Only to be completed for those scientific establishments that have their own AEC. Operating procedures of the AEC Clause 2.2.20- 2.2.32 of the Scientific Use Code Is there a presence of at least one member from each category to establish a quorum? No Yes Has the AEC established an executive including a member from Category C or D? No Yes Are the AEC minutes maintained and do they record decisions and aspects of the No AEC’s operation? Yes How many times per calendar year does the AEC meet? Licensee Declaration I declare that I have made all necessary enquiries that the above information is correct to the best of my knowledge. Licensee: Signature: Name: Date: The Animal Welfare Act imposes penalties for providing false or misleading information. A licence may be suspended or revoked for providing false or misleading information. Section 3: as an End Point’ Research ‘Death A licensed scientific establishment must keep records of all as an endpoint’ or lethality research that are approved by its AEC, during the period 1 January to 31 December of the reporting year. A separate as an end point’ form must be completed for each project where as an end point’ is ‘death ‘death approved. The Scientific Use Code defines as an end point” as the death of an animal is the “death “when deliberate measure used for evaluating biological or chemical processes, response or effects,” and includes lethality testing (e.g. LD50 testing). REPORTING YEAR 1 January 2014 31 December 2014 – Licensee Name and Address: Licence Number: Has the licensed scientific YES NO establishment’s AEC approved Go to number 3 Go to number 11 as end point’ tests during this ‘death period? (Circle response) Date on the approval was issued: (A separate form should be used for each test approved) Date on the approval expires: Details (A separate line should be used for each species approved add additional lines if more than 3 species were – used) The number that died as a result The number euthanized as an Species Number of the administration of the test: end point:
Only to be completed for those scientific establishments that have their own AEC. Operating procedures of the AEC Clause 2.2.20- 2.2.32 of the Scientific Use Code Is there a presence of at least one member from each category to establish a quorum? No Yes Has the AEC established an executive including a member from Category C or D? No Yes Are the AEC minutes maintained and do they record decisions and aspects of the AEC’s operation? No Yes How many times per calendar year does the AEC meet? Licensee Declaration I declare that I have made all necessary enquiries that the above information is correct to the best of my knowledge. Licensee: Signature: Name: Date: The Animal Welfare Act imposes penalties for providing false or misleading information. A licence may be suspended or revoked for providing false or misleading information. Section 3: ‘Death as an End Point’ Research A licensed scientific establishment must keep records of all as an endpoint’ or lethality research that are approved by its AEC, during the period 1 January to 31 December of the reporting year. A separate ‘death as an end point’ form must be completed for each project where ‘death as an end point’ is approved. The Scientific Use Code defines “death as an end point” as “when the death of an animal is the deliberate measure used for evaluating biological or chemical processes, response or effects,” and includes lethality testing (e.g. LD50 testing). REPORTING YEAR 1 January 2014 – 31 December 2014 Licensee Name and Address: Licence Number: Has the licensed scientific establishment’s AEC approved ‘death as end point’ tests during this period? (Circle response) YES Go to number 3 NO Go to number 11 Date on the approval was issued: (A separate form should be used for each test approved) Date on the approval expires: Details (A separate line should be used for each species approved – add additional lines if more than 3 species were used) Species Number The number that died as a result of the administration of the test: The number euthanized as an end point: