 70 percent of 
the air is recirculated within the cabinet and the exhaust passes 
through a HEPA filter before discharge. The exhaust may be exhausted 
into the room and positive-pressure contaminated ducts and plenums 
within the cabinet are allowed. Type A cabinets shall have a minimum 
calculated face velocity of 75 feet per minute (fmp).
    (2) Uses. These cabinets are for working with low-to-moderate risk 
biological samples and for protecting personnel against biological 
material while providing a sterile atmosphere in which to handle the 
material.
    (3) Prohibitions. Materials that are toxic or volatile must not be 
used in these cabinets.
    (c) Class IIB1 biological safety cabinets.--(1) 
Description. A Class IIB1 biological safety cabinet is one 
that maintains a minimum average inflow of air of 100 plus or minus 20 
lfpm and in which typically 30 percent of the air is recirculated. All 
recirculated and exhausted air passes through two HEPA filters in 
series. All contaminated internal ducts and plenums are under negative 
pressure. Type B cabinets shall have a minimum calculated face velocity 
of 100 fpm.
    (2) Uses. When ultra-sterility is needed, these are the cabinets of 
choice. The double filtration achieves a cleaner atmosphere. Minute 
quantities of volatile, toxic, or volatile radioactive materials 
coincidental to use in biological systems may also be used in these 
cabinets.
    (3) Prohibitions. More than minute quantities of toxic, volatile, or 
radioactive materials must not be used in these cabinets.
    (4) Additional certifications or requirements. None.
    (d) Class IIB2 biological safety cabinets.--(1) 
Description. A Class IIB2 biological safety cabinet is one 
that maintains a minimum average of 100 plus or minus 20 lfpm inward 
flow and in which all air is exhausted directly from the cabinet through 
a HEPA filter without recirculation within the cabinet. All contaminated 
ducts and plenums are under negative pressure. Type B cabinets shall 
have a minimum calculated face velocity of 100 fpm.
    (2) Uses. These cabinets are recommended when small quantities of 
volatile, flammable, or toxic chemicals must be used coincidentally with 
items requiring sterility.
    (3) Prohibitions. While these cabinets do offer the greatest degree 
of safety for volatile, toxic, and flammable chemical handling in a 
sterile environment, they are not to be used in place of a fume hood to 
prepare stock solutions of hazardous chemicals.
    (e) Class IIB3 biological safety cabinets.--(1) 
Description. A Class IIB3 biological safety cabinet is one 
that meets all of the requirements of a Class IIB2 biological 
safety cabinet except that it recirculates most (typically 70 percent) 
of the air inside the cabinet. Type B cabinets shall have a minimum 
calculated face velocity of 100 fpm.
    (2) Uses. Minute amounts of nonflammable chemicals can be used 
coincidentally with low-to-moderate risk biological agents.
    (3) Prohibitions. Flammable materials and more than minute amounts 
of toxic, radioactive, or volatile chemicals must not be used in these 
cabinets.

[[Page 567]]

    (4) Additional certifications or requirements. None.



Sec. 627.52  Class III biological safety cabinet.

    (a) Description. These cabinets (figure H-III in appendix F to this 
part) are totally enclosed, ventilated cabinets of gas-tight 
construction. Operations are conducted through attached rubber gloves. 
The supply of air is drawn into the cabinet through HEPA filters. The 
exhaust air is treated by double HEPA filtration, or by HEPA filtration 
followed by incineration, and is not allowed to recirculate within the 
room.
    (b) Uses. These cabinets provide the ultimate protection for 
personnel. They are suitable for low, moderate, and high-risk etiologic 
agents.
    (c) Prohibitions. More than minute amounts of flammables must not be 
used in these cabinets.
    (d) Certifications and requirements. (1) These cabinets will have a 
manometer or magnehelic gauge that indicates the negative pressure that 
is maintained inside the cabinet. The pressure inside the cabinet should 
be a minimum of 0.5 inches water gauge negative to the surrounding room.
    (2) These cabinets will be pressure tested by the soap bubble or 
halogen leak test as prescribed in NSF Standard No. 49, appendix B1 
(latest revision, June 1987), and certified, when the HEPA filter units 
are serviced.



Sec. 627.53  Fume hood.

    Fume hoods in which etiologic agents are handled must use proven 
technologies to provide optimal containment. Fume hood placement, 
design, and capture testing requirements for use in designing new 
laboratories can be found in the latest edition of Industrial 
Ventilation, A Manual of Recommended Practices, published by the 
American Conference of Governmental Industrial Hygienists.
    (a) Description. Fume hoods are common chemical laboratory 
furnishings designed to capture fumes from chemicals that are used 
within them. Air is drawn through the opening and vented to the exterior 
without recirculation.
    (b) Uses. Fume hoods provide excellent containment for handling 
hazardous chemicals.
    (c) Prohibitions. Moderate risk biologicals and open containers of 
dry forms of toxins must not be used in a fume hood without HEPA 
filtration. Fume hoods should never be used when sterility is required.
    (d) Certification and requirements. (1) Inward air flow will be an 
average of 100 plus or minus 20 lfpm as measured at the face of the fume 
hood. Proper function of laboratory hoods is not only a function of face 
velocity. An evaluation of the total operating environment is necessary.
    (2) When filters are required, they will be certified by the mineral 
oil droplet (HEPA) or Freon (Charcoal) leak test as appropriate. Leakage 
through the filters will be less than 0.05 percent for Freon and 0.03 
percent for oil droplets when initially installed.
    (3) Fume hoods will be provided with indicator devices to give a 
warning should the ventilation system fail or if the hood face velocity 
falls below an average of 80 lfpm
    (4) Hood air flow will be certified when installed, when maintenance 
is performed on the ventilation system, and semiannually thereafter.



