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Standard Precautions
assume all specimens are infectious
Elimination >
Substitution >
Engineering >
Administrative > PPE
Hierarchy of controls
Standard Precautions
Hierarchy of controls
Risk assessment before procedure
Reporting and documenting incidents
4 Principles of Laboratory Safety
BSL-1
non-pathogenic organisms, basic PPE
BSL-2
moderate risk agents; use biosafety cabinet for aerosols
BSL-3
airborne pathogens; directional airflow, restricted access
BSL-4
high-risk; full containment suits, specialized facilities
Gown/Lab coat
Mask or respirator
Eye protection/ face shield
Gloves
Donning (Putting On) PPE – Correct Sequence
Gloves
Gown/Lab coat
Hand hygiene
Eye protection/ face shield
Mask or respirator
Final hand hygeine
Doffing (Removing) PPE – Correct Sequence
Latex gloves
Good elasticity, tactile sensitivity; avoid if allergic.
Nitrile gloves
Suitable for low-risk, short-duration tasks; less protective.
Vinyl gloves
Suitable for low-risk, short-duration tasks; less protective
Extended cuff gloves
Use when working with large volumes of liquids or high-contamination risk.
handling blood from hepatitis or HIV-positive patients
High risk scenarios requiring double-glove
Surgical Masks
Protect against droplets (≥5 μm).
Surgical Masks
Used in BSL-1 or BSL-2 labs for standard microbial work.
Surgical Masks
Protect the specimen from contamination by the wearer’s respiratory secretions
Respirators (e.g., N95, P100, PAPRs)
Protect against airborne particles (<5 μm) and aerosols.
Respirators (e.g., N95, P100, PAPRs)
Required in BSL-3 or higher, or when working with:
– Mycobacterium tuberculosis
– SARS-CoV-2 in aerosol-generating procedures
– Any unknown respiratory pathogen with airborne transmission potential
Respirators (e.g., N95, P100, PAPRs)
Must be fit-tested and seal-checked before use.
Non-pathogenic, well-characterized
AGENT OF BSL-1
Minimal
Risk Level of BSL-1
Standard Laboratory
Facility requirement for BSL-1
Standard microbiological practices, PPE (gloves, lab coats)
Practices and Safety Equipment for BSL-1
Pathogenic
AGENT OF BSL-2
Moderate
Risk Level of BSL-2
Limited access, biohazard signs
Facility requirement for BSL-2
BSCs for aerosols, enhanced PPE, sharps precautions
Practices and Safety Equipment for BSL-2
Indigenous or exotic
AGENT OF BSL-3
Serious
Risk Level of BSL-3
Controlled access, negative air pressure
Facility requirement for BSL-3
BSCs for all activities, respirators, controlled access
Practices and Safety Equipment for BSL-3
Dangerous and exotic
AGENT OF BSL-4
High
Risk Level of BSL-4
Isolated facility, full-suit protection
Facility requirement for BSL-4
Full-body air-supplied suits, extensive decontamination
Practices and Safety Equipment for BSL-4
Green
Color indicator for BSL-1
Yellow
Color indicator for BSL-2
Orange
Color indicator for BSL-3
Red
Color indicator for BSL-4
Bloodborne Pathogens Standard
Protects workers from health hazards presented by bloodborne pathogens. Requires exposure
control plans and proper PPE usage.
General Duty Clause
Requires employers to provide a safe workplace by removing recognized hazards, including biological hazards, that can cause serious harm or death.
Biosafety in Microbiological and Biomedical Laboratories (BMBL)
A comprehensive manual detailing biosafety levels, practices, equipment, and facility requirements. Widely adopted as the primary guide for biosafety in labs.
NIH Guidelines for Research Involving Recombinant or Synthetic Nucleic Acid Molecules
Guidelines for safe handling of genetically engineered organisms and viruses, to prevent misuse and ensure safety in genetic research.
Resource Conservation and Recovery Act (RCRA)
Governs the disposal of biohazardous and other hazardous wastes, ensuring environmentally safe management and disposal practices
OSHA
Body of Bloodborne Pathogens Standard
OSHA
Body of General Duty Clause
CDC & NIH
Body of Biosafety in Microbiological and Biomedical Laboratories (BMBL)
NIH
Body of NIH Guidelines for Research Involving Recombinant or Synthetic Nucleic Acid Molecules
EPA
Body of Resource Conservation and Recovery Act (RCRA)
Biological Safety Cabinets (BSCs)
Enclosures that prevent airborne contaminants from escaping into the laboratory environment. They are essential for work with toxic vapors or particulate matter that might be infectious.
HVAC Systems with HEPA Filters
High-efficiency particulate air (HEPA) filters in ventilation systems ensure that any air exiting the lab is free of infectious agents.
Autoclaves
Used for sterilizing equipment and deactivating biohazards before disposal.
Pass-Through Boxes
Sealed containers that allow materials to be passed into and out of containment areas without direct exposure.
Training Programs
Regular training on the proper handling of biohazards and response procedures for potential exposure or spills.
Access Restrictions
Limiting laboratory access to trained and authorized personnel only
Standard Operating Procedures (SOPs)
Detailed procedures for safely working with biohazards, which include specific instructions on using, storing, and disposing of biological agents safely.
Emergency Response Plans
Protocols that outline steps to be taken in the event of an accidental spill or exposure, including communication strategies and remediation measures.
Gloves
Protect hands from exposure to hazardous materials and prevent the transfer of contaminants.
Gowns or Lab Coats
Provide body protection from spills and splashes of infectious or toxic substances.
Respirators or Masks
Essential for preventing inhalation of infectious aerosols, particularly in BSL-3 and BSL-4 settings
Face Shields or Goggles
Protect the eyes and face from splashes or sprays of hazardous substances.
Transport & Accessioning
Use leak-proof, labeled secondary containers with biohazard bag
refrigeration or ambient as required
Temperature control for transport & accession
Legal/forensic samples
Proper chain of custody is needed for what sample?
verify labels, assign lab accession number, log details
Proper Accessioning
20 sec, soap & water or alcohol-based rub
Proper hand hygiene
Surface disinfection
contact time, dilution for bleach
evacuate, disinfect, material-specific protocol
Proper handling spills
never recap needles & use puncture-resistant containers
Sharps safety?
Internal QC
controls, calibration, maintenance schedules
External QA
proficiency testing, inter-lab comparisons
Documentation
QC logs, corrective actions, preventive maintenance
Centrifuges
balance loads, use sealed rotors for infectious material
Autoclaves
verify cycle parameters with biological indicators
Pipettes
regular calibration and correct technique
Microscopes
cover when not in use; service schedules
spills, exposures, fires, needlestick injuries
Incidents that require immediate action
first aid, reporting, testing, prophylaxis
What are the post-exposure protocols?
Perform root cause analysis
How do you maintain incident log?
Handle, Use, Waste, Label
Microscopy & Staining— Safe Practices
Wear, Keep, Ask, Practice
Practical Tips for Students