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VA IACUC Semi-Annual Self-Review Forms

October 2005 Version

<Name and number of Medical Center>

<Official Address of Medical Center>

Form 1. Checklist

Instructions:  For each deficiency noted on this form, fill out a row in Form 2.

Part A.  PROGRAM REVIEW

Date(s) of Review for VA Animal Care and Use Program: <Date>

Key: NA = Not applicable, A = Acceptable, M = Minor Deficiency, S = Significant Deficiency

Reference: Section 2 in Appendix E, Handbook 1200.7, "Use of Animals in Research"

Line #

Check list number and item description

Not Applicable

Acceptable

Minor

Significant

1

I. IACUC POLICIES AND RESPONSIBILITIES

2

IACUC Membership and Functions:  

3

At least 5 members, appointed by the IO in writing for renewable terms

4

Members include Attending Veterinarian, VA scientist, lay, and non-affiliated members

5

Chairperson is appointed by Director for 1 yr. renewable term

6

Reports to the R&D Committee and the Institutional Official (IO) when appropriate

7

Responsible for oversight and evaluation of institution's animal care and use program

8

IACUC conducts semiannual evaluations of the animal care and use program at the VA medical center

9

IACUC either 1) conducts oversight and evaluation of the animal care and use program at all other institutions that house VA animals, or 2) the VA IACUC reviews and evaluates the semi-annual review of another IACUC in lieu of its own review of those programs

10

Conducts semiannual inspections of all VA animal facilities, laboratory and other procedure areas

11

IACUC either 1) conducts oversight and evaluation of the animal care and use facilities at all other institutions that house VA animals, or 2) the VA IACUC reviews and evaluates the semi-annual review of another IACUC in lieu of its own review of those facilities

12

IACUC semi-annual review includes all areas where animals are housed more than 12 hours, and all areas where procedures on animals are performed

13

A veterinary consult is provided prior to IACUC review of protocols

14

VA ACORP is used for review when applications will be submitted for VA funding (version 2 until January 1, 2005, version 3 thereafter)

Form 1 (Checklist), Page 1

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