LOLMO

PEMBERITAHUAN AKTIVITI KEGUNAAN TERKAWAL ORGANISMA HIDUP (LO) DAN ORGANISMA HIDUP YANG DIUBAH SUAI (LMO) DI UNIVERSITI

(NOTIFICATION FOR ACTIVITIES INVOLVING LIVING ORGANISM (LO) AND LIVING MODIFIES ORGANISM (LMO) IN THE UNIVERSITY)

A. Maklumat Am (Preliminary Information)

1. Nama Pejabat / Fakulti / PTj (Office / Faculty / PTj Name)

2. Nama Pemohon (Penyelidik Utama) (Name of applicant (Principal Investigator))

3. Nama Projek (Project Title)

4. Jawatan (Position)

5. Nombor Telefon (Pejabat) (Telephone no. (office))

6. Nombor Telefon (Bimbit) (Telephone no. (mobile))

7. Alamat e-mail (E-mail)

B. Maklumat LO / LMO (LO / LMO Information)
*Sila isi borang baru jika melebihi ruang yang disediakan.
*Please fill out the new form if it exceeds the space provided.

LO / LMO

Aras Pembendungan (Containment Level) 0 1 2 3 4

Kumpulan Risiko (Risk Group) 0 1 2 3 4

LO / LMO

Aras Pembendungan (Containment Level) 0 1 2 3 4

Kumpulan Risiko (Risk Group) 0 1 2 3 4

LO / LMO

Aras Pembendungan (Containment Level) 0 1 2 3 4

Kumpulan Risiko (Risk Group) 0 1 2 3 4

LO / LMO

Aras Pembendungan (Containment Level) 0 1 2 3 4

Kumpulan Risiko (Risk Group) 0 1 2 3 4

Ejen Biologi Tambahan (Additional Biological Agents)

C. Pengurusan Risiko (Risk Management)

Bagi penyediaan SOP, Sila gunakan Templat SOP yang disediakan (UTHM/OSHE/UBK.006). Template tersebut boleh dimuat turun dari laman web pejabat oshe (https://oshe.uthm.edu.my/v3/images/document/Biosafety/Template_SOP_IBC_UTHM_OSHE_UBK006.pdf)

Please note: For SOP preparation, the user need to download the template (UTHM/OSHE/UBK.006) from OSHE website. Kindly click this link (https://oshe.uthm.edu.my/v3/index.php/form/safety-forms) to go to the website.

1. Adakah anda bercadang untuk mengangkut LO / LMO ke luar dari premis atau di antara premis? Jika ya, berikan Prosedur Operasi Standard (SOP) tertentu yang mematuhi Garis Panduan Biokeselamatan. (Do you propose to transport the LO/LMO outside the premises or between premises? If yes, provide specific Standard Operating Procedures (SOPs) which are in compliance with Biosafety Guidelines. Use the template of SOP provided)