Research Services
University of Tasmania
Private Bag 01
Hobart, Tasmania 7001
Tel: (03) 6226 7283
Fax: (03) 6226 7148
University of Tasmania
Animal Ethics Committee
REPORT FORM
animal.ethics@utas.edu.au
Important Note: This is an ongoing reporting document to be used for the three year duration of the project.
2nd and final reports must be added to the original reporting document.
Details of project
Project No:
Title of approved project:
Responsible investigator:
Original approval date of the project:
(please refer to the original approval permit)
First Year Project Report
From (Date):
To (Date):
1. In narrative form, please provide clear information regarding the progress of the study and briefly restate the aims of the project and the outcomes so far in relation to each aim. (To assist, an example of
an appropriate answer follows)
Example only
Aim 1 – Has been completed and data analysed and submitted for publication. The manuscript is currently under
review. Through this work we found that MND pathology is likely to be initiated and the spinal cord and spread
through a proximal to distal gradient to the affected neuromuscular junctions. This work has been presented at
numerous scientific conferences.
Aim 2 – Live imaging protocols have been successfully established and are currently being utilised for
experiments as planned. It is expected that this data will be analysed and submitted for publication in late
2014. Researcher 1 is presenting the preliminary data from this study at the upcoming Federation of
European Neuroscience Meeting to be held in Milan in July.
Aim 3 – The first trial investigating the effect of EpoD on the SOD1 transgenic model is nearing completion with
the last behavioural experiments expected to be performed over the next couple of months. Due to logistics of
the student performing behavioural experiments on a large number of mice at once, it was decided that the
second trial looking at treatment effects after the kainic acid infusion in the YFP transgenic would be
performed as a stand-alone experiment. It will likely commence late 2014 – depending on the progress being
made on other aspects of the project
2. Have there been any Unexpected Adverse Events previously reported to the AEC?
Yes/ No
If yes, please attach a copy of the previously submitted Unexpected Event Report form.
Advise what changes, if any, have been made to avoid the re-occurrence of such an event.
Animal Ethics Committee Version January 2016
Page 1 of 9
3. Have there been any issues that have interfered with the progress of the projects, e.g.
 Breaches of the Australian Code of practice
 Unexpected consequences of procedures on an animal, i.e. effects of analgesics, signs of
undue pain or distress?
 Health and safety issues
 Emergencies involving animals or humans
4. Indicate what measures are being taken to incorporate the three R's
(refine, reduce or replace the use of animals) in your project.
5.
How many animals have been used during the period covered by this report?
Species/Strain
(Common name)
6.
Total number approved Number used during
for project
this reporting period
Location1/Institution
(refer to endnotes for the correct location code)
If animal tags have been used, please advise how many, and the number of tags subsequently
retrieved.
Any additional information can be entered below. If there are major discrepancies between the number of
animals requested and the number used you must provide an explanation below.
(Please Note: any discrepancies between the number of animals required and the number of animals delivered by a supplier MUST be addressed.
Full details of the fate of all animals that have been oversupplied must be included in your annual report).
7. Has the University Vet been contacted to arrange competency assessments for members of your
research team who are carrying out techniques/procedures as defined as a veterinary service2?
Note that competency assessment is an annual legal requirement.
8. Do you wish to renew the application and accept the conditions of approval of this project?
Yes/ No
Animal Ethics Committee Version January 2016
Page 2 of 9
DECLARATION
I declare that the information contained in this report is complete and correct.
RESPONSIBLE INVESTIGATOR OR NOMINEE
Name of Investigator or Nominee:
Signature: .........................................................................
Date:
DECLARATION FOR STUDENTS (Year 1)
Declaration for students involved in a teaching project involving live animals
(To allow for signatures, this form may be printed, scanned and submitted with your application)
AEC approval number:
Responsible investigator:
Please sign to certify the following:



I am familiar and will comply with all relevant Commonwealth and State or Territory legislation and the
requirements of the Australian Code for the Care and Use of Animals for Scientific Purposes 8th Edition 2013.
I accept that I have a responsibility to ensure that the investigations and procedures proposed in this form are
conducted fully within the conditions laid down by the Code and I undertake not to use any animals or carry
out any procedures which have not been approved by the Committee.
I accept that the responsible investigator has ultimate responsibility for the project.
Full Name
Signature
Date
Second Year Project Report
From (Date):
Animal Ethics Committee Version January 2016
To (Date):
Page 3 of 9
1. In narrative form, please provide clear information regarding the progress of the study and briefly restate the aims of the project and the outcomes so far in relation to each aim. (To assist, an example
of an appropriate answer follows)
Example only
Aim 1 – Has been completed and data analysed and submitted for publication. The manuscript is currently under
review. Through this work we found that MND pathology is likely to be initiated and the spinal cord and spread
through a proximal to distal gradient to the affected neuromuscular junctions. This work has been presented at
numerous scientific conferences.
Aim 2 – Live imaging protocols have been successfully established and are currently being utilised for
experiments as planned. It is expected that this data will be analysed and submitted for publication in late
2014. Researcher 1 is presenting the preliminary data from this study at the upcoming Federation of
European Neuroscience Meeting to be held in Milan in July.
