ETHICS COVERSHEET MSD MINORTHESIS

Student Name: / Student ID:
Course (Please circle) / Planning 1341095 / Property 1646643
Proposed date to begin data collection:
Project title:

Briefly describe project, methodology, recruitment process and involvement of participants: (200Words)

DOCUMENTS

AttachedNotApplicable

ResearcherAgreement

Mustbereadandsignedbyboththeresponsibleresearcher(Supervisor)andthestudentresearcher.

ResponsibilitiesChecklist

Thisistoensurethattheresearchersinvolvedunderstandtheethicalrequirementsofthose conductingresearchonhumans-TheseareAustralianFederalGovernmentrequirementsnotonlyUniversity of Melbournerequirements.

RiskAssessment

Providesguidanceofpossiblerisksassociatedwithhumanresearchandanopportunityto explain any plans in place to minimiserisks.

Plain LanguageStatement

Usingthetemplateprovidedframeyourresearchinawaythatwillbeeasilyunderstoodbyany possibleresearchparticipants.AcopyofthePLSshouldbegiventoallparticipantstokeep.

ConsentForm

Usingthetemplateprovidedfill inyourprojectsdetails.Thisisforparticipantstosignandwill be retainedbytheresponsibleresearcherattheendoftheprojectandstoredinalockedcabinetwith allrawdataforaminimumof5years.

Questionnaires andSurveys

Ifyouareplanning onconductinginterviewsorusingsurveysyoushouldincludetheseinyourapplication.

OverseasStatement

Ifyouaretravelingoverseasoroutsidethestateyoumustincludeabriefstatementwhichoutlinesthepotentialrisksfortheparticipants,theresearchersinvolvedandanyplansin placetominimisetheserisks.Allstudentsconductingdatacollectionoverseasarerequiredto arrange a local academic contact willing to assist in the unlikely event of an issuearising during yourresearch.

Ethics Application 1341095/1646643

Researcher Agreement

Tobereadandsignedbythestudentandsupervisorpriortocommencingresearch

WehavereadtheUniversity’scurrenthumanethicsguidelines,andacceptresponsibilityfortheconductoftheproceduressetoutinapplication1341095(forMasterofUrbanPlanningstudents)1646643 (forMasterofPropertystudents)inaccordancewiththeguidelines, theUniversity’s Code ofConduct forResearchandanyothercondition laiddownbytheUniversityofMelbourne’sHumanResearchEthicsCommitteeortheArchitecture,BuildingandPlanningHuman Ethics AdvisoryGroup.

We have attempted to identify all risks related to the research that may arise in conducting this research andacknowledgeourobligationsandtherightsoftheparticipants.Weacceptthatourresearchprojectisonethatislowtomoderaterisk,as determined by consultation with ABPL90217ABPL90396/7/8 (Master of Urban Planning Minor Thesis)/ABPL90362 (Masterof Property Minor Thesis) Subject coordinator and Architecture, Building and Planning (ABP) HEAG Representative.Pleaserefer to the attached RiskAssessment.

Wehavetheappropriatequalifications,experienceandfacilitiestoconducttheresearchsetoutinapplication1341095/1646643 andtodealwithanyemergenciesandcontingenciesrelatedtotheresearchthatmayarise.

If approval is granted, the project will be undertaken in strict accordance with the approved protocol and relevantlaws,regulations andguidelines.

We, the researcher(s)agree:

  • toonlystartthisresearchprojectafterobtainingfinalapprovalfromtheArchitecture,BuildingandPlanningHuman EthicsAdvisoryGroup,onbehalfoftheUniversityHumanResearchEthicsCommittee(HREC);
  • to provide additional information as requested by the Architecture, Building and Planning Human Ethics AdvisoryGroup orHREC;
  • to provide progress reports to the Architecture, Building and Planning Human Ethics Advisory Group for HRECannual and finalreports;
  • to maintain the confidentiality of all data collected from or about project participants, and maintainsecurityprocedures for the protection ofprivacy;
  • to notify the HREC in writing immediately if any change to the project is proposed and await approvalbeforeproceeding with the proposedchange;
  • to notify the HREC in writing immediately if any adverse event occurs after the approval of the HREC hasbeen obtained;
  • to agree to an audit if requested by theHREC;
  • to onlyusedatacollectedforthestudyforwhichapprovalhasbeengiven;

WehavereadtheNationalStatementonEthicalConductinHumanResearchandagreetocomplywithitsprovisions.

