Appendix A (Checklist)
If you answer YES to any of the questions below, you will be required to submit an application for ethics approval. Even if all questions are answered NO, your school or division may still require that an ethics application be submitted.
Does your research involve - (Please circle)
| 1 | Any novel procedure in the therapy or management of patients in a clinical setting? | YES NO |
| 2 | Any form of physically invasive procedure on patients such as blood collection, exercise regimens or physical examination, and which is not part of their clinical management? | YES NO |
| 3 | Any form of physically invasive procedure on volunteer participants such as body fluid collection (eg blood, urine, semen), exercise regimens or physical examination? | YES NO |
| 4 | The administration of any form of drug, medicine (other than in the course of standard medical procedure) or placebo? | YES NO |
| 5 | Physical pain, beyond mild discomfort? | YES NO |
| 6 | Obtaining and storage of blood, body fluid or tissue samples from the participants? | YES NO |
| 7 | The participation of minors (under 18 years), other than in the observation of normal school activity? | YES NO |
| 8 | Participants who are in a dependent situation, such as students or residents of an institution (such as a hospital, nursing home or prison or patients highly dependent on medical care), other than those who are being observed in their normal environment where such observation is considered innocuous? | YES NO |
| 9 | Participants who may be unable to give or incapable of giving informed consent? | YES NO |
| 10 | The participation of Aboriginal or Torres Strait Islanders, or other peoples from identifiable cultural, ethnic or minority groups? | YES NO |
| 11 | Acquisition of data about organisations or individuals through any form of database and in which those organisations or individuals are directly or indirectly identifiable? | YES NO |
| 12 | Use of questionnaire or interviews which may be linked either directly (eg through recording of names) or indirectly (eg through a cross-linked code) to the individual? | YES NO |
| 13 | Use of questionnaire, interview, or procedure irrespective of the recording of the individual's identity, which might be reasonably expected to cause discomfort, embarrassment, or psychological or spiritual harm to the participants? | YES NO |
| 14 | Processes that potentially exclude and/or disadvantage a person or group, such as the collection of information which may expose the person/group to discrimination or misrepresentation? | YES NO |
| 15 | Collection or disclosure of personal information by a Commonwealth, State or Territory agency that might involve a breach of an Information Privacy Principle (as defined by the Commonwealth Privacy Act 1988 and the Australian Standard)? | YES NO |
| 16 | Collection or disclosure of personal information by a private sector organisation [that might involve a breach of a National Privacy Principle (as defined by the Commonwealth Privacy Act 1988)]? | YES NO |
| 17 | Payments or inducements, other than reasonable recompense, to participants for their participation? | YES NO |
| 18 | Deception of the participants including concealment and covert observation? | YES NO |
| 19 | Disclosure of the response outside the research which could place the participants at risk of criminal prosecution or civil liability or be damaging to their financial standing, employability, professional or personal relationships? | YES NO |
| 20 | Any other ethical issue of the study which has not been addressed in this Checklist? | YES NO |