DD Form 2856 DoD Semiannual Program Review/Facility Inspection Checklist

DD Form dd2856 - also known as the "Dod Semiannual Program Review/facility Inspection Checklist" - is a United States Military form issued by the Department of Defense.

The form - often incorrectly referred to as the DA form dd2856 - was last revised on May 1, 2012. Download an up-to-date fillable PDF version of the DD dd2856 below or request a copy through the chain of command.

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DOD SEMIANNUAL PROGRAM REVIEW/
FACILITY INSPECTION CHECKLIST
ORGANIZATION
DATE OF REVIEW (YYYYMMMDD)
Completion of this checklist by the IACUC during the semi-annual program review and facility inspection is mandatory.
Mark X in the most appropriate category for each item. KEY: A = Acceptable; M = Minor deficiency; S = Significant deficiency (is or
may be a threat to animal health or safety). Reference The Guide for the Care and Use of Laboratory Animals, 8th edition, for
category details.
CATEGORIES
A
M
S
N/A
SECTION I - ANIMAL CARE AND USE PROGRAM
1. PROGRAM MANAGEMENT
a. PROGRAM MANAGEMENT RESPONSIBILITY
(1) The Institutional Official
(2) The Attending Veterinarian
(3) The Institutional Animal Care and Use Committee
(4) Collaborations
b. PERSONNEL MANAGEMENT
(1) Training and Education
(a) Veterinary and Other Professional Staff
(b) Animal Care Personnel
(c) The Research Team
(d) The IACUC
(2) Occupational Health and Safety of Personnel
(a) Control and Prevention Strategies
(b) Hazard Identification and Risk Assessment
(c) Facilities, Equipment, and Monitoring
(d) Personnel Training
(e) Personal Hygiene
(f) Animal Experimentation Involving Hazards
(g) Personal Protection
(h) Medical Evaluation and Preventive Medicine for Personnel
(3) Personnel Security
(4) Investigating and Reporting Animal Welfare Concerns
2. PROGRAM OVERSIGHT
a. THE ROLE OF THE IACUC
(1) IACUC Constitution and Function
(2) Protocol Review
(3) Special Considerations for IACUC Review
(a) Experimental and Humane Endpoints
(b) Unexpected Outcomes
(c) Physical Restraint
(d) Multiple Survival Surgical Procedures
(e) Food and Fluid Regulation
(f) Use of Non-Pharmaceutical Grade Chemicals and Other Substances
(g) Field Investigations
(h) Agricultural Animals
b. POSTAPPROVAL MONITORING
3. DISASTER PLANNING AND EMERGENCY PREPAREDNESS
SECTION II - ENVIRONMENT, HOUSING, AND MANAGEMENT
4. TERRESTRIAL ANIMALS - ENVIRONMENT
a. MICROENVIRONMENT AND MACROENVIRONMENT
b. TEMPERATURE AND HUMIDITY
c. VENTILATION AND AIR QUALITY
d. ILLUMINATION
e. NOISE AND VIBRATION
DD FORM 2856, MAY 2012
PREVIOUS EDITION IS OBSOLETE.
Page 1 of 4 Pages
Adobe Professional 8.0
DOD SEMIANNUAL PROGRAM REVIEW/
FACILITY INSPECTION CHECKLIST
ORGANIZATION
DATE OF REVIEW (YYYYMMMDD)
Completion of this checklist by the IACUC during the semi-annual program review and facility inspection is mandatory.
Mark X in the most appropriate category for each item. KEY: A = Acceptable; M = Minor deficiency; S = Significant deficiency (is or
may be a threat to animal health or safety). Reference The Guide for the Care and Use of Laboratory Animals, 8th edition, for
category details.
CATEGORIES
A
M
S
N/A
SECTION I - ANIMAL CARE AND USE PROGRAM
1. PROGRAM MANAGEMENT
a. PROGRAM MANAGEMENT RESPONSIBILITY
(1) The Institutional Official
(2) The Attending Veterinarian
(3) The Institutional Animal Care and Use Committee
(4) Collaborations
b. PERSONNEL MANAGEMENT
(1) Training and Education
(a) Veterinary and Other Professional Staff
(b) Animal Care Personnel
(c) The Research Team
(d) The IACUC
(2) Occupational Health and Safety of Personnel
(a) Control and Prevention Strategies
(b) Hazard Identification and Risk Assessment
(c) Facilities, Equipment, and Monitoring
(d) Personnel Training
(e) Personal Hygiene
(f) Animal Experimentation Involving Hazards
(g) Personal Protection
(h) Medical Evaluation and Preventive Medicine for Personnel
(3) Personnel Security
(4) Investigating and Reporting Animal Welfare Concerns