Sec. 627.54  Glove box.

    (a) Description. A glove box is an enclosure that provides a 
positive barrier from liquids, solids, and chemical vapors. A glove box 
has viewing ports and glove ports for access. The box maintains 
personnel protection through solid barriers and maintenance of a 
negative pressure relative to its surroundings.
    (b) Uses. Glove boxes are used when extreme containment is needed 
for highly toxic chemicals, especially for dry chemicals that can be 
swept out of containers by the airflow in hoods.
    (c) Prohibitions. Unventilated boxes must not be used with volatile 
flammable materials and should be used with volatile toxic materials 
unless dilution ventilation is provided.
    (d) Additional certifications and requirements. (1) The glove box 
will be maintained at a pressure of at least 0.25 inches water guage 
less than its surroundings.
    (2) The pressure differential will be indicated by a manometer or 
magnehelic guage. Indicator devices

[[Page 568]]

will display a loss of pressure below 0.25 inches water guage.
    (3) Gloves will be changed at appropriate intervals (dependent on 
the box contents) to ensure they provide the protection needed.
    (4) Inlets that provide dilution air will be protected by HEPA 
filters.



Sec. 627.55  Ventilated balance enclosures.

    (a) Description. A ventilated balance enclosure is a box that 
surrounds a balance and has a small open area for access and handling 
material in the front. Air is exhausted out the rear of the enclosure.
    (b) Uses. A ventilated balance enclosure is used when containment of 
a balance is required to weigh hazardous materials that have a low vapor 
pressure (such as toxins). These enclosures are also used when it is 
best to use the balance in other than a fume hood (due to the turbulence 
and vibration) and when biological safety cabinets or glove boxes are 
inappropriate or unavailable. Dry forms of toxins may be weighed in 
these enclosures.
    (c) Prohibitions. Very volatile or highly toxic volatile materials 
must not be handled in ventilated balance enclosures unless they are 
placed in closed containers in a properly functioning fume hood before 
being transferred to the balance enclosure.
    (d) Additional certifications or requirements. (1) The flow through 
the openings in the enclosure will be at least 60 lfpm and must average 
between 60 and 80 lfpm.
    (2) Containment will be certified prior to first use and annually 
thereafter by smoke tubes.
    (3) The air flow will be certified initially and semiannually by 
averaging readings taken from the face of the opening.



Sec. 627.56  Ventilated cage enclosures.

    There are a number of cage-ventilated enclosures in which infected 
animals may be housed at levels corresponding to the various classes of 
biological safety cabinets. A brief description of four different types 
of animal ventilated cages is given below. This is not a complete 
description of all the different animal ventilated cages available. The 
proper functioning of these will be tested initially, upon each 
connection to exhaust sources, and at least annually. The inward flow 
rates on the partial containment systems and pressure checks on the 
total containment cages will be performed. Prior to selecting such 
equipment, an evaluation of the function and the equipment should be 
made, and the methods for testing and decontamination should be analyzed 
and documented.
    (a) Filter-top cages. Small laboratory animal polystyrene or 
polycarbonate cage bottoms are fitted with a dome shaped glass fiber or 
polyester filter cage cover. The dome shaped filters help reduce the 
dissemination of aerosols, and the spread of infectious agents. Adequate 
ventilation around cages fitted with a dome shaped filter is essential 
since they may contain elevated ammonia and carbon dioxide levels, and 
high temperature and humidity. Ventilation recommendations in the NIH 
publication 86-23, 1985 ``Guide for the Care and Use of Laboratory 
Animals'' will be followed.
    (b) Forced ventilation cages. This is a small HEPA-filtered cage 
connected to a centralized exhaust system. A minimum airflow of 0.03 
m\3\ /min per cage is required. Ventilation rates may vary with the size 
of the cage, and the number and type of animals being housed.
    (c) Cubicle-type isolation cage. This is a partial containment unit 
which holds several animal cages. This unit is a negative pressure HEPA-
filtered stainless steel cage. A minimum airflow of 0.3 m\3\ /min per 
cage is required for a 0.24 m\3\ unit. Ventilation rates may vary with 
the size of the cage and the number and type of animals being housed.
    (d) Total containment cage. This unit is a negative pressure or 
positive pressure HEPA-filtered stainless steel cage which has the 
filters incorporated into the design. It is halogen gas-leak tight and 
can be considered a Class III biological safety cabinet. A minimum 
airflow of 0.3 m\3\ /min per cage is required for a 0.24 m\3\ unit. 
Ventilation rates may vary with the size of the cage, and the number and 
type of animals being housed.

[[Page 569]]



Sec. 627.57  Ventilated cage areas.

    Ventilated cage areas within a room that are solid-walled and 
bottomed areas for containing multiple cages housing infected animals. 
The containment for these areas is equivalent to the Class I biological 
safety cabinet. For testing purposes, they will be treated the same as a 
Class I biological safety cabinet.