Responsible Researcher(Supervisor)
Name / Department
Signature / EmailAddress
Phone Number / +61

StudentResearcher

Name / Department / 7020 - Architecture, Building AndPlanning
Signature / StudentID
Phone Number / +61 / EmailAddress

Ethics Application1341095/1646643

ResponsibilitiesChecklist

StudentName:__StudentID:

SupervisorName:

Supervisors

□Supervisorsaretheresponsibleresearchersfor studentresearchprojects.Assuch,regularsupervisionmeetings,aswellasstudentconsultationviaemail(and/ortelephone)shouldtakeplacethroughoutthe duration of theproject.

□In the case of students working overseas, a local academic contact should be sought (and contactdetailsprovidedwithinthisapplication), withexpertiseinthedisciplinetohelpwithanyissuesthatarise.

□Supervisorsshouldretainrawdatainapasswordprotectedelectronicfilingsystemforaminimumperiodoffiveyearsafterpublicationorpublicreleaseofresearch.

□SupervisorsshouldreadandsigntheResearcherAgreement

□SupervisorsshouldretainoversightoftheRiskAssessmentsubmission

□ResearchmaynotcommenceuntilreceiptoffinalwrittenapprovalfromABPHEAG.

Students

□ProvideaPlainLanguageStatementtoparticipantsattheirlevelofcomprehensionthatdetailsthepurpose, methods, demands, risks, inconveniences, discomforts and possible outcomes oftheresearch.Usethetemplateprovidedon

□Provide a Consent Form: participant’s consent needs to be clearly established by using a signedConsentForm.Usethetemplateprovidedon3

□Upon request, students are required to be willing and able to supply a full copy of theirthesis(preferablyasa pdf,butalsopotentiallyinhardcopy)torespondents.

□Studentsmustallowsupervisorstoretainallrawdatathatemergesfromtheresearchproject.

□Students should read and sign the ResearcherAgreement.

□StudentsshouldcompleteaRiskAssessment.Studentsconductingresearchoverseasshouldincludean Overseas Travel Statement. All students conducting data collection overseas are requiredtoarrangealocalacademiccontactwillingtoassistintheunlikelyeventofanissuearisingduringyourresearch.

□ResearchmaynotcommenceuntilreceiptoffinalwrittenapprovalfromABPHEAG.

Ethics Application1341095/1646643

RiskAssessment

StudentName:StudentID:

Assessing ParticipantRisk

Doestheresearchspecificallytarget[selectasmanyasapplicable]:

□children/legal minors (anyone under the age of 18years);

□theelderly;

□people from non-English speakingbackgrounds;

□pensioners or welfare recipients, or individuals from low socioeconomic statusbackgrounds;

□anyone intellectually or mentally impaired who cannot provideconsent;

□anyone who has a physicaldisability;

□patients or clients ofprofessionals;

□anyone who is a prisoner orparolee;

□a ward of thestate;

□anyotherpersonwhosecapacityto giveinformedconsentmaybe compromised;

□Aboriginal and/or Torres Strait Islander people and/orcommunities;

□othercollectiveswherealeaderorcouncilofeldersmayneedto giveconsent;

□persons in dependent or unequalrelationships.

Pleaseusethespacebelowtoelaborateonanyitemsselected

Doestheresearchinvolve[selectasmanyasapplicable]:

□observation of participants without theirknowledge;

□covertobservation;

□video-taping interviewees orevents;

□access to personal and/or confidential data (including student, patient or client data) without the participant’s specificconsent;

□administrationofanystimuli,tasks,investigationsorprocedureswhichmaybeexperiencedbyparticipantsasphysicallyormentallypainful, stressful or unpleasant during or after the researchprocess;

□performanceofanyactswhichmightdiminishtheself-esteemofparticipantsorcausethemtoexperienceembarrassment,regretordepression;

□research about participants involved in illegalactivities;

□research conducted in an overseassetting.

