Risk Assessment Checklist Human Research Ethics Committee About this Form This checklist should be used to assess the level of ethical risk your human research project presents to its participants. Projects presenting minimal ethical risk or less to participants are eligible to apply for HREC approval via the ‘expedited review’ process. If after completing this checklist you determine that your project presents minimal risk or less, you are eligible to complete an Application for HREC Approval (Expedited). Please note that if you are applying for expedited review, you must attach this completed checklist to your application form. Expedited review cannot take place without the checklist. If you determine that your project presents more than minimal ethical risk, it is ineligible for expedited review and you must apply for standard HREC approval using the Application for HREC Approval (Standard). Student researchers must review the completed checklist with supervisors before submitting an application. Please note that timing constraints are not an acceptable reason for seeking expedited review where projects are of more than everyday risk. Completing the Form This form can be completed on your computer. Use the tab key to move to areas in the form that require a response and enter your response. The response area will expand to fit the content you are entering. Click inside a checkbox to record a Yes/No response. Signatures can be applied in required spaces once the completed form is printed. Do not commence research until written approval has been received from the HREC. Contact Details Principal Researcher’s Name: Student/Other Researcher’s Name/s: School/Section: External Funding Requirements Is the research being funded by an agency outside the University that Yes No requires the approval of a full committee meeting of the HREC? If Yes, your research is ineligible for expedited review, and you must apply for approval via the standard HREC process. CRICOS Provider No. 00103D Page 1 of 5 Risk Assessment Checklist Human Research Ethics Committee Risk Assessment A. Research Topics Are any of the following topics to be covered in part or in whole? Parenting Sensitive personal issues Sensitive cultural issues Grief, death or serious/traumatic loss Depression, mood states, anxiety Gambling Eating disorders Illicit drug taking Substance abuse Self-report of criminal behaviour Any psychological disorder Suicide Gender identity Sexuality Race or ethnic identity Any disease or health problem Fertility Termination of pregnancy B. Research Procedures Are any of the following procedures to be employed? Use of personal data obtained from Commonwealth/State gov’t dept/agency Deception of participants Concealing the purposes of the research Covert observation Audio-/video-recording without consent Recruitment via a third party or agency Withholding from one group specific ‘beneficial’ treatments/learning methods Any psychological interventions or treatments Administration of physical stimulation Invasive physical procedures Infliction of pain Administration of drugs Administration of other substances Administration of ionising radiation Tissue sampling or blood-taking Collecting body fluid Genetic testing Use of medical records where participants can be identified/ linked Drug trials and other clinical trials Administration of drugs or placebos CRICOS Provider No. 00103D Yes Yes No No Page 2 of 5 Risk Assessment Checklist Human Research Ethics Committee C. Other Risks Are there researcher risks (e.g., unsafe environments or troublespots)? Assessment of Participant Vulnerability Do any of the participants fall within the following targeted categories? Suffering from a psychological disorder Suffering from a physical vulnerability Highly dependent on medical care Minors without parental or guardian consent Impaired ability to give consent Resident of a custodial institution Unable to give free informed consent because of difficulties in understanding information statement (e.g., language difficulties) Member of a socially identifiable group with special cultural or religious needs or political vulnerabilities In a pre-existing (e.g. friend, family member) or dependent/unequal relationship with researcher/s (e.g., lecturer/student, doctor/patient, teacher/pupil, professional/client, employer/employee, supervisor/staff member) Identifiable in any final report when specific consent for this has not been given Indigenous Australians Researcher Conflict of Interest Are any of the researchers affiliated with any of the external organisations involved in your research? Are any of the researchers in receipt of any financial benefit from any of the external organisations involved in your research? Research in Overseas Settings Does the research involve any of the following: Research being undertaken in a politically unstable area Research involving sensitive cultural issues Research in countries where criticism of government and institutions may put participants and/or researchers at risk Yes No Yes No Yes No Yes No Ethical Risk Assessment If you answered NO to all questions on this checklist, your project is ‘low risk’ and is eligible to be considered for HREC approval via the expedited review process. To do this, complete an Application for HREC Approval (Expedited) and submit it together with this signed checklist to the Ethics Officer for review at a sub-committee meeting of the HREC. If you answered YES to any items on this form, your project is not ‘low risk’ and is not eligible to be considered via expedited review. You must apply for HREC approval by completing an Application CRICOS Provider No. 00103D Page 3 of 5 Risk Assessment Checklist Human Research Ethics Committee for HREC Approval (Standard) and submit it to the Ethics Officer for review at a full committee meeting of the HREC. Student researchers must review the completed checklist with supervisors before submitting any application. Special Case Argument If you have answered YES to any items on this form but believe that your project may still be eligible for expedited review because of the particular nature of the project and the participants, please provide reasons below (or attach an additional sheet) and submit this form to the HREC Executive for consideration of your special case by the HREC Chair. Researcher(s) Signatures …………………………………………………… Principal Researcher ……………………………………………………………….. Print name in block letters Date: …..../…...../…..... …………………………………………… Other Researcher …………………………………………… Other Researcher ……………………………………………… Print name in block letters ……………………………………………… Print name in block letters Date: …..../…...../…..... Date: Date: …..../…...../…..... CRICOS Provider No. 00103D Page 4 of 5 Risk Assessment Checklist Human Research Ethics Committee HREC Use Only Special Case Approval The Chair of the Human Research Ethics Committee has considered the particular circumstances of this project as outlined above and agrees/does not agree that this project should be submitted for approval via the expedited review process. Other comments: Signature: ____________________________________________________ Chair, Human Research Ethics Committee CRICOS Provider No. 00103D Page 5 of 5