                   Appendix A to Part 627--References

    Publications referenced in this part can be obtained from the 
National Technical Information Services, U.S. Department of Commerce, 
5285 Port Royal Road, Springfield, VA 22161.

                          Required Publications

                                AR 11-34

    Army Respiratory Protection Program. (Cited in Secs. 627.31(h)(2) 
and 627.31(h)(4).)

                                 AR 40-5

    Preventive Medicine. (Cited in Sec. 627.8.)

                                AR 40-10

    Health Hazard Assessment Program in Support of the Army Materiel 
Acquisition Decision Process. (Cited in Sec. 627.7(a)(8).)

                                AR 40-12

    Medical and Agricultural Foreign and Domestic Quarantine Regulations 
for Vessels, Aircraft, and Other Transports of the Armed Forces. (Cited 
in Sec. 627.40(a).)

                                AR 40-66

    Medical Records and Quality Assurance Administration. (Cited in 
Sec. 627.9.)

                                AR 40-400

    Patient Administration. (Cited in Sec. 627.8(e).)

                                AR 70-65

    Management of Controlled Substances, Ethyl Alcohol, and Hazardous 
Biological Substances in Army Research, Development, Test, and 
Evaluation Facilities. (Cited in Secs. 627.36(a)(6) and 627.40(b).)

                                AR 385-10

    Army Safety Program. (Cited in Secs. 627.6 and 627.31(h)(4).)

                                AR 385-69

    Biological Defense Safety Program. (Cited in Secs. 627.6, 627.7(a), 
627.7(a)(8), 627.7(d), 627.11(c), 627.18(a) and 627.18(f)(1).)

                                AR 740-32

    Responsibilities for Technical Escort of Dangerous Materials. (Cited 
in Sec. 627.39.)

                          Related Publications

    A related publication is merely a source of additional information. 
The user does not have to read it to understand this pamphlet.

                                AR 40-14

    Control and Recording Procedures for Exposure to Ionizing Radiation 
and Radioactive Materials.

                             ANSI Z86.1-1973

    Breathing Air

                           ASHRAE Standard 62

    Bacterial Toxins: A Table of Lethal Amounts, Gill, D.M., 
Microbiological Reviews, Volume 46, Number 1; March 1982, pages 86-94.

                       Biohazards Reference Manual

    American Industrial Hygiene Association, 1985, Clinical Medicine 
Branch, Division of Host Factors, Center for Infectious Disease, Centers 
for Disease Control, Atlanta, GA 30333, telephone: (404) 639-3356, 
Compressed Gas Association Pamphlet G-7.1

                          Grade D Breathing Air

    Dangerous Goods Regulations, International Air Transport Association 
(IATA), Publications Section, 2000 Peel Street, Montreal, Quebec, Canada 
H3A 2R4, Tel (514) 844-6311. DHEW Pub. No. (NIH) 76-1165
    Biological Safety Manual for Research Involving Oncogenic Viruses, 
Executive Order 12196
    Safety and Health Programs for Federal Employees, 26 February 1980
    Guide for Adult Immunizations, Published by the American College of 
Physicians, Guide for Transportation of Hazardous Materials, Vol. 4(1) 
February 10, 1975. (Copies may be obtained from the Office of Research 
Grants Inquiries, NIH, Department of Health and Human Services, 5333 
Westbard Avenue, Bethesda, MD 20205.)
    Guidelines for Laboratory Design, Health and Safety Considerations, 
L. DiBerardinis, et al., John Wiley and Sons, 1987
    Guidelines for Prevention of Herpesvirus Simiae (B Virus) Infection 
in Monkey Handlers, Kaplan, J.E., et al., Mortality and Morbidity Weekly 
Report, Volume 36, Number 41; October 23, 1987, pages 680-689.
    HHS Publication No. (NIH) 88-8395, Biosafety in Microbiological and 
Biomedical Laboratories
    Industrial Ventilation, A Manual of Recommended Practice Published 
by the American Conference of Governmental Industrial Hygienists.

[[Page 570]]

    Laboratory Safety for Arboviruses and Certain Other Viruses of 
Vertebrates, The American Journal of Tropical Medicine and Hygiene, 
29:1359-1381, 1980.
    NIH Guidelines for Research involving Recombinant DNA Molecules (51 
FR 16958, May 7, 1986).
    NIH publication 86-23, Guide for the Care and Use of Laboratory 
Animals
    NSF Standard 49, National Sanitation Foundation Standard 
Number 49, Class II (Laminar Flow) Biohazard Cabinetry
    Packaging and Shipping of Biological Materials at ATCC, The American 
Type Culture Collection (ATCC). (Copies may be obtained from the ATCC, 
12301 Parklawn Drive, Rockville, MD 20852. Telephone (301) 881-2600.)
    Postal Bulletin No. 21246, International Mail-Hazardous Materials
    Procedures for the Domestic Handling and Transport of Diagnostic 
Specimens and Etiologic Agents, National Committee for Clinical 
Laboratory Standards (NCCLS), (H5-A2), Second edition. Vol. 5, No. 1. 
(Copies may be obtained from the NCCLS, 771 East Lancaster Avenue, 
Villanova, PA 19085.)
    Restricted Articles Tariff 6-D, Air Transport Association
    Technical Instructions for the Safe Transport of Dangerous Goods by 
Air, International Civil Aviation Organization (ICAO) Intereg Group, 
5724 Pulaski Road, Chicago, IL 60646, Tel. (312) 478-0900.
    The Centers for Disease Control, Office of Biosafety, 1600 Clifton 
Road NE., Atlanta, Georgia 30333. Telephone (404) 639-3883, or FTS: 236-
3883.

