# Document description Comments

Policy documents (Strategic control)

1. Legal framework, purpose of the facilities
2. Explanation of Biorisk Management System
3. Continuous improvement and education policy
4. Hazard identification, risk assessments
5. Risk management: Laboratory safety and physical
security
6. Methods of disinfection, decontamination and
sterilisation
7. Inspections, audits, certifications, maintenance and
repair
8. Management and staff roles, responsibilities and
authorities (Top, Senior management, IBC,
Biosafety coordinator OSH, F/M, Security,
diagnostics & research), staff redundancies and
continuity
9. Personnel competences and reliability
10. Communication

SOP (Operational control SOP)

11. Staff recruitment
12. Continuity of staff resources and competences
13. Behavorial factors, progressive dsicipline
14. Training and assessment
15. Continuous training, learning, and education
16. Health screening
17. Vaccinations
18. Chemical inventory and supplies
19. Reagents and kits inventory and supplies
20. Biological inventory and reference strains
21. Laboratory equipment procurement, inventory and
maintenance
22. Labware procurement, management and supplies
23. PPE procurement, management and maintenance
24. Good microbiological techniques (BSL-3)
25. Access control
26. Visitor control
27. Lone worker control
28. Daily room checking (floor cleaning, etc),
decontamination, cleaning and housekeeping
29. Weekly room checking, decontamination, cleaning
and housekeeping
30. Monthly room checking, decontamination, cleaning
and housekeeping
31. Yearly room checking, decontamination, cleaning
and housekeeping
32. Annual maintenance
33. Annual pre-certification and certification
34. Pest control and management
35. Internal safety and security audits
36. Continuous maintenance of structural,
architectural, mechanical, electrical and plumbing
systems and components
37. Overseas shipping: Transfer and transport of
 biological material and validation of transport
containers
38. Domestic transport: Transfer and transport of
biological material and validation of transport
containers
39. Building/Campus transport: Transfer and transport
of biological material and validation of transport
containers
40. Usage of routine PPE (PAPR) (donning and
doffing)
41. Usage of special PPE / Usage and operation of
Powered Air Purifying Respiratory (PAPR)
42. Routine housekeeping and cleaning
43. Waste Management (chemical, biological, non-
hazardous waste)
Operation and maintenance of equipment
44. Operation of waste water treatment systems
(sinks, shower)
45. Operation of the decontamination room
46. Operation of the pass-boxes
47. Operation of the autoclaves
48. Operation of the CO2 gas system
49. Operation and maintenance of water pipes
50. Operation and maintenance of floor drains
51. Operation and maintenance of the mechanical
systems (F/M; requires a separate set of policy
documents and SOPs)
52. Operation of the Building Management System
(F/M; requires a separate set of policy documents
and SOPs)
53. Operation and usage of the Biosafety Cabinet
(BSC), Class IIA2 , validation, fumigation
54. Operation and usage of the Biosafety Cabinet
(BSC), Class III, validation, fumigation
55. Routine bacteriological and virological procedures
(diagnostic and research protocols)
Facility-associated with non-equipment
56. Signs and labelling
Validations and room fumigation
57. Validations/approval of chemical decontaminants
58. Room fumigation
59. Validation of room fumigation
60. Validation of the autoclave
61. Validation of the decon sinks
Non-routine SOPs (contingency, emergency)
62. Spill Management in BSC
63. Fumigation of the BSC
64. Annual BSC certification
65. Spill management on floor (no person
contaminated)
66. Decontamination of a person
67. Room fumigation
68. Total loss of power
69. Fire and evacuation
70. Water flooding
71. Security breach (CCTV,entry access and security
 control, break-n, theft, missing strains or samples,
etc.)
72. Emergency response: Fire, earthquake
73. Failure of EDS (sinks)
74. EDS leakage (sinks)
75. Failure of autoclaves
76. Medical emergency: incapacitated person (no
exposure to infectious materials)
77. First aid
78. Medical emergency: staff exposure to infectious
materials
79. Failure of ventilation
80. Failure of security systems
81. Red-teaming preparation and internal training
82. Red-teaming exercises with Civil Defence Force
and MOH

83.
84.