Duke Biocontainment Facility Access Request Form

Duke Biocontainment Facility Access Request Form

GHRB (Main Campus) and Duke@RTP (Alexandria Campus)

Do you have an iClass proximity badge with magnetic stripe?*

GHRB and Duke@RTP (BSL3) are restricted access facilities. Only those who have a DukeCard Office-issued iClass Proximity Badge will be granted access.

Select

STOP!

An iClass proximity badge is REQUIRED to gain badge access to the GHRB. Refer to the back left corner of your badge. If you have the correct badge, you will see "HID iCLASS" printed in blue lettering. Otherwise, please follow the steps below to obtain an iClass badge. DUKE PERSONNEL: Contact your HR representative for the necessary approval form and payment. Visit the DukeCard website for more information. NON-DUKE APPLICANTS: External applicants must have an OIT account established with Duke University prior to applying for an ID badge. Please work with your SPONSOR in the GHRB / Duke RBL to 1) establish your OIT account and 2) acquire an approval form for the DukeCard office. For more information on how to apply for an iClass proximity badge please visit the DukeCard website via the link below. https://dukecard.duke.edu/get-your-dukecard Please resubmit this form after obtaning your iClass badge.

First Name*

Please enter your full first name as it appears on your government-issued ID

Last Name*

Please enter your full last name as it appears on your government-issued ID

Preferred Name

Please enter your preferred first name

Pronouns

Select

Email*

Select or enter value

Duke Unique ID*

Seven-digit number located on the left side of the back your iClass badge.

DukeCard #*

Nine-digit number located beneath barcode on the back of your iClass badge.

Are you a Duke faculty/staff/student/trainee?*

Select

Affiliated University/Institution/Company*

Lab PI Name or Department Name (type in all CAPS)*

ex: DUCKETT or DLAR or E&O

Position/Role*

Select

Direct Supervisor's Name*

Direct Supervisor's Email*

Please note, your supervisor will be included in approval process communications and may be required to provide further justification/clarification for your need to access this facility.

Facility Requested*

Select ALL that apply

GHRB (Main Campus)

Duke@RTP (Alexandria Campus)

Access Level Descriptions

GHRB/Duke RBL (Main Campus) Zone Descriptions:

BLUE ACCESS (General Access for DukeCard Holders, BLS2): Grants an individual iClass access to the front gate of GHRB, front door in to the administrative suite and BSL2 hallway door. No Safety Training is needed for general access; however, DHVI Safety Training is required for those who plan to work independently in a BSL2 laboratory.

GREEN ACCESS (Blue + Loading Dock): Blue level plus GHRB loading dock access. Successful completion of GHRB Orientation training provided by DHVI Safety is required for this access level.

RED ACCESS (Blue+Green+BSL3): Grants individuals access to the BSL3/ABSL3 containment area (via Locker Rooms). Successful completion of GHRB Orientation Training is required. Additional SOP/Agent-Specific training and mentoring may be required. An annual health screening completed by Duke EOHW is also mandatory to maintain access. Please select the highest level of access you require.

Duke@RTP BSL3 (Alexandria Campus)

The BSL3 containment area in the Duke@RTP building is a single zone. Please select RED ACCESS.

Please select the level of access you require.*

Select

Reason you need Containment Facility access:*

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