                    9 CFR Parts 102 Through 104, 122

    Animals and Animal products.

                            10 CFR Chapter 1

    Nuclear Regulatory Commission.

                    21 CFR Parts 312, 600 Through 680

    Food and drugs.

                            29 CFR Part 1910

    Occupational Health and Safety Administration Safety and Health 
Standards.

                             39 CFR Part 111

    Postal Service.

                     40 CFR Parts 1500 Through 1508

    Protection of environment.

                         42 CFR Parts 71 and 72

    Public Health Service Foreign Quarantine Regulations.

                        49 CFR Parts 172 and 173

    The Department of Transportation.

[[Page 571]]

Appendix B to Part 627--Resource List for Immunoprophylaxis of Personnel 
                                 at Risk

                         B-1. Recommendations for Immunoprophylaxis of Personnel at Risk
----------------------------------------------------------------------------------------------------------------
      Description of disease              Product              Recommended for use in          Source of product
----------------------------------------------------------------------------------------------------------------
Anthrax..........................  Inactivated vaccine.  Personnel working regularly with    USAMRIID.\1\
                                                          cultures, diagnostic materials,
                                                          or infected animals.
Botulism.........................  Pentavalent toxoid    Personnel working regularly with    CDC.\3\
                                    (A,B,C,D,E)           cultures or toxin.
                                    (IND).\2\.
Cholera..........................  Inactivated vaccine.  Personnel working regularly with    Commercially
                                                          large volumes or high               available.
                                                          concentrations of infectious
                                                          materials.
Diphtheria Tetanus (Adult).......  Combined toxoid.....  All laboratory and animal care      Commercially
                                                          personnel irrespective of agents    available.
                                                          handled.
Eastern equine encephalitis (EEE)  Inactivated vaccine   Personnel who work directly and     USAMRIID.\1\
                                    (IND) \2\.            regularly with EEE in the
                                                          laboratory.
Hepatitis A......................  Immune Serum          Animal care personnel working       Commercially
                                    Globulin [ISG         directly with chimpanzees           available.
                                    (Human)].             naturally or experimentally
                                                          infected with Hepatitis A virus.
Hepatitis B......................  Serum-derived or      Personnel working regularly with    Commercially
                                    recombinant vaccine.  human blood and blood components.   available.
Influenza........................  Inactivated vaccine.  (Vaccines prepared from earlier     Commercially
                                                          isolated strains may be of little   available.
                                                          value in personnel working with
                                                          recent isolates from humans or
                                                          animals).
Japanese Encephalitis............  Inactivated vaccine   Personnel who work directly and     CDC.\3\
                                    (IND) \2\.            regularly with JE virus in the
                                                          laboratory.
Measles..........................  Live attenuated       Measles-susceptible personnel       Commercially
                                    virus vaccine.        working with the agent or           available.
                                                          potentially infectious clinical
                                                          materials.
Meningococcal Meningitis.........  Purified              Personnel working regularly with    Commercially
                                    polysaccharide        large volumes or high               available.
                                    vaccine.              concentrations of infectious
                                                          materials (does not protect
                                                          against infection with group B
                                                          meningococcus).
Plague...........................  Inactivated vaccine.  Personnel working regularly with    Commercially
                                                          cultures of Yersinia pestis or      available.
                                                          infected rodents or fleas.
Poliomyelitis....................  Inactivated (IPV)     Polio-susceptible personnel         Commercially
                                    and live attenuated   working with the virus or           available.
                                    (OPV) vaccines.       entering laboratories or animal
                                                          rooms where the virus is in use.
Pox viruses (Vaccinia, Cowpox, or  Live (lyophilized)    Personnel working with orthopox     CDC.\3\
 Monkey Pox viruses).               vaccinia virus.       viruses transmissible to humans,
                                                          with animals infected with these
                                                          agents, and persons entering
                                                          areas where these viruses are in
                                                          use.
Q Fever (Phase II) vaccine.......  Inactivated (IND)     Personnel who have no demonstrable  USAMRIID.\1\
                                    \2\.                  sensitivity to Q fever antigen
                                                          and who are at high risk of
                                                          exposure to infectious materials
                                                          or animals.
Rabies...........................  Human diploid line    Personnel working with all strains  Commercially
                                    cell inactivated      of rabies virus, with infected      available.
                                    vaccine.              animals, or persons entering
                                                          areas where these activities are
                                                          conducted.
Rift Valley Fever................  Inactivated virus     All laboratory and animal care      USAMRIID.\1\
                                    vaccine (IND) \2\.    personnel working with the agent
                                                          or infected animals and all
                                                          personnel entering laboratories
                                                          or animal rooms when the agent is
                                                          in use.
Rubella..........................  Live attenuated       Rubella-susceptible personnel,      Commercially
                                    virus vaccine.        especially women, working with      available.
                                                          ``wild'' strains or in areas
                                                          where these viruses are in use.
Tuberculosis.....................  Live, attenuated      BCG vaccine ordinarily is not used  Commercially
                                    (BCG) bacterial       in laboratory personnel in the      available.
                                    vaccine.              U.S.
Tularemia........................  Live attenuated       Personnel working regularly with    USAMRIID.\1\
                                    bacterial vaccine     cultures or infected animals or
                                    (IND).\2\.            persons entering areas where the
                                                          agent of infected animals are in
                                                          use.
Typhoid..........................  Inactivated vaccine.  Personnel who have no demonstrated  Commercially
                                                          sensitivity to the vaccine and      available.
                                                          who work regularly with cultures.
Venezuelan equine (VEE)            Live attenuated       Personnel working with VEE and the  USAMRIID.\1\
 encephalitis.                      (TC83) viral          Equine Cabassou, Everglades,
                                    vaccine (IND).\2\.    Mucambo, and Tonate viruses, or
                                                          who enter areas where these
                                                          viruses are in use.

