New Researcher Lab Assessment
Investigator Information
Investigator Information
Start Date
*
mm/dd/yyyy
PI Name
*
UArizona Department
*
Email
*
Biological
Biological
If yes is checked, a space will be provided to include comments and list the materials that will be worked with in the lab.
Will you be working with recombinant materials (e.g. rDNA, transgenic animals or plants)?
*
No
Yes
Recombinant Materials - Comments / List Materials
Will you be working with non-recombinant animals, animal parts or tissues?
*
Yes
No
Will you be working with human or primate blood, cells or tissues?
*
Yes
No
Will you be working with Biosafety Level 1 or Level 2 agents?
*
Yes
No
Will you be working with CDC/USDA select agents or toxins?
*
Yes
No
Chemical
Chemical
If yes is checked, a space will be provided to include comments and list the materials that will be worked with in the lab.
How much storage do you anticipate needing for hazardous/flammable materials?
*
How much volume of hazardous chemical waste do you anticipate generating? (Liters, Gallons, etc.)
*
Will gas cylinders be used in the lab(s)?
*
Yes
No
Will you be using cryogenic liquids such as liquid nitrogen or other cryogen?
*
Laboratory Operations will need at least one month's notice to order a 230L liquid nitrogen dewar for cryostorage, etc.
Yes
No
How many pounds of dry ice do you anticipate needing weekly?
*
Will you be using or synthesizing nanoparticles?
*
Yes
No
Radiation
Radiation
Will you be working with radioactive materials?
*
Yes
No
DEA Controlled Substances
DEA Controlled Substances
Do you plan to possess/use controlled substances that are regulated by the Drug Enforcement Agency (DEA)?
*
Yes
No
Equipment
Equipment
Do you plan on bringing or purchasing equipment capable of generating radiation (e.g. X-ray machines)?
*
Yes
No
Do you plan on bringing or purchasing equipment with Class IIIB or Class IV lasers?
*
Yes
No
Does the lab require a chemical fume hood?
*
Yes
No
Do you plan on bringing or purchasing a biological safety cabinet for the lab?
*
Yes
No
Do you plan on bringing or purchasing a freezer (-80C or -20C) or refrigerator (4C)?
*
Yes
No
Please indicate if you plan on bringing or purchasing research equipment that have specific operational requirements.
*
i.e. Electrical, space, special projects/research facilities, etc.
Animals
Animals
Are you planning to transfer any animals?
*
Yes
No
Will you need access to a procedure room?
*
Yes
No
Will you need a surgery room?
Yes
No
List any additional animals concerns or requirements
*
List any additional equipment concerns or research requirements
*
Technology Needs
Technology Needs
Do you currently work with or would you like to work with restricted data (HIPAA, dbGaP, etc)?
*
Yes
No
Maybe
What volume of data does your research generate on an annual basis?
*
Less than 10 GB of digital data
100GB to 1 TB of digital data
1 TB to 10 TB of digital data
More than 10 TB of digital data
Non Digital data
Unsure
Select all that apply to your data storage needs.
*
Cloud based data storage
Personal data storage connected to my desktop
Managed data storage on local Servers
Other
What computing resources do you use to analyze data? (Choose all that apply)
*
Personal computer (laptop/desktop)
University on-site Servers
University Research computing facility (i.e. High Performance Computing)
Personal on-site Lab Server
Cloud Computing (i.e. AWS, Azure)
Other (please specify)
Do you expect to share data outside the University?
*
Yes
No
Do you intend to share regulated data outside the University?
*
Yes
No
Do you have special software requirements for your research needs? If so, can you please list?
*
Do you, either now or in the future, expect to need support in the following areas? (Choose all that apply.)
*
Data Management (acquisition, structuring, cleaning, etc.)
Data or Statistical Analysis
Research Computing (consulting and/or service)
Scientific Programming
Application Development (web or mobile)
Data Modeling and simulation
Data Visualization
Data Publishing (Metadata preparation, preservation, etc.)
Are there any data sets (common examples are MEDSIS, AHCCSS, dbGaP etc.) you will need access to? (Choose all that apply.)
*
AHCCSS, IHS, VA
Have access to data set via hospital
geneXplain databases (i.e. TRANSFAC, TRANSPATH, BRENDA; subscription to the latest updated KEGG pathway database
Social determinants of health
Cerner
Banner
Hospital PHI
Medicare database
UA/PBC Policy Statement
UA/PBC Policy Statement
All HW & SW Purchases are handled by PBC ITS. All UA Networked Devices must meet the UA Security Standards.
Additional Safety or Operational Concerns
Additional Safety or Operational Concerns
List any additional concerns
*
Send me a copy of my responses
Submit
Powered by
Privacy Policy
Report Abuse