Pleaseusethespacebelowtoelaborateonanyitemsselected

Assessing ResearcherRisk

Pleaseoutlinewhereresearchistobeconducted(includingspecificlocationandcountry):

Ifyourresearchistobeundertakenoverseas,youarerequiredtoassessthepotentialrisktoyoursafetyinconsultationwithyoursupervisor.Thefourareasofriskwhichmustbeconsideredpriortoconductingresearchoverseasare:

-Ensureyourfitnessfortraveland participationintheactivityincludingvaccinations

-Determinethesafetyofthemethodoftravelto thesite

-Assesstherisksassociatedwiththetraveldestination(notethattraveltoacountrywithaDFATtraveladvisorywarningof 'Reconsider your need to travel' or 'Do not travel' will not beapproved)

-Assess the risks of datacollection

StudentsconductingoverseasresearchmustsubmitanOverseasRiskOutlinethataddressestheseriskareasandattachitto thisRiskAssessment.StudentsatoverseasdestinationsinpursuanceofUniversityactivitiesmustcomplyimmediatelywithanydirectiongivenintheinterestsoftheirsafetybytheDean,FacultyGeneralManager,Vice-PrincipalandAcademicRegistrarorotherseniorUniversityOfficer.

PLAIN LANGUAGESTATEMENT:

[Dr. Jane Doe](Supervisor)

Faculty of Architecture, Building andPlanningph: [65464564]

e:[

[Ms. Sally Smith] (MastersStudent)

ph:[83440000]

e:[

Project: “[Insert titlehere]”

Introduction

Youareinvitedto participateintheaboveresearchproject,whichisbeingconductedby[Dr.JaneDoe](supervisor)and[MsSallySmith](MastersStudent)oftheFacultyofArchitecture,BuildingandPlanningatTheUniversityofMelbourne.Thisprojectwillformpartof [Ms.Smith’s]MastersThesis,andhasbeenapprovedbythe Human Research EthicsCommittee.

What will I be asked todo?

Theaimofthisstudyisto investigate[insertaimshere].Shouldyouagreeto participate,youwouldbeaskedto[insertparticipanttimeexpectations,andmethodologye.g.interview,questionnaire].This[methodology]would askyouto indicateyour[reactions/opinionetc.]to [aspectofresearchtopic].[Withyourpermission,theinterviewwouldbeaudio-recordedso thatwecanensurethatwe makeanaccuraterecordofwhatyousay. Whenthetapehasbeentranscribed,youwouldbeprovidedwithacopyofthetranscript,sothatyoucanverifythattheinformationiscorrectand/orrequestdeletions].Weestimatethatthetimecommitmentrequiredofyou would not exceed [xminutes].

Howwillmyconfidentialitybeprotected?

Weintendto protectyouranonymityandtheconfidentialityofyourresponsesto thefullestpossibleextent,withinthelimitsofthelaw.Yournameandcontactdetailswillbe keptinapassword-protectedfile. Your data will be stored in a separate password protected file.Yourdetailswillonlybeableto belinkedto yourresponsesbytheresearchers,[forexample,inordertoknowwheretosendyourinterviewtranscriptforchecking].Inthefinal report,youwillbereferredtoby apseudonym.Wewillremoveanyreferencestopersonalinformationthatmightallow someoneto guessyouridentity;[however,youshouldnotethatas thenumberofpeopleweseektointerviewisverysmall,itispossiblethatsomeonemaystillbeabletoidentifyyou.]

How will I receivefeedback?

OncetheThesisarisingfromthisresearchhasbeencompleted,a briefsummaryofthefindingswillbemadeavailablebyresearchersuponapplication.AcopyoftheThesiswillalso beavailablein theFacultyof Architecture,BuildingandPlanningLibrary.[Itisalsopossiblethat theresultswill bepresentedatacademic conferences].Alldatawillbekeptsecurelyina password protected file at theFacultyofArchitecture,BuildingandPlanningforfiveyears fromthedateofpublication,beforebeingdestroyed.

Willparticipationprejudiceme inanyway?

Pleasebeadvisedthatyourparticipationinthisstudyiscompletelyvoluntary.Shouldyouwishtowithdrawat anystage,ortowithdrawanyunprocesseddatayouhavesupplied,youarefreetodosowithoutprejudice.

Where can I get furtherinformation?

Should you require any further information, or have any concerns, please do not hesitate to contact either oftheresearchersonthenumbersgivenabove.Shouldyouhaveanyconcernsabouttheconductoftheproject,you arewelcometocontacttheManager,OfficeforResearchEthicsandIntegrity,TheUniversityofMelbourne,onph: +6138344 2073, or email: .

How do I agree toparticipate?

If you would like to participate, please indicate that you have read and understood this information by signingtheaccompanying consent form [and returning it in the envelope provided]. The researchers will then contact youtoarrangeamutuallyconvenienttimeto[insertmethodology].