[[Page 572]]

 
Western equine encephalitis (WEE)  Inactivated vaccine   Personnel who work directly and     USAMRIID.\1\
                                    (IND) \2\ with WEE    regularly in the laboratory.
                                    virus.
Yellow Fever.....................  Live attenuated       Personnel working with virulent     Commercially
                                    (17D) virus vaccine.  and avirulent strains of Yellow     available.
                                                          Fever virus.
----------------------------------------------------------------------------------------------------------------
\1\ For information, contact: United States Army Medical Materiel Development Activity, Fort Detrick, Frederick,
  MD 21701, telephone: (301) 663-7661.
\2\ Investigational New Drug (IND).
\3\ Clinical Medicine Branch, Division of Host Factors, Center for Infectious Disease, Centers for Disease
  Control, Atlanta, GA 30333, telephone: (404) 639-3356.
 
Source: Adapted from recommendations of the PHS Immunization Practices Advisory Committee and Biosafety in
  Microbiological and Biomedical Laboratories.


[[Page 573]]

     Appendix C to Part 627--Laboratory Safety Inspection Checklist

    C-1. The checklist that follows is not an exhaustive list of the 
items to consider when inspecting facilities where etiologic agents are 
used. It does provide some basic guidelines to remind safety and 
nonsafety professionals of the things that need to be considered in the 
laboratories they manage. The checklist should be used as follows: All 
area should be inspected using the general list in C-2. Certain items 
are optional, such as radiation safety. If no radioactive material is 
present in the room, then this would not be applicable. For BL-1 
facilities the list in C-2 is adequate, while BL-2, BL-3, and BL-4 
facilities must use the list in C-2 together with the appropriate list 
in C-3 to C-5.

                          C-2. Basic checklist

    (a) Housekeeping
    (1) Is the room free of clutter?
    (2) Are all aisles from the work areas to the available exits 
maintained clear of obstructions?
    (3) Are all safety equipment items unobstructed and ready for use?
    (4) Is the room clean?
    (b) Fire safety
    (1) Is the fire extinguisher hung in its proper place, ready for 
use, and unobstructed?
    (2) Are there excess flammables located outside National Fire 
Protection Association (NFPA) approved cabinetry?
    (3) Are all Class IA flammables that are in breakable containers in 
pint or smaller containers?
    (4) Are all Class IB flammables that are in breakable containers in 
liter or smaller containers?
    (c) Chemical safety
    (1) Are the chemicals stored with compatible materials?
    (2) Have the chemical fume hoods been certified in the last 6 
months?
    (3) Are the eyewash and deluge shower unobstructed and ready for 
use?
    (4) Is the eyewash and deluge shower tested regularly to document 
proper operation?
    (5) Is the organic waste container maintained in a closed position?
    (6) Are all reagents and solutions properly labeled?
    (7) Is a spill kit within a reasonable distance from the work areas?
    (8) Is appropriate protective clothing available for the chemical 
hazards present?
    (9) Is there a written hazard communication program?
    (10) Have the personnel in the laboratory been trained in the 
provisions and principles of the hazard communication program?
    (11) Are MSDSs located where they are available to the laboratory 
workers?
    (12) Is there a written chemical hygiene plan?
    (d) Radiation safety
    (1) Are the radioactive materials stored double-contained?
    (2) Is the containment for the radiation waste container adequate to 
preclude the spread of radiation?
    (3) Are all containers appropriately labeled with radiation labels?
    (4) Are all entrances to the room appropriately labeled?
    (e) Electrical safety
    (1) Are excess extension cords being utilized?
    (2) Are there any frayed cords in the room?
    (3) Are there any cords on the floor across normal traffic patterns 
in the room?
    (f) General laboratory safety
    (1) Are sharps discarded and destroyed in a safe manner?
    (2) Are work surfaces decontaminated daily and after a spill?
    (3) Is the appropriate attire worn by everyone in the room?
    (4) Is there evidence that personnel eat, drink, smoke, or store 
food, drinks, or tobacco in the room?
    (5) Was mouth pipetting observed?
    (6) Are all gas cylinders secured and are all cylinders not in use 
capped?
    (7) Are cylinders of oxidizers stored at least 20 feet from 
cylinders of flammable gases in the same room?
    (8) Are the contents of the cylinders clearly labeled?
    (9) Are the cylinders transported on appropriate dollies or hand 
trucks?
    (10) Is there a written respiratory protection program where 
respirators are used?
    (g) Etiologic agents
    (1) Are all containers of etiologic agents appropriately labeled?
    (i) Are freezers, refrigerators, and similar storage units labeled 
with the biohazard warning sign?
    (ii) Are the storage and shipping containers adequate and properly 
labeled?
    (2) Have all personnel been adequately trained in general 
microbiological techniques?
    (3) Are laboratory doors kept closed when experiments are in 
progress?
    (4) Are all operations conducted over plastic-backed absorbent paper 
or spill trays?

