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