ISN Lab Access Request Form

ISN laboratories and equipment are available to members of the MIT research community. Completion of the ISN Lab Access Request Form is the first step in gaining access to ISN facilities.

Personal Information

One file only.
100 MB limit.
Allowed types: gif, jpg, jpeg, png.
MIT Department

Job and Lab Use

Are you Working on an ISN Project
Lab Use
Is this research on the Lab’s biological registration?
TC Details
Synthetic/Nucleic
Human Materials
Bacteria
Viruses
Animal Materials
Alternative Access

Material Declaration

Are any of your materials classified as particularly hazardous substances (PHS), regulated materials/activities, or any of the following?

If yes, attach SOP for your work with these materials.

Examples of PHS:

Lasers 
X-Ray 
Radioactive 
Explosives 
Pyrophorics 
Mercury

Azides 
Proxide Formers 
Nanomaterials (i.e. CNTs, graphenes) 
Hydrofluoric Acid (HF) 
Nerve gas simulants

Perchloric Acid 
High Voltage 
High Temperature 
High Pressure

One file only.
100 MB limit.
Allowed types: pdf, doc, docx, ppt, pptx, odp, xls, xlsx.

Signature Section

Researcher (please read carefully and sign the following):

I have reviewed the processes and hazards of my work and materials with my PI/Supervisor, and I have answered all of the above questions to the best of my knowledge. I understand, and agree to abide by, all of the instructions outlined in the ISN Chemical Hygiene Plan, ISN Lab Specific training, and all of the posted safety instructions and guidance from both EHS and the ISN. Further, I understand that if I am found at any time to be out of compliance with the policies and procedures for access to the ISN that my access would be revoked, possibly permanently.