Date: 27/09/2018HREC 1341095 (Planning) /HREC 1646643 (Property) Version1

Noteforresearchersregardingalternativeconfidentialityarrangements

Ifyourprojectfallswithinafieldinwhichitisimportantorconventionaltonamethesourceofyourinformation,you may wish to alter the Plain Language Statement, forexample:

Inthistypeofprojectitisnormaltogivethenamesofpeoplewhohavecontributedinformation.Wewouldliketoseekyourpermissionto useyournameinthefinalthesis.Ifyouwouldprefersomecommentstobemadeofftherecord,youcouldindicatethis[duringtheinterview,orwhenyoureviewthetranscriptoftheinterview].Ifforany reasonyouchoosenotto benamed,wewouldreferto youbyapseudonym,andremoveanycontextualdetailsthatmightrevealyouridentity.Wewouldprotectyouranonymitytothefullestpossibleextentwithinthelimitsof thelaw;yournameand contactdetailswouldbekeptina lockedcabinetseparatefromthedatayousupply.Youshould note,however,thatsincethenumberofpotentialintervieweesissmall,itmightstillbepossibleforsomeone to identifyyou.

Ifyouintendtouseaggregatedataonly,youmaywishtoalterthePlainLanguageStatement,forexample:

Theresultsofthisstudywill bereportedasgroupdataonly.Your individualinformationwillnotbeidentifiablein thereport.Tofurtherprotectyourconfidentialityandanonymity,wewillstoreyournameandcontactdetailsina separate,lockedcabinetfromthedatayousupply.Allcomputer fileswillbeaccessibletotheresearchersonly,andwillbepasswordprotected.Youshouldnotethatthesemeasuresareonlyableto guaranteeconfidentialitywithin the limits of thelaw.

Notesforresearcherswheretheresearchinvolvesdependentrelationships

Ifrelevant,pleaseincludeaclearstatementthatifparticipantsareinadependentrelationshipwithanyoftheresearchersthatinvolvementin theprojectwillnotaffectongoingassessment/grades/managementortreatment ofhealth.

Noteto researchers:Thisisaguideonly.Pleaseusethehighlighted,bracketedsectionstochangethisdocumentaccording tothe specificnatureofyourresearchproject.Pleasealsoprovidedetailsofanyrisksinvolvedandtheproceduresinplacetominimise these. Delete to notes to researcher before submitting yourapplication.

CONSENTFORM:

“[Insert titlehere]”

[Dr. Jane Doe](Supervisor)

FacultyofArchitecture,BuildingandPlanningph: [65464564]

e:[

[Ms. Sally Smith] (MastersStudent)

ph. [83440000]

e:[

Name ofparticipant:

1.Iconsenttoparticipateinthisproject,thedetailsofwhichhavebeenexplainedtome,andIhavebeen provided with a written plain language statement tokeep.

2.IunderstandthatafterIsignand returnthisconsentformitwillbe retainedbytheresearcher.

3.Iunderstandthatmyparticipationwillinvolvean[methodology]andIagreethattheresearchermay use the results as described in the Plain LanguageStatement.

4.I acknowledgethat:

(a)thepossibleeffectsofparticipatinginthe[methodology]havebeenexplainedto mysatisfaction;

(b)IhavebeeninformedthatIamfreetowithdrawfromtheprojectatanytimewithoutexplanation or prejudice and to withdraw any unprocessed data I haveprovided;

(c)theprojectisforthepurpose ofresearchtowardsaMastersThesis;

(d)IhavebeeninformedthattheconfidentialityoftheinformationIprovidewill besafeguarded subject to any legalrequirements;

(e)Ihavebeeninformedthat[withmyconsenttheinterviewwillbeaudio-recordedandIunderstand thataudio-recordings]willbestoredatUniversityofMelbourneandwillbedestroyedafterfiveyears;

(f)mynamewillbe[referredtobyapseudonym/named]inanypublicationsarisingfromtheresearch;

(g)Ihavebeeninformedthatacopyoftheresearchfindingswillbeforwardedto me uponrequest.

[Iconsenttothisinterviewbeingaudio-recorded]□ yes □no

(pleasetick)

Iwishtoreceiveacopyof thesummaryprojectreportonresearchfindings□yes□ no

(pleasetick)

Participantsignature:Date:

Date: 27/09/2018HREC 1341095 (Planning) /HREC 1646643 (Property) Version1