Victorian Institute of Forensic Medicine

Document Name: Final Report Form for Researchers

vifm research advisory committee and VIFM ethics committee

final report form for researchers

section 1 – information for researchers

Final reports are to be:

  • signed by the Principal Researcher
  • submitted on the anniversary of the RAC or VIFM Ethics Committee approval each year until a Final Report is submitted
  • emailed and sent to the Executive Officer of RAC or the VIFM Ethics Committee:

Dianne AnsellMs Fiona Leahy

Executive Officer, RACExecutive Officer, VIFM Ethics Committee

57-83 Kavanagh Street57-83 Kavanagh Street

Southbank VIC 3006Southbank VIC 3006

section 2 – project details

1.Project number(s) (e.g. EC 13/2009, RAC 012/2011)

2.Full title of project

3.Principal Researcher

4.Organisation/Institution

5.Duration of Project

From: To:

6.Summary of the nature of the project

section 3 – project conduct

1.Were any problems encountered in the following areas?

Study designYes No 

EthicsYes No 

Recruitment of participants or donorsYes No Not applicable 

FinanceYes No 

Facilities or equipmentYes No 

If yes, please summarise the problems encountered

2.Were there any adverse events or unexpected problems?

Yes No 

If yes, please give details

3.Were there any complaints?

Yes No 

If yes, please give details

4.Did any participants withdraw from the project?

Yes No Not applicable 

If yes, please provide details (including the reasons for withdrawal)

section 4 – project findings, presentation and publications

1.Have findings from the project been presented at a conference or seminar or are any presentations pending?

Yes No 

If yes, please give details:

2.Have findings from the project been published or are any publications pending?

Yes No 

If yes, please give details and provide a copy of the publication:

3.Are there any future plans for the project?

Yes No 

If yes, please give details:

4.What are the ongoing arrangements for the storage or destruction of data or tissue provided for this project?

5.Have project staff members been participated in exit procedures at the end of the project? For example, an exit interview where staff members are reminded of their confidentiality obligations?

Yes No Project not complete 

6.Please provide a one page summary of the project outcomes or findings, including a description of the value or benefits of the research:

section 3 – principal researcher declaration

I confirm that this project was conducted as originally approved by the VIFM Ethics Committee (subject to any changes subsequently approved) and that all adverse events were reported to the Committee according to the Committee’s guidelines for reporting of adverse events and the National Health and Medical Research Council National Statement on Ethical Conduct in Human Research (2007).

Principal Researcher Signature

Date:

Document ID: FR-07-0161-2.0 Page 1 of 8

Date Effective: 13/02/2012 AUTHORISED COPY OF FORMNext Review Date: 13/02/2014