Report On Research Involving Participants Cleared Ethically By: Annual Report for Period: to Investigator/s: Department: Project Title: Clearance No: Please respond to all questions. Where marked please submit relevant form or documentation. “*”, 1. Have any changes to the approved protocol been made? Yes* No (See note A on reverse) 2. If YES to Q1, have these changes been approved by the UQ Ethics Committee? Yes No* (See note A on reverse) 3. Is the project being conducted in accordance with the original approval and/or approved Yes No* variations? (See note A on reverse) 4. Has this project received clearance from an external ethics committee? Yes* No 5. Have all relevant ethics clearances been obtained? Yes No* If then please explain. “No”, 6. Is consent obtained from human subjects in accordance with the approved protocol? Yes No* (See note A on reverse) 7. Are records maintained and secured in accordance with requirements? Yes No* (See note A on reverse) 8. Have been any harmful outcomes arising from the research? Yes* No (See note B on reverse) 9. Have all adverse effects or incidents been properly reported? Yes No* (See note B on reverse)
Report On Research Involving Participants Cleared Ethically By: Annual Report for Period: to Investigator/s: Department: Project Title: Clearance No: Please respond to all questions. Where marked “*”, please submit relevant form or documentation. 1. Have any changes to the approved protocol been made? (See note A on reverse) Yes* No 2. If YES to Q1, have these changes been approved by the UQ Ethics Committee? (See note A on reverse) Yes No* 3. Is the project being conducted in accordance with the original approval and/or approved variations? (See note A on reverse) Yes No* 4. Has this project received clearance from an external ethics committee? Yes* No 5. Have all relevant ethics clearances been obtained? If “No”, then please explain. Yes No* 6. Is consent obtained from human subjects in accordance with the approved protocol? (See note A on reverse) Yes No* 7. Are records maintained and secured in accordance with requirements? (See note A on reverse) Yes No* 8. Have been any harmful outcomes arising from the research? (See note B on reverse) Yes* No 9. Have all adverse effects or incidents been properly reported? (See note B on reverse) Yes No*