Aim 3 – The first trial investigating the effect of EpoD on the SOD1 transgenic model is nearing completion with
the last behavioural experiments expected to be performed over the next couple of months. Due to logistics of
the student performing behavioural experiments on a large number of mice at once, it was decided that the
second trial looking at treatment effects after the kainic acid infusion in the YFP transgenic would be
performed as a stand-alone experiment. It will likely commence late 2014 – depending on the progress being
made on other aspects of the project
2. Have there been any Unexpected Adverse Events previously reported to the AEC in the past year?
Yes/ No
If yes, please attach a copy of the previously submitted Unexpected Event Report form.
Advise what changes, if any, have been made to avoid the re-occurrence of such an event.
3. Have there been any issues that have interfered with the progress of the projects, e.g.
 Breaches of the Australian Code of practice
 Unexpected consequences of procedures on an animal, i.e. effects of analgesics, signs of
undue pain or distress?
 Health and safety issues
 Emergencies involving animals or humans
4. Indicate what measures are being taken to incorporate the three R's
(Refine, Reduce or Replace the use of animals) in your project.
5. How many animals have been used during the period covered by this report?
Species/Strain
(Common name)
Total number approved Number used during
for project
this reporting period
Animal Ethics Committee Version January 2016
Location3/Institution
(refer to endnotes for the correct location code)
Page 4 of 9
6. If animal tags have been used, please advise how many, and the number of tags subsequently
retrieved.
Any additional information can be entered below. If there are major discrepancies between the number of
animals requested and the number used you must provide an explanation below.
(Please Note: any discrepancies between the number of animals required and the number of animals delivered by a supplier MUST be addressed.
Full details of the fate of all animals that have been oversupplied must be included in your annual report).
7. Has the University Vet been contacted to arrange competency assessments for members of your
research team who are carrying out techniques/procedures as defined as a veterinary service4?
Note that competency assessment is an annual legal requirement.
8. Do you wish to renew the application and accept the conditions of approval of this project?
Yes/ No
DECLARATION
I declare that the information contained in this report is complete and correct.
RESPONSIBLE INVESTIGATOR OR NOMINEE
Name of Investigator or Nominee:
Signature: .........................................................................
Date:
DECLARATION FOR STUDENTS (Year 1)
Declaration for students involved in a teaching project involving live animals
(To allow for signatures, this form may be printed, scanned and submitted with your application)
AEC approval number:
Responsible investigator:
Please sign to certify the following:



I am familiar and will comply with all relevant Commonwealth and State or Territory legislation and the
requirements of the Australian Code for the Care and Use of Animals for Scientific Purposes 8th Edition 2013.
I accept that I have a responsibility to ensure that the investigations and procedures proposed in this form are
conducted fully within the conditions laid down by the Code and I undertake not to use any animals or carry
out any procedures which have not been approved by the Committee.
I accept that the responsible investigator has ultimate responsibility for the project.
Animal Ethics Committee Version January 2016
Page 5 of 9
Full Name
Signature
Date
Final Year Project Report
From (Date):
To (Date):
1. Status of the Project:
Has the project been completed?
Has the project been abandoned?
Yes / No
Yes / No
2. In the overall project, to what extent were the specific aims achieved? (maximum ½ page)
3. Have there been any Unexpected Adverse Events previously reported to the AEC in the past year?
Yes/ No
If yes, please attach a copy of the previously submitted Unexpected Event Report form.
Advise what changes, if any, have been made to avoid the re-occurrence of such an event.
4. Have there been any issues that have interfered with the progress of the projects, e.g.
 Breaches of the Australian Code of practice
 Unexpected consequences of procedures on an animal, i.e. effects of analgesics, signs of
undue pain or distress?
 Health and safety issues
 Emergencies involving animals or humans
5. Indicate what measures were taken to incorporate the three R's (refine, reduce or replace the use of
animals) in your project.
Include any conclusions on how procedures in future projects could be modified to reduce any
impact on animal welfare.
6. Provide details of how the outcomes of the research have been communicated, i.e. publications,
presentations to stakeholders etc. Please append copies or abstracts where appropriate. If results are
not to be published, please explain why.
Animal Ethics Committee Version January 2016
Page 6 of 9
7. How many animals have been used during the period covered by this report?
Species/Strain
(Common name)
Total number
approved for project
Number used
during this
reporting period
Total number used in
project
Location1/Institution
(refer to endnotes for the
correct location code)
Any additional information or comments can be entered below. If there were major discrepancies between
the number of animals approved and the number used you must provide an explanation below:
8. Please provide any overall comments, suggestions or recommendations in respect of the use of and/or
welfare of animals, based on your observations and experience from this project, below:
DECLARATION
I declare that to the best of my knowledge, the information contained in this report is complete and
correct.
RESPONSIBLE INVESTIGATOR OR NOMINEE
Name of Investigator or Nominee:
Signature: .........................................................................
