ANNEX A: ETHICS REVIEW FORM – STAFF & RESEARCH POSTGRADUATES
Name: _________________________________________________________________________________________
Division/Institute/Centre: ________________________________________________________________________
Project Title/Research Being Undertaken: __________________________________________________________
________________________________________________________________________________________________
Names of Other Staff involved (if appropriate): _____________________________________________________
________________________________________________________________________________________________
I confirm that this project DOES NOT include any of the following:
TICK
Research involving vulnerable groups (e.g. children, young people, those with a learning disability or
cognitive impairment, or individuals in a dependent or unequal relationship)
Research involving sensitive topics (e.g. participants’ sexual behaviour, their illegal or political
behaviour, their experience of violence, their abuse or exploitation, their mental health, their gender
or ethnic status); instruments required for initial access to members (e.g. ethnic or cultural groups,
native peoples or indigenous communities)
Research involving deception which is conducted without participants’ full and informed consent
Research involving access to records of personal or confidential information concerning identifiable
individuals
Research which would induce psychological stress, anxiety or humiliation or cause more than minimal
pain
Research involving intrusive interventions which participants would not encounter in the course of
their everyday lives
Research where there is a possibility that the safety of the researcher may be in question (e.g. in
international research; locally employed research assistants)?
I confirm that I have completed procedures required by any secondary data provider (please attach any
relevant documentation)
If your research includes any of the above aspects, you will need to describe more fully how you plan to deal
with the ethics issues raised by your research. Your proposal will be subject to a full ethics review. In such
cases, the following information is required to be submitted (along with this form) to the Ethics Committee for
approval:
 A copy of your research proposal
 A summary statement, highlighting the ethical aspects and how they will be addressed
Please note that it is your responsibility to follow the University’s Code of Practice on Ethical Standards and any
relevant academic or professional guidelines in the conduct of your study. This includes providing appropriate
information sheets and consent forms, and ensuring confidentiality in the storage and use of data. Any
significant change in the question, design or conduct over the course of the research should be notified to the
School’s Research Ethics Committee Secretary and may require a new application for ethics approval.
Signed: ____________________________________
Date: _____________________________
FORM REVISED NOVEMBER 2011