Principal Investigator:_________________________________________ (Signature) Date: ______________________ (Print Name) Declaration by Head of School / Section (as applicable) I have read this application and am satisfied that the use of animals is justified on scientific, educational or diagnostic grounds. Head of School / Section:_______________________________________ (Signature) Date:_____________________ (Print Name) School / Section:_________________________________________ Submit this form to: The Governance Officer, Animal Care and Ethics Committee Office of Governance and Corporate Affairs CSU in Bathurst Building 1205 Email: CHECKLIST What is happening to the animals? What will be the effects? How will the effects be minimised? Anaesthesia Euthanasia Toxicology Fasting Method Substance Induction drug, dose, route Location (where procedure will Volume – be performed) Route Maintenance drug, dose, route Expertise of personnel Frequency of treatments / – Methods of monitoring Total number per animal anaesthesia and recovery Local and systemic effects Additional support during Anaesthesia or analgesia Genetic Manipulation anaesthesia and recovery (e.g., Methods Restraint heat, intravenous fluids) Potential effects Animal monitoring (methods and Location of induction and frequency recovery areas Endpoint / duration Tumour / neoplasia induction Housing Location Method Behaviour Modification Stimulus (type, duration, Group housing (stocking rates, Site frequency) sexes) Endpoint Isolation Animal monitoring (methods,
Principal Investigator:_________________________________________ (Signature) Date: ______________________ (Print Name) Declaration by Head of School / Section (as applicable) I have read this application and am satisfied that the use of animals is justified on scientific, educational or diagnostic grounds. Head of School / Section:_______________________________________ (Signature) Date:_____________________ (Print Name) School / Section:_________________________________________ Submit this form to: The Governance Officer, Animal Care and Ethics Committee Office of Governance and Corporate Affairs CSU in Bathurst Building 1205 Email: CHECKLIST What is happening to the animals? What will be the effects? How will the effects be minimised? Anaesthesia Euthanasia Toxicology Fasting Method Substance Induction – drug, dose, route Location (where procedure will be performed) Volume Route Maintenance – drug, dose, route Expertise of personnel Frequency of treatments / Methods of monitoring anaesthesia and recovery Total number per animal Local and systemic effects Additional support during anaesthesia and recovery (e.g., heat, intravenous fluids) Genetic Manipulation Methods Potential effects Anaesthesia or analgesia Restraint Animal monitoring (methods and Location of induction and recovery areas frequency Endpoint / duration Housing Tumour / neoplasia induction Behaviour Modification Location Method Stimulus (type, duration, frequency) Group housing (stocking rates, sexes) Site Endpoint Isolation Animal monitoring (methods,
ACEC-W1.docx