              C-3. Biosafety level 2 supplemental checklist

    (a) Are all floor drains filled with water or suitable disinfectant?
    (b) Is the SOP for an etiologic agent spill signed by all personnel 
who work with etiologic agents in the room?
    (c) If biological safety cabinets are used, have they been certified 
within the last year?
    (d) Are the appropriate decontaminants available?
    (e) Are all entrances to the laboratory posted with--

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    (1) The appropriate special provisions for entry?
    (2) The universal biohazard symbol?
    (3) The name and telephone number of the laboratory director or 
other responsible person?
    (f) Is entry limited and restricted?
    (g) Are gloves being worn when handling infected animals or 
infectious or toxic materials?
    (h) Is eye and respiratory protection being worn in rooms where 
nonhuman primates are present?
    (i) If materials are being transported off-site for decontamination, 
is the containment adequate?

              C-4. Biosafety level 3 supplemental checklist

    (a) Is laboratory clothing decontaminated before being sent to the 
laundry?
    (b) Are all windows and penetrations through the walls and ceilings 
sealed?
    (c) If biological safety cabinets are used, have they been certified 
within the last year?
    (d) Are the appropriate decontaminants available?
    (e) Are all entrances to the facility posted with--
    (1) The appropriate special provisions for entry?
    (2) The universal biohazard symbol?
    (3) The name and telephone number of the laboratory director or 
other responsible person?
    (f) Is entry limited and restricted?
    (g) Are gloves being worn when handling infected animals or 
infectious or toxic materials?
    (h) Is eye and respiratory protection being worn in rooms where 
nonhuman primates are present?
    (i) Do the monitors indicate that the room is under negative 
pressure relative to all entrances?
    (j) Are all vacuum lines protected with HEPA filters and liquid 
disinfectant traps?
    (k) Is the autoclave being properly maintained and certified?
    (l) Is the foot, elbow, or automatic handwash sink operating 
properly?
    (m) Are all operations with etiologic agents being conducted inside 
biological safety cabinets or other approved engineering controls?
    (n) Are all infected animals housed using appropriate primary 
containment systems?
    (o) Do all personnel who enter rooms housing infected animals wear 
appropriate respiratory protection?
    (p) Do personnel who exit rooms having infected animals leave their 
protective clothing in the animal and laboratory rooms?
    (q) If available, has the UV pass box ouput been certified within 
the last 3 months?

        C-5. Biosafety level 4 supplemental inspection checklist

    (a) Precautions for all areas.
    (1) Are all penetrations through the walls and ceilings sealed?
    (2) Are the appropriate decontaminants available and used properly?
    (3) Are all entrances to the facility posted with--
    (i) The appropriate special provisions for entry?
    (ii) The universal biohazard symbol?
    (iii) The name and telephone number of the laboratory director or 
other responsible person?
    (4) Is access to the laboratory controlled strictly and documented?
    (5) Do the monitors indicate that the room is under negative 
pressure relative to all entrances?
    (6) Are all vacuum lines protected with HEPA filters and liquid 
disinfectant traps?
    (7) Is the autoclave being properly maintained and certified?
    (8) Is the foot, elbow, or automatic handwash sink operating 
properly?
    (9) Do the self-closing doors to the facility operate properly?
    (10) Do personnel completely exchange street clothing for laboratory 
clothing before entry and shower upon exiting?
    (11) Is the dunk tank disinfectant fresh and appropriate for the 
agents in use?
    (b) Suit areas.
    (1) Are all operations with etiologic agents conducted in Class I or 
II biological safety cabinets?
    (2) Do the procedures in place ensure that, as much as possible, the 
contamination remains inside the cabinets (such as ensuring that 
everything removed from within the cabinets, such as gloves being worn, 
instruments, glassware, or similar items, are decontaminated or properly 
packaged first)?
    (3) Are the Class I or II cabinets in the facility certified every 6 
months?
    (4) Does the suit decontamination shower have adequate appropriate 
decontaminant available?
    (5) Has the suit decontamination shower been used or tested in the 
last month?
    (6) Is the ventilated suit air supply and emergency air supply 
adequate and working properly?
    (7) Is the emergency alarm system working properly?
    (8) Are all of the one-piece positive pressure suits available for 
use in serviceable condition?
    (9) Are infected animals housed in appropriate primary containment 
systems?
    (10) Is the static pressure in the suit area negative to all 
surrounding areas?
    (c) Nonsuit areas.
    (1) Are all operations with etiologic agents conducted inside Class 
III biological safety cabinets?

[[Page 575]]

    (2) Were the Class III biological safety cabinets certified before 
initiating the current operation?
    (3) Are all infected animals housed in Class III cabinet containment 
caging systems?

Appendix D to Part 627--Packaging and Labeling Requirements for Shipment 
                           of Etiologic Agents

D-1. Packaging and Labeling of Etiologic Agents, from HHS publication 
No. (NIH) 88-8395.
D-2. Guidelines for the Air Shipment of Diagnostic Specimens, from the 
Air Transport Association of America, Cargo Services Division, 1709 New 
York Ave., NW., Washington, DC 20006.

    Appendix E to Part 627--Permits for Importation and Shipment of 
                            Etiologic Agents

E-1. Permit Application to Import or Transport Agents or Vectors of 
Human Disease. Department of Health, Education and Welfare, PHS, CDC, 
Office of Biosafety, Atlanta, Georgia 30333.
E-2. Permit Application to Import Controlled Material; Import or 
Transport Organisms or Vectors. U.S. Department of Agriculture, Animal 
and Plant Health Inspection Service, Veterinary Services, Federal 
Building, Hyattsville, Maryland 20782.

      Appendix F to Part 627--Drawings, Biological Safety Cabinets

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                    Appendix G to Part 627--Glossary

                              Abbreviations
AIHA                    American Industrial Hygiene Association
AMC                     United States Army Materiel Command
ANSI                    American National Standards Institute
AR                      Army Regulation
ATCC                    American Type Culture Collection
ASHRAE                  American Society of Heating, Refrigerating, and
                         Air Condition Engineers, Inc.
BDP                     Biological Defense Program
BL                      biosafety level
CDC                     Centers for Disease Control
CFR                     Code of Federal Regulations
DA PAM                  Department of Army Pamphlet
DHEW                    Department of Health, Education, and Welfare
DOD                     Department of Defense
DOT                     Department of Transportation
DNA                     deoxyribonucleic acid
EPA                     Environmental Protection Agency
EtO                     ethylene oxide
FDA                     Food and Drug Administration
fpm                     feet per minute
HEPA                    high efficiency particulate air

[[Page 579]]

 
HHS                     Health and Human Services
IATA                    International Air Transport Association
IBC                     Institutional Biosafety Committee
ICAO                    International Civil Aviation Organization
lfpm                    linear feet per minute
LS                      large-scale
m                       meter
min                     minute
MSDS                    Material Safety Data Sheets
MSHA                    Mine Safety and Health Administration
NCCLS                   National Committee for Clinical Laboratory
                         Standards
NCI                     National Cancer Institute
NEPA                    National Environmental Policy Act
NFPA                    National Fire Protection Association
NIH                     National Institutes of Health
NIOSH                   National Institute for Occupational Safety and
                         Health
NRC                     Nuclear Regulatory Commission
NSF                     National Sanitation Foundation
OSHA                    Occupational Safety and Health Administration
pH                      the negative logarithm of hydrogen ion
                         concentration
PHS                     Public Health Service
PPE                     personal protective equipment
ppm                     parts per million
psi                     pounds per square inch
RCRA-Listed             Resource Conservation Recovery Act of 1976
                         Listed Hazardous Waste
RDTE                    research, development, test, and evaluation
RPO                     Radiation Protection Officer
SALS                    Subcommittee on Arbovirus Laboratory Safety
SAR                     supplied-air respirator
SCBA                    self-contained breathing apparatus
SOP                     Standing Operating Procedure
TD                      to deliver
TLV                     threshold limit value
USDA                    United States Department of Agriculture
UV                      ultraviolet
 

                                  Terms

                     Approved respiratory protection

    Equipment which is tested and listed as satisfactory according to 
standards established by a competent authority (such as NIOSH, Mine 
Safety and Health Administration (MSHA), or host country agency) to 
provide respiratory protection against the particular hazard for which 
it is designed. For military agent protection, DA and Department of 
Defense (DOD) are the approval authorities. (Approval authority may be 
specified by law.)

                           Biocontainment area

    An area which meets the requirements for a BL-3 or BL-4 facility.
The area may be an entire building or a single room within a building. 
See subpart G for details.

                       Biological Safety Cabinets

    Engineering controls designed to enable laboratory workers to handle 
infectious etiologic agents and to provide primary containment of any 
resultant aerosol. There are three major classes of cabinets (I, II, and 
III) and several subclasses of class II cabinets. Each type of cabinet 
provides a different degree of protection to personnel and to the 
products handled inside them. The various classes of cabinets are 
described in detail in subpart H.

                            Biosafety Level 1

    The facilities, equipment, and procedures suitable for work 
involving agents of no known or of minimal potential hazard to 
laboratory personnel and the environment.

                            Biosafety Level 2

    The facilities, equipment, and procedures applicable to clinical, 
diagnostic, or teaching laboratories, and suitable for work involving 
indigenous agents of moderate potential hazard to personnel and the 
environment. It differs from BL-1 in that (1) laboratory personnel have 
specific training in handling pathogenic agents, (2) the laboratory is 
directed by scientists with experience in the handling of specific 
agents, (3) access to the laboratory is limited when work is being 
conducted, and (4) certain procedures in which infectious aerosols could 
be created are conducted in biological safety cabinets or other physical 
containment equipment.

