Causality Outcome Ref. No./ Previously reported to (Related/ (Resolved/ Date Event Participant No. HREC (Yes/No) unrelated/ unresolved/ unknown) death) SECTION H: PROTOCOL NON-COMPLIANCE (please attach details) South Global South Global Local Local Africa Africa Site Site Number of protocol deviations Total protocol for reporting period deviations Summary of LOCAL SITE DEVIATIONS for reporting period Ref. No. (If applicable) Date Incident Explanation SECTION I: ATTACHMENTS Kindly indicate if you have attached any of the following documentation. Include documents only if relevant to your progress report application. Current informed consent documents
Ref. No./ Participant No. Date Event Causality (Related/ unrelated/ unknown) Outcome (Resolved/ unresolved/ death) Previously reported to HREC (Yes/No) SECTION H: PROTOCOL NON-COMPLIANCE (please attach details) Local Site South Africa Global Local Site South Africa Global Number of protocol deviations for reporting period Total protocol deviations Summary of LOCAL SITE DEVIATIONS for reporting period Ref. No. (If applicable) Date Incident Explanation SECTION I: ATTACHMENTS Kindly indicate if you have attached any of the following documentation. Include documents only if relevant to your progress report application. Current informed consent documents
20150624%20HREC%20Progress%20Report%20Health%20Research%20V4.5.docx