Academic Writings

Ethics Consideration Form

From: (Name)
Name & ITS lecturer grade.
Telephone:	Tel No.
Email:	Email No.
Application Date:	Date.
Research Title:
Title.

Please give a brief summary of the purpose of the research in non-technical language.
Click here to enter text.

Research Ethics and Data Protection Self-Assessment

Please consider your research proposal very carefully and check which sections are relevant in your case.

Answer all questions within each section that is relevant to your research (Tick with an X).

Section A	To be completed by those collecting primary data from human participants
Section B	To be completed by those collecting secondary data
Section C	To be completed by all researchers
NOTE: Primary data collection: Gathering information/data directly for your research, example through measurement, observation and interviews. Secondary data collection: Using data already published or collected by somebody else.

Section A : To be completed by those collecting primary data from human participants

Yes/Unsure	No
A1	Will your participants be harmed in any way?	☐	☐
A2	Are any of your research participants children, persons in institutions, persons with disability, victims of crime or abuse, substance abusers, or economically or educationally disadvantaged persons?	☐	☐
A3	Are the participants in your research identifiable in some way? Choosing “No” means that all the data from your research is anonymous or will be anonymised and that there is little risk that the data can be identifiable or linked to any of the participants.	☐	☐
A4	Do you plan to collect personal data which reveals race or ethnic origin, political opinions, religious or philosophical beliefs, membership of a trade union, health, sex life, sexual orientation, genetic data, or biometric data for the purpose of uniquely identifying a natural person?	☐	☐
A5	Do you plan to employ deliberate deception (actively providing false or misleading information or passively withholding information with the intention of misleading subjects about the research)? Note: Incomplete disclosure (providing general but accurate information to participants in order to avoid the potential for biased results) DOES NOT constitute deliberate deception in terms of this question.	☐	☐
A6	Do you need permission from a cooperating institution(s), school, hospital, organization, prison, or other relevant organization or another ethics committee?	☐	☐

Section B : To be completed by those collecting secondary data

Yes/Unsure	No
B1	Has the secondary data you are going to use been published?	☐	☐
B2	Do you have the written permission from the owner of the data allowing you to use the data for your research?	☐	☐
B3	Has the data you are going to use been collected from human participants?	☐	☐
B4	Have you obtained a copy of the consent form signed by the participants where secondary use, communication and subsequent sharing of data collected is expressly provided for?	☐	☐

Section C : To be completed by all researchers

Yes/Unsure	No
C1	Is there significant foreseeable risk that your research can cause physical or psychological harm to people or harm to the environment or be misused by terrorists or military organisations?	☐	☐
C2	Is there any conflict of interest - financial or non-financial - that could benefit you or a relative or friend or business associate?	☐	☐
C3	Is there significant foreseeable risk to you as the principal investigator?	☐	☐
C4	Is there any aspect of the proposed research which might bring the ITS into disrepute?	☐	☐

Principal Investigator REC approval Signature Signature Name: REC Chair/member: Date: Date: