Instructions for use This form is for use by owners/operators as a submission check for IRB submissions to the CRU. Owners/operators should complete all parts as a checklist to ensure all items have been addressed/included as part of the submission. Both the hard copy of this form and the electronic version should be included as part of the application. Part 1(a) Owner/Operator Details – Installation name: Owner/Operator of Installation: Owner/Operator Postal Address: Owner/Operator Telephone: Owner/Operator Email Address: Part 1(b) Owner/Operator Point of Contact – – Point of Contact Name: Address Telephone: Part 2 Safety Case Details – Type of Safety Case Operator/Owner Reference and Date Date of Acceptance Safety Permit Reference(s) Part 3 IRB Details – Name (legal and / or trading) Registered Address Tel Fax
Instructions for use This form is for use by owners/operators as a submission check for IRB submissions to the CRU. Owners/operators should complete all parts as a checklist to ensure all items have been addressed/included as part of the submission. Both the hard copy of this form and the electronic version should be included as part of the application. Part 1(a) – Owner/Operator Details Installation name: Owner/Operator of Installation: Owner/Operator Postal Address: Owner/Operator Telephone: Owner/Operator Email Address: Part 1(b) – Owner/Operator – Point of Contact Point of Contact Name: Address Telephone: Part 2 – Safety Case Details Type of Safety Case Operator/Owner Reference and Date Date of Acceptance Safety Permit Reference(s) Part 3 – IRB Details Name (legal and / or trading) Registered Address Tel Fax
CRU18192-IRB-Application-Form.docx