HUMAN RESEARCH ETHICS COMMITTEE
(TASMANIA) NETWORK
SOCIAL SCIENCE HREC
FINAL REPORT FORM
For the period of: ____________________.
Important: Please send an electronic version of this report as a Word document to
katherine.shaw@utas.edu.au.
A signed copy of this form also needs to be forwarded electronically.
If you have any questions, please call: 6226 2763
1. Project Details
Ethics Reference No.
Project Title
2. Investigators
A. Chief Investigator
Name:
Phone:
Email address:
Contact address:
B. Other Investigators (If a student, please indicate his / her student status ( Honours, PhD etc))
Name / status:
Name / status:
3. Status of Application
Indicate which status applies to the project and include appropriate dates:
Completed?
Completion date:
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Abandoned?
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Date project abandoned:
4. Completed Projects
Please list the aims of the project that was originally approved:
Were these aims achieved?
Yes
No
Please provide a brief explanation:
Please list any publications, conference papers, presentations, abstracts of theses etc. which have
resulted from the study and attach copies to this report:
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5. Abandoned Projects
Did the project commence?
Yes
No
Why was the project abandoned? Please provide brief details, including whether the
abandonment created any ethical issues. If so, how they were resolved.
Describe any data that was collected and indicate how it has been stored and / or destroyed.
If any publications have resulted from this project, please list any publications, conference papers,
presentations, abstracts of theses etc. and attach copies to this report:
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6. Data Storage
For completed and abandoned projects, if applicable, please state how and where your data is
being stored, and for how long it will be retained. Address any issues of data security.
Please note: Data must be stored for at least five years beyond the date of publication and then destroyed.
All data must eventually be destroyed unless explicit consent is obtained from the participants to archive
their data.
……………………………………………………………………………………………………..
7. Ethical Issues
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Please answer YES or NO to the following questions. If you answer YES to any question, give
details below. Please attach a separate sheet if there is insufficient space.
Yes
No
Did any participants withdraw from the project during this year?
If yes, please provide details.
Did any ethical issues arise during the research?
If yes, provide details, including whether or not they were foreseen, and how they
were resolved.
……………………………………………………………………………………….
Have any participants suffered harm or adverse effects?
If yes, has this been reported to the committee? If not, please explain why and
append the reports.
……………………………………………………………………………………..
Have any complaints been received regarding the project?
If yes, please provide details of the complaint, and how it has been resolved.
……………………………………………………………………………………..
Have you departed at all from the approved protocol?
If yes, please provide details.
…………………………………………………………………………………..
Has there been any breach of confidentiality of data, which includes identifying
information?
If yes, please provide details, including what has been done to remedy the breach.
………………………………………………………………………………………
8. Statement by Chief Investigator
I accept that the information provided in this report is a true record of the research undertaken by
myself, or the students under my supervision:
Chief Investigator name:
Chief Investigator signature:
Date:
A PARTNERSHIP PROGRAM BETWEEN THE DEPARTMENT OF HEALTH AND HUMAN SERVICES AND THE UNIVERSITY OF
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TASMANIA
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