2. PROGRAM OVERSIGHT
a. THE ROLE OF THE IACUC
(1) IACUC Constitution and Function
(2) Protocol Review
(3) Special Considerations for IACUC Review
(a) Experimental and Humane Endpoints
(b) Unexpected Outcomes
(c) Physical Restraint
(d) Multiple Survival Surgical Procedures
(e) Food and Fluid Regulation
(f) Use of Non-Pharmaceutical Grade Chemicals and Other Substances
(g) Field Investigations
(h) Agricultural Animals
b. POSTAPPROVAL MONITORING
3. DISASTER PLANNING AND EMERGENCY PREPAREDNESS
SECTION II - ENVIRONMENT, HOUSING, AND MANAGEMENT
4. TERRESTRIAL ANIMALS - ENVIRONMENT
a. MICROENVIRONMENT AND MACROENVIRONMENT
b. TEMPERATURE AND HUMIDITY
c. VENTILATION AND AIR QUALITY
d. ILLUMINATION
e. NOISE AND VIBRATION
DD FORM 2856, MAY 2012
PREVIOUS EDITION IS OBSOLETE.
Page 1 of 4 Pages
Adobe Professional 8.0
CATEGORIES
A
M
S
N/A
SECTION II - ENVIRONMENT, HOUSING, AND MANAGEMENT (Continued)
5. TERRESTRIAL ANIMALS - HOUSING
a. MICROENVIRONMENT (PRIMARY ENCLOSURE)
b. ENVIRONMENTAL ENRICHMENT
c. SHELTERED OR OUTDOOR HOUSING
d. NATURALISTIC ENVIRONMENTS
e. SPACE
(1) General Considerations for All Animals
(2) Laboratory Rodents
(3) Other Common Laboratory Animals
(4) Nonhuman Primates
(5) Agricultural Animals
6. TERRESTRIAL ANIMALS - MANAGEMENT
a. BEHAVIORAL AND SOCIAL MANAGEMENT
(1) Activity
(2) Social Environment
(3) Procedural Habituation and Training of Animals
b. HUSBANDRY
(1) Food
(2) Water
(3) Bedding and Nesting Materials
(4) Sanitation
(a) Bedding/Substrate Change
(b) Cleaning and Disinfection of the Microenvironment
(c) Cleaning and Disinfection of the Macroenvironment
(d) Assessing the Effectiveness of Sanitation
(5) Waste Disposal
(6) Pest Control
(7) Emergency, Weekend, and Holiday Care
c. POPULATION MANAGEMENT
(1) Identification
(2) Recordkeeping
(3) Breeding, Genetics and Nomenclature
7. AQUATIC ANIMALS - ENVIRONMENT
a. MICROENVIRONMENT AND MACROENVIRONMENT
b. WATER QUALITY
c. LIFE SUPPORT SYSTEM
d. TEMPERATURE, HUMIDITY, AND VENTILATION
e. ILLUMINATION
f. NOISE AND VIBRATION
8. AQUATIC ANIMALS - HOUSING
a. MICROENVIRONMENT (PRIMARY ENCLOSURE)
b. ENVIRONMENTAL ENRICHMENT AND SOCIAL HOUSING
c. SHELTERED, OUTDOOR, AND NATURALISTIC HOUSING
d. SPACE
9. AQUATIC ANIMALS - MANAGEMENT
a. BEHAVIORAL AND SOCIAL MANAGEMENT
b. HUSBANDRY
(1) Food
(2) Water
(3) Substrate
(4) Sanitation
(a) Cleaning and Disinfection of the Macroenvironment
(5) Waste Disposal
(6) Pest Control
(7) Emergency, Weekend, and Holiday Care
c. POPULATION MANAGEMENT
(1) Identification
(2) Aquatic Animal Recordkeeping
DD FORM 2856, MAY 2012
Page 2 of 4 Pages
CATEGORIES
A
M
S
N/A
SECTION III - VETERINARY CARE
10. ANIMAL PROCUREMENT AND TRANSPORTATION
a. ANIMAL PROCUREMENT
b. TRANSPORTATION OF ANIMALS
11. PREVENTIVE MEDICINE
a. ANIMAL BIOSECURITY
b. QUARANTINE AND STABILIZATION
c. SEPARATION BY HEALTH STATUS AND SPECIES
d. SURVEILLANCE, DIAGNOSIS, TREATMENT, AND CONTROL OF DISEASE
12. CLINICAL CARE AND MANAGEMENT
a. MEDICAL MANAGEMENT
b. EMERGENCY CARE
c. RECORDKEEPING
13. SURGERY
a. TRAINING
b. PRESURGICAL PLANNING
c. SURGICAL FACILITIES
d. SURGICAL PROCEDURES
e. ASEPTIC TECHNIQUE
f. INTRAOPERATIVE MONITORING
g. POSTOPERATIVE CARE
14. PAIN AND DISTRESS
15. ANESTHESIA AND ANALGESIA
16. EUTHANASIA
SECTION IV - PHYSICAL PLANT
17. GENERAL CONSIDERATIONS
18. FUNCTIONAL AREAS
19. CONSTRUCTION GUIDELINES
a. CORRIDORS
b. ANIMAL ROOM DOORS
c. EXTERIOR WINDOWS
d. FLOORS
e. DRAINAGE
f. WALLS AND CEILINGS
g. HEATING, VENTILATION, AND AIR CONDITIONING
h. POWER AND LIGHTING
i. STORAGE AREAS
j. NOISE CONTROL
k. VIBRATION CONTROL
l. FACILITIES FOR SANITIZING MATERIALS
m. ENVIRONMENTAL MONITORING
20. SPECIAL FACILITIES
a. SURGERY
b. BARRIER FACILITIES
c. IMAGING
d. WHOLE BODY IRRADIATION
e. HAZARDOUS AGENT CONTAINMENT
f. BEHAVIORAL STUDIES
g. AQUATIC SPECIES HOUSING
21. SECURITY AND ACCESS CONTROL
DD FORM 2856, MAY 2012
Page 3 of 4 Pages
SECTION V - REMARKS
DD FORM 2856, MAY 2012
Page 4 of 4 Pages
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