                            Biosafety Level 3

    The facilities, equipment, and procedures applicable to clinical, 
diagnostic, research, or production facilities in which work is 
performed with indigenous or exotic agents where potential exists for 
infection by aerosol, and the disease may have serious or lethal 
consequences. It differs from BL-2 in that (1) more extensive training 
in handling pathogenic and potentially lethal agents is necessary for 
laboratory personnel; (2) all procedures involving the manipulation of 
infectious material are conducted within biological safety cabinets, 
other physical containment devices, or by personnel wearing appropriate 
personal protective clothing and devices; (3) the laboratory has special 
engineering and design features, including access zones, sealed 
penetrations, and directional airflow; and (4) any modification of BL-3 
recommendations must be made only by the commander.

                            Biosafety Level 4

    The facilities, equipment, and procedures required for work with 
dangerous and exotic agents which pose a high individual risk of life-
threatening disease. It differs from BL-3 in that (1) members of the 
laboratory staff have specific and thorough training in handling 
extremely hazardous infectious agents; (2) laboratory personnel 
understand the primary and secondary containment functions of the 
standard and special practices, containment equipment, and laboratory 
design characteristics; (3) access to the laboratory is strictly 
controlled by the institute director; (4) the facility is either in a 
separate

[[Page 580]]

building or in a controlled area within a building, completely isolated 
from all other areas of the building; (5) a specific facility operations 
manual is prepared or adopted; (6) within work areas of the facility, 
all activities are confined to Class III biological safety cabinets or 
Class I or Class II biological safety cabinets used in conjunction with 
one-piece positive pressure personnel suits ventilated by a life support 
system; and (7) the maximum containment laboratory has special 
engineering and design features to prevent microorganisms from being 
disseminated to the environment.

                                Building

    A structure that contains the requisite components necessary to 
support a facility that is designed according to the required biosafety 
level. The building can contain one or more facilities conforming to one 
or more biosafety level.

                           Confirmed Exposure

    Any mishap with a BDP agent in which there was direct evidence of an 
actual exposure such as a measurable rise in antibody titer to the agent 
or a confirmed diagnosis of intoxication or disease.

                            Etiologic Agents

    Any viable microorganism, or its toxin which causes or may cause 
human disease, including those agents listed in 42 CFR 72.3 of the 
Department of Health and Human Services regulations, and any agent of 
biological origin that poses a degree of hazard similar to those agents.

                                Facility

    An area within a building that provides appropriate protective 
barriers for persons working in the facility and the environment 
external to the facility, and outside of the building.

                               HEPA Filter

    A filter which removes particulate matter down to submicron sized 
particles from the air passed through it with a minimum efficiency of 
99.97 percent. While the filters remove particulate matter with great 
efficiency, vapors and gases (for example, from volatile chemicals) are 
passed through without restriction. HEPA filters are used as the primary 
means of removing infectious agents from air exhausted from engineering 
controls and facilities.

                            Human Lethal Dose

    The estimated quantity of a toxin that is a minimum lethal dose for 
a 70 kilogram individual based upon published data or upon estimates 
extrapolated from animal toxicity data.

                     Commander or Institute Director

    The commander or institute director of an Army activity conducting 
RDTE with BDP etiologic agents, or the equivalent, at a research 
organization under contract to the BDP.

                               Institution

    An organization such as an Army RDTE activity (institute, agency, 
center, and so forth) or a contract organization such as a school of 
medicine, or research institute that conducts RDTE with BDP etiologic 
agents.

                               Laboratory

    An individual room or rooms within a facility that provide space in 
which work with etiologic agents can be performed. It contains all of 
the appropriate engineering features and equipment required at a given 
biosafety level to protect personnel working in it and the environment 
external to the facility.

                         Large-Scale Operations

    Research or production involving viable etiologic agents in 
quantities greater than 10 liters of culture.

                        Maximum Containment Area

    An area which meets the requirements for a BL-4 facility. The area 
may be an entire building or a single room within the building. See 
chapter 7 for details.

                              Molded Masks

    Formed masks that fit snugly around the mouth and nose and are 
designed to protect against a nontoxic nuisance level of dusts and 
powders. These do not require approval by NIOSH or MSHA. Masks made of 
gauze do not qualify.

                      Potential Accidental Exposure

    Any accident in which there was reason to believe that anyone 
working with a BDP agent may have been exposed to that agent, yet no 
measurable rise in antibody titer or diagnosis of intoxication or 
disease was made. However, the high probability existed for introduction 
of an agent through mucous membranes, respiratory tract, broken skin, or 
the circulatory system as a direct result of the accident, injury, or 
incident.

    Resource Conservation Recovery Act of 1976 Listed Hazardous Waste

    The waste materials listed by the Environmental Protection Agency 
under authority of the RCRA for which the agency regulates disposal. A 
description and listing of these wastes is located in 40 CFR part 261.

[[Page 581]]

                                  Suite

    An area consisting of more than one room, designed to be a 
functional unit in which entire operations can be facilitated. Suites 
may contain a combination of laboratories or animal holding rooms and 
associated support areas within a facility that are designed to conform 
to a particular biosafety level. There may be one or more suites within 
a facility.

                                  Toxin

    Toxic material of etiologic origin that has been isolated from the 
parent organism.\1\
---------------------------------------------------------------------------

    \1\ The publication ``Bacterial Toxins: a Table of Lethal Amounts,'' 
(Gill, D.M. (1982) Microbiological Reviews, 46:86-94) contains a useful 
table of mammalian toxicities of numerous toxins.