Griffith University Biosafety Committee

Final (Completion) Report

(To be completed and submitted to )Submission date:

Name of Organisation: / GriffithUniversity
Name of IBC: / Griffith University Biosafety Committee
SECTION 1.0: PRINCIPAL RESEARCHER INFORMATION:
Project Supervisor:
Academic Group: / Select one:Health SEET
School:
Research Centre:
Campus: / Select one:Nathan Parklands Southport Logan
Business Hours Contact Number:
Email Address:
Have all personnel involved with the project undertaken appropriate training? / Select one:Yes No
SECTION 2.0: PROJECT INFORMATION:
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Project Title:
UBC Project Identifier:
(This reference number was provided upon receipt of application)
Is the project application continuing at Griffith University?
(If Yes please complete a storage application form, or a new project application form) / Select one:Yes No
If No:
Provide Date of Completion
Has the project been transferred to a new project application? / Select one:Yes No
If Yes, has an application been completed and submitted to the UBC? / Select one:Yes No If yes, please provide UBC Reference #
Is the project being transferred to another principal researcher? / Select one:Yes No
If Yes, provide new principal researcher details and completion date of last Griffith University Biosafety Training Session:
Researcher details:
Training completion date:
If No, please provide reason:
Are GMOs being transferred to another organisation? / Select one:Yes No
If Yes, provide details:
Has the other organisation been notified? / Select one:Yes No
Provide transport details:
SECTION 3.0: GMO INFORMATION:
Have GMOs been removed from an inventory list? / Select one:Yes No
SECTION 4.0: FACILITY INFORMATION:
Have there been changes to the facilities listed on the original application?
(If no, go to section 6.0) / Select one:Yes No
If Yes, provide details of new facilities:
(i) / Campus: / Select one:Nathan Parklands Southport Logan / Building: / Room(s):
Are these facilities certified? / Select one:Yes No / Containment Level: / Select one:PC1 PC2 PC3
Facility certification number:
(ii) / Campus: / Select one:Nathan Parklands Southport Logan / Building: / Room(s):
Are these facilities certified? / Select one:Yes No / Containment Level: / Select one:PC1 PC2 PC3
Facility certification number:
(iii) / Campus: / Select one:Nathan Parklands Southport Logan / Building: / Room(s):
Are these facilities certified? / Select one:Yes No / Containment Level: / Select one:PC1 PC2 PC3
Facility certification number:
(iv) / Campus: / Select one:Nathan Parklands Southport Logan / Building: / Room(s):
Are these facilities certified? / Select one:Yes No / Containment Level: / Select one:PC1 PC2 PC3
Facility certification number:
SECTION 5.0: DISPOSAL:
Havethe GMOs been destroyed? / Select one:Yes No Not Applicable
If Yes, provide details regarding method of destruction:
If No, and the GMOs are not being stored or covered by another project application, please provide reason:
SECTION 6.0: STATEMENT OF CONFIRMATION:
I certify that the information provided in this report is correct and all GMO activities are undertaken in accordance with OGTR requirements. (electronic signature or email title accepted)
Signature of Project Supervisor:
Date:
Please email the completed form to the Griffith University Biosafety Committee at .

Last Revised July 2013

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