Date:
DECLARATION FOR STUDENTS (Final Year)
Declaration for students involved in a teaching project involving live animals when
(To allow for signatures, this form may be printed, scanned and submitted with your application)
Animal Ethics Committee approval
number:
Responsible investigator:
Please sign to certify the following:



I am familiar and will comply with all relevant Commonwealth and State or Territory legislation and the
requirements of the Australian Code for the Care and Use of Animals for Scientific Purposes 8th Edition 2013.
I accept that I have a responsibility to ensure that the investigations and procedures proposed in this form are
conducted fully within the conditions laid down by the Code and I undertake not to use any animals or carry
out any procedures which have not been approved by the Committee.
I accept that the responsible investigator has ultimate responsibility for the project.
Animal Ethics Committee Version January 2016
Page 7 of 9
Full Name
Signature
Date
‘Location’ refers to the state/country in which the animals were used. Please select one number from the list below. If
the same species has been used in 2 or more different locations, please select number 10 and provide a breakdown of the
number of animals used in each location in the ‘Additional information’ box below the table.
1. Tasmania
2. Victoria
3. New South Wales
4. Queensland
5. Northern Territory
6. South Australia
7. Western Australia
8. Australian Capital Territory
9. Overseas
10. Species used in more than one state/country (please provide a breakdown of the number of animals used in each
location in the ‘Additional Information’ box below the table).
1
22 2
Veterinary Surgeons Act and Regulation Extracts
Veterinary services means services that form part of the practice of veterinary surgery and includes, but is not limited to including, the following services:
1. the examination of or attendance on any animal for the purposes of diagnosing the physiological or pathological condition of the animal,
including testing or imaging for diagnostic purposes;
2. giving advice based on a diagnosis referred to in Item 1, including prescribing treatment, drugs, medications or medical appliances;
3. performing medical or physical treatment of animals;
4. performing surgical procedures on animals;
5. administering an anaesthetic to any animal;
6. conducting pregnancy testing of any animal;
7. carrying out, by manual operation or use of instrumental appliances, any procedure on an animal for artificial breeding purposes –
For the purposes of the definition of veterinary services in Section 3(1) of the Act, the following are prescribed services and are NOT included.
1.
2.
3.
4.
collection of faecal samples;
collection of milk samples;
collection of blood samples at the direction of a registered veterinary surgeon;
administration of veterinary medicines, in accordance with the label approved under the Ag vet Code of Tasmania in relation to that medicine, by
subcutaneous or intramuscular injection, oral administration (except oesophageal intubation) or application to any external body surface;
5. anaesthetising and sedating of:
6. fish of the class Osteichthyes; or
7. sharks, rays, lampreys or other cartilaginous fish of the classes Chondrichthyes and Agnatha;
8. ear tagging, ear marking or ear tattooing of any species;
9. examination for pregnancy by the external application of ultrasound scanning in any species;
10. artificial insemination provided that the semen is introduced via the vagina and cervical canal.
Animal Ethics Committee Version January 2016
Page 8 of 9
‘Location’ refers to the state/country in which the animals were used. Please select one number from the list below. If
the same species has been used in 2 or more different locations, please select number 10 and provide a breakdown of the
number of animals used in each location in the ‘Additional information’ box below the table.
11. Tasmania
12. Victoria
13. New South Wales
14. Queensland
15. Northern Territory
16. South Australia
17. Western Australia
18. Australian Capital Territory
19. Overseas
20. Species used in more than one state/country (please provide a breakdown of the number of animals used in each
location in the ‘Additional Information’ box below the table).
3
44 4
Veterinary Surgeons Act and Regulation Extracts
Veterinary services means services that form part of the practice of veterinary surgery and includes, but is not limited to including, the following services:
8. the examination of or attendance on any animal for the purposes of diagnosing the physiological or pathological condition of the animal,
including testing or imaging for diagnostic purposes;
9. giving advice based on a diagnosis referred to in Item 1, including prescribing treatment, drugs, medications or medical appliances;
10. performing medical or physical treatment of animals;
11. performing surgical procedures on animals;
12. administering an anaesthetic to any animal;
13. conducting pregnancy testing of any animal;
14. carrying out, by manual operation or use of instrumental appliances, any procedure on an animal for artificial breeding purposes –
For the purposes of the definition of veterinary services in Section 3(1) of the Act, the following are prescribed services and are NOT included.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
collection of faecal samples;
collection of milk samples;
collection of blood samples at the direction of a registered veterinary surgeon;
administration of veterinary medicines, in accordance with the label approved under the Ag vet Code of Tasmania in relation to that medicine, by
subcutaneous or intramuscular injection, oral administration (except oesophageal intubation) or application to any external body surface;
anaesthetising and sedating of:
fish of the class Osteichthyes; or
sharks, rays, lampreys or other cartilaginous fish of the classes Chondrichthyes and Agnatha;
ear tagging, ear marking or ear tattooing of any species;
examination for pregnancy by the external application of ultrasound scanning in any species;
artificial insemination provided that the semen is introduced via the vagina and cervical canal.
Animal Ethics Committee Version January 2016
Page 9 of 9