Application for Renewal of Ethical Clearance for a Research Project1
HUMAN RESEARCH ETHICS COMMITTEE
FINAL REPORT / APPLICATION FOR RENEWAL OF ETHICAL CLEARANCE FOR A
RESEARCH PROJECT
Ethical clearance is granted for a period of one year. Researchers whose projects extend beyond the period of approval should submit a progress report in sufficient time to obtain renewed clearance prior to the expiry date. Researchers are required to maintain current clearance for their projects until they are completed. For staff, submission for publication of final results and for students, submission/lodgement of thethesis, is generally accepted as the point of completion. Renewal of clearance is based on the provision of a satisfactory progress report and confirmation that all ethical issues have been addressed.
Please provide the following information about yourself and your project:
Your name: / ______/ Project Reference:______Address for correspondence: / ______
______/ Renewal
Final Report
E-mail: / ______Tel: ______
Title of your project: / ______
______
Name and address of primary supervisor: / ______
______
Please provide a brief statement of the work undertaken so far, including mention of ethical issues that arose, and whether (and how) they have been resolved. Please type or write legibly. (no less than 200 words)
Please circle the appropriate answer to the following questions, and attach explanatory statements where required.
1. / Have there been any alterations to the objectives or methodology of the research project since clearance was last issued? If you answered YES, please attach a sheet outlining all ethical issues arising from the alterations and how you will minimise adverse effects. / YES / NO
2. / Are participants being, or have they been, exposed to any risk of physical or other injury or harm, of which you have not previously advised the Committee? If you answered YES, please attach a sheet outlining the risks and how you intend to minimise or have minimised these risks. / YES / NO
3. / Have you adhered to the informed consent procedures outlined in your previous application? This includes:
- providing Plain Language Statements to all participants;
- administering Consent Forms where required by the Committee;
- obtaining permission from relevant authorities (eg, School Principals, Community elders)
4. / Have you adhered to the measures outlined in your previous application for maintaining the confidentiality and privacy of participants in this research? This includes:
- adhering to assurances given to participants in relation to the recording of personal, identifying information;
- securing all data collected to ensure no unauthorised access to it;
- making arrangements for a copy of the data to be stored at the University or another institution for a minimum of five years, as required by the NHMRC and outlined in the University’s Code of Conduct for Research.
5. / Have you ensured that your data cannot be accessed by unauthorised individuals? If you answered NO, please contact the Executive Officer to discuss how your data may be stored securely. / YES / NO
6. / Were any additional conditions attached to your previous ethical clearance? If you answered YES, please attach a sheet listing the additional conditions and indicate whether you have complied with them. / YES / NO
7. / When do you expect to complete your project? A project is completed when results are submitted for publication or (for research degree candidates) when a thesis is submitted for examination. / ……./……
Mth /Year
8. / Have you read and complied with the National Statement on Ethical Conduct in Research Involving Humans? The Statement is available on the NHMRC web site or from the Executive Officer of the Human Research Ethics Committee. / YES / NO
9. / I understand that if I leave Charles Darwin University the research data will be left with the School. / YES / NO
10 / Please provide details of the physical location of your stored data.
Applicant’s Signature:Date:
Supervisor’s Signature:Date:
Please email your electronic PDFto the Ethics Administration Officer, at the Office of Research and Innovation, Charles Darwin University. For further information, contact the Ethics Administration Officer by email , telephone 08 8946 6923, or fax 08 8946 7066.