Committee for Ethics in Animal Experimentation Annual Review of Projects using Animals An annual review of approved projects (by the Animal Ethics Committee) is required under the Australian Code of Practice for the Care and Use of Animals for Scientific Purposes NHMRC, 8th Edition (2013). The Code is available at: http://www.nhmrc.gov.au/guidelines/publications/ea28. The AEC can approve an application for a maximum of three years. However, the applicant must submit an annual report at the end of the first and second years of the project for review by the AEC. At the end of the third year, the Principal Investigator is required to submit a new application if he/she wishes to continue the project. Regardless of the duration of the approval, the continuation of all projects is subject to the receipt by the AEC of a written annual report. At the end of the project, an End-of-Project form is required to be submitted to the AEC. The information sought on this form will assist the AEC to monitor the progress of each project to determine (on the basis of the information supplied) if the project may continue, be suspended, required modification or be discontinued. Numbers in square brackets refer to the relevant parts of the above Code of Practice. Please email a copy of the Annual Review to the Research Ethics & Compliance Officer by the closing date for papers. Research Ethics & Compliance Officer Animal Ethics Committee Secretariat animal.ethics@canberra.edu.au (Revised September 2013) PART 1 SUMMARY OF APPLICATION PROGRESS 1. Project Number: 2. Chief investigator: Project Title: Title Given names Surname Email address: 3. Original project aims: 4. Application progress: a) This is the 1st or 2nd review for this project (X) Note: after the 2nd renewal a new application is required to be completed. b) Has the Project finished? (X) If Yes, please complete the End-of-Project form instead of this form PART 2 1st 2nd Yes No CHANGES MADE TO THE ORIGINAL (APPROVED) PROJECT 5. Please describe any changes made during the past year to the original, approved project and the reasons for the changes: 6. project (including any changes in Please identify any staffing changes to the original, approved investigators or others directly associated with the project) Investigators/ Co Proposed changes Role investigators identified in original project Are proposed staff changes authorised? (as required under the ACT Animal Welfare Act 1992) If Yes, please provide Authorisation number. If No, please complete authorisation form. (Revised September 2013) PART 3 ANIMALS USED LABORATORY EXPERIMENTS (ONLY) 7. Number of Animals approved for use in the original approval Species name Strain Number Source of animals 8. Did the species, numbers or source of animals vary from that which was approved? If Yes, Please explain why? Yes (X) No (X) Go to Question 10 9. Number of animals actually used in the project. Species name Strain Number Source of animals 10. a) The housing and feeding of animals used: Was as described in the approved proposal (X) Please go to Question 12 OR b) Varied from the approved proposal (X) And are described in Question 5 Part 2 OR FIELD SURVEY WORK (ONLY) 11. Please list number and species of animals used (including non-target animals) Species name Common name PART 4 Number ANIMAL HEALTH AND WELFARE 12. Did the animals experience unexpected stress or other adverse reaction beyond those expected and described in the original project application or notified modifications of the original project proposal, as described in Part 2 above? Yes (X) Please go to Question 12 (a) No (X) Please go to Question 13 a) Please describe and explain any unexpected stress of or adverse reaction: b) How did you deal with this? (Revised September 2013) PART 5 PROJECT RENEWAL 13. Is continuation of the project being sought? Yes (X) Go to Question 14 No (X) Go to Question 16 14. Approval for continuation of the project is sought for the period: From: To: 15. a) (X) b) (X) Continuation of the project will be: precisely according to the information provided in the original proposal and any subsequent modifications of which the Committee has been fully informed and which have been already approved by the Committee OR under the altered conditions as described in Part 2, Question 5 & or 6. 16. Please provide a short report of the progress of the project to date: 17. Current Applicant and /or Chief Investigator Name Institution/ Division /Discipline Room No. Telephone No. CEAE Authorisation (X) Yes No 1 2 18. Current list of Co investigators or others directly associated with use of animals in the project CEAE Name Institution/ Division Room Telephone Authorisation (X) /Discipline No. No. Yes No 1 2 3 4 If you answer No, please complete an Authorisation to conduct experiments using animals form. All individuals must be authorised before they can be involved in the project. (Add additional rows if more Co investigators or others directly associated with use of animals in the project are involved). (Revised September 2013) PART 6 DECLARATION BY CHIEF INVESTIGATOR Statement by Chief Investigator I have read the current Australian Code of Practice for the Care and Use of Animals for Scientific Purposes, NHMRC 8th Edition (2013) and have complied with the requirements of the Code, all relevant Commonwealth, State and Territory legislation and any specific conditions as identified by the University of Canberra Animal Ethics Committee. Name: Signature: Date: (Revised September 2013)