Reviewed: DD Month
Year
Reviewed: 17 July 2012
Project Supervisory Requirements Form
School/Department:
Project Title:
Name of Student:
Name of Principle Investigator/Academic Supervisor:
Name of Deputy PI/Supervisor:
The following under mentioned activities which may be relevant to the above
research project have been identified as high risk. They have been categorised as
follows:
A: The task must be directly supervised
B: The supervisor's advice and approval must be sought before the task
is started
C: The work entails risks which require careful attention to the safety
related aspects of it. The student has been trained in the task and
demonstrated competence
Only A and B risks are identified. Re-categorisation during the project can occur
using any of the above categories.
Supervisor's signature:
Date
Student's signature having read this form:
Date
ACTIVITY
HAZARD
CATEGORY
TASK
SUPERVISOR
AMENDED
CATEGORY
& DATE