1 The applicatin must be submitted t nagh.shannn@med.lu.se n later than 2 weeks befre yu plan t start yur prject! 1 Applicant Name*: Email: Persnal cde number: Phne: By checking this bx I verify that I have read the curse syllabus and the curse descriptin bth fund n the hmepage and understand the imprtance f cllecting the prject plans and reprts in a prtfli and carefully keep a labratry lgbk. 2 Supervisr Name*: Department: Hämtställe: Address: Email: Zip cde: City: Phne: * with these wrds I accept the assignment t supervise the prject. 3 Prject descriptin 4.1 Prject title: 4.2 I will start the prject (yymmdd) With a rate f study (100%, 50% r 25%) 4.3 The ethical cmmittee has apprved the prject r applicatin is filed: Yes: Nt needed: Specify taken under Ethical cnsideratins and health hazards in the research plan. 4.4 Des the prject invlve wrk with special health hazards (bihazards class 2 r higher, radiactivity etc) N: Yes: If yes, specify the risks fr the student and prtective measures taken under Ethical cnsideratins and health hazards in the research plan. 4.5 The supervisr is aware f and will sign and send in the dcument OCCUPATIONAL HEALTH AND SAFETY RESPONSIBILITY FOR STUDENTS (see page 3-6)
2 6 Research plan Shuld cntain hypthesis, backgrund, experimental design, methds, significance, ethical cnsideratins, and a time schedule. The ttal length shuld nt exceed 2 A4 pages. Hypthesis Backgrund Experimental design Methds Significance Ethical cnsideratins and health hazards Time schedule Abut 2 weeks shuld be reserved fr writing the reprt and prepare fr the ral presentatin
3 1 OCCUPATIONAL HEALTH AND Certificate SAFETY RESPONSIBILITY FOR STUDENTS I hereby cnfirm, Research team leader/researcher fr the grup at the Dept. f that I have gne thrugh the fllwing fr the student wh will perfrm a prject wrk in ur research grup during this time perid - : - Intrductin t the wrk accrding t the checklist as if the student were a new emplyee at ur department. The checklist has been signed by the student and is filed in the HMS binder, - a risk assessment has been dne (if it des nt already exist) fr the wrk that the student will perfrm, - the student is prvided with the necessary persnal prtective equipment in the frm f e.g. a lab cat and safety glasses, - the student has been ffered the required s which I will pay fr, - accidents/incidents are reprted accrding t LU rutine, - the checklist Checklist fr students wrking in research grups is cmpleted and attached. Place: Date: Signature: Email: Phne: Sign this page and send it tgether with the cmpleted Checklist fr students wrking in research grups t: the curse crdinatr Onagh Shannn, BMC B14, HS66.
4 Checklist fr students wrking in research grups Student s: name: The supervisr s assurance YES NO The student has passed an intrductin prgram fr new emplyees accrding t the rutines f the research labratry and this has been dcumented and is filed in the HMS binder. Animal experiments are included in the prject If yes, has the student been ffered a general medical examinatin? The student has declined the ffer The student has accepted the ffer and the examinatin has been cmpleted : (yy-mm-dd) Wrk with bilgical agents (accrding t the requirements in AFS 2005: 1 Micrbilgical health and safety risks infectin, txin effects, hyper sensibility) is included in the prject - If there is risk f bld cntaminatin, is the student vaccinated against Hepatitis B? - If yes, has the student been ffered a general medical examinatin? The student has declined the ffer The student has accepted the ffer and the examinatin has been cmpleted : (yy-mm-dd) Nisy wrk, vibratin expsure, r expsure t artificial ptical radiatin (laser, etc are included in the prject. - If yes, has the student been ffered a general medical examinatin? The student has declined the ffer The student has accepted the ffer and the examinatin has been cmpleted : (yy-mm-dd) Wrk with thermsetting plastics, synthetic inrganic fibers, asbests, lead, cadmium, scuba diving r radilgical wrk are included in the prject. - If yes, has the student been ffered a general medical examinatin? Date f the cmpleted cntrl: (yy-mm-dd) The student s assurance: I have read, understd and I agree t abide the rules f wrk in the research grup Place Date Student s signature Name in blck letters
5 Occupatinal health and safety respnsibility fr students wrking in research grups Undertaking prject wrk/thesis wrk in research grups is cmparable t undertake the prfessinal educatin prgrammes VFU (verksamhetsförlagd utbildning). VFU nrmally takes place within Regin Skåne (r municipal services) and therefre there is a cperatin agreement, which shws that students in the VFU shuld be cnsidered as staff with regard t ccupatinal health and safety. Agreement is needed fr cllabratin with nn-lu rganizatins, but fr activities within the university there is a cllabratin liability withut a cntract. Students participating in research grups are subject t the same rules as emplyees. It is therefre incumbent n the Bard Chairman, wh hlds primary ccupatinal health and safety respnsibilities, that students are trained fr labratry wrk and intrduced t wrk in the lab by researchers as if the students were emplyees. The Bard Chairman has delegated certain ccupatinal health and safety respnsibilities t the prgramme directrs. These require the prgramme directr In cnjunctin with curse crdinatrs t: Ensure teachers and students cmply with all laws, regulatins and prcedures applicable t ccupatinal health and safety. Ensure students and prgramme management meet t review ccupatinal health and safety each semester. Ensure curse crdinatrs instruct students n hw equipment, facilities and ther infrastructure shuld be maintained and perated. Ensure any newly arising health and safety issues that may affect students (f any level), which curse crdinatrs are unable t reslve in accrdance with the actin plan fr ccupatinal health and safety, are reprted t the Bard Chairman. Ensure all accidents, incidents and deviatins are reprted. Ensure any ccupatinal health and safety matters unable t reslve at the prgramme directr level are referred t the Bard Chairman. Ensure ccupatinal health and safety cases are reprted each academic year in the prgramme financial statements. This means that prgramme directrs, in this case (with students in research grups) have a legal respnsibility t ensure curse crdinatrs fr thesis wrk instruct researchers with students perating in their labratries: Students and emplyees have an equivalent right t a safe wrking envirnment; Students must receive sufficient training n ccupatinal health and safety as part f their intrductin t labratry wrk t achieve these cnditins; and In case f any accident r incident, these must be reprted accrding t LU rutine and the curse crdinatr must als be cntacted. It shuld als be acknwledged that despite these precautins and the reductin f risk t health and safety, the pssibility f injury and accident may still remain due t the inherently dangerus nature f the activity. Accrdingly, fr each prject the curse crdinatr shall cnduct a risk assessment. Fr certain types f wrk, the student must underg medical examinatin. Fr ther types f wrk the student shall be ffered such an examinatin. Due t the current absence f agreement between the university and the health care prviders fr s fr students, the supervisr must ffer this thrugh the Occupatinal Health Services and pay fr it with department funding. The Bimedicine Prgramme des nt ffer any financial cmpensatin. Shuld this impede the implementatin f the prject then the prject cannt be implemented. The Bimedicine Prgramme will ffer the student vaccinatin if the wrk invlves risk fr Hepatitis B infectin (the student shuld cntact the educatinal administratr). Fr further infrmatin please see EMW website in health, envirnment and safety, HMS http://www.med.lu.se/expmed/m_emv/haelsa_milje_ch_saekerhet_hms
6 What I must d Befre the student begins the prject, i.e. in cnnectin with the student writing the prject plan, a risk assessment must be dne regarding all health and safety risks. There are special rules fr certain tasks. If animal experiments are invlved: If wrk with bilgical agents is invlved If wrk with bld cntaminatin is invlved If the prject invlves nisy wrk, vibratin expsure, r expsure t artificial ptical radiatin (laser etc.) Wrk with thermsetting plastics, synthetic inrganic fibers, asbests, lead, cadmium, quartz, scuba diving wrk, r radilgical wrk are included in the prject If the student accepts If the student accepts Is the student vaccinated against Hepatitis B? If the student accepts The research grup ensures that this has been ffered. this is nt pssible the student The research grup ensures that this has been ffered. this is nt pssible the student The student shall cntact the Educatinal Administratr fr the Bimedicine Prgramme regarding vaccinatin paid by the Prgramme. The research grup ensures that this has been ffered. this is nt pssible the student this is nt pssible the student The student is t be cnsidered as a new emplyee and intrduced as such. Checklists fr new emplyees shall be available at the wrk place and reviewed tgether with the student. Special rules nt cvered by a mre general checklist (chemicals, waste management, safety equipment, etc.) shall als be subject t the intrductin. If an accident ccurs The research grup reprts incidents/accidents accrding t the LU rules and regulatins The research grup infrms the curse crdinatr n the Bimedicine Prgramme The head f the research grup makes a ntificatin abut incident r wrk injury The Prgramme handles insurance claims.