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(1) As an accredited institution for the scientific use of animals, the University of Newcastle (the (2) In New South Wales, animal use for (3) (4) The (5) The Animal Ethics Executive Committee is a sub-committee of the Animal Ethics Committee and functions in accordance with the Animal Ethics Executive Committee Terms of Reference. (6) This Procedure Manual establishes the operational framework for the University of Newcastle’s AEC and the Animal Ethics Executive Committee, in accordance with the Code. It ensures the committees operate effectively, comply with legislation and (7) This Manual applies to all activities involving the use of animals for scientific purposes conducted under the auspices of the (8) The Manual is intended for use by the AEC and (9) Researchers may refer to this Manual to understand how animal ethics applications are reviewed and decisions are made by the AEC. For day-to-day guidance on ethical conduct, competency, monitoring and reporting in relation to animal (10) In the context of this document, the following definitions apply: (11) Refer to the AEC Terms of Reference for AEC structure and decision making authority. (12) The AEC is responsible for considering ethics applications for new animal (13) For information relating to submission types and examples, refer to ResearchHub. (14) Ethics applications and reports must be completed to be considered by the AEC. Incomplete submissions will be returned to the (15) Items requiring full AEC consideration must be submitted by the published deadlines on ResearchHub. Late submissions will only be considered under exceptional circumstances, with written justification provided by the (16) Minor variations, urgent variations, requested reports and Registration of Animal Tissue Use are subject to rolling review by the Animal Ethics Executive Committee and are not bound by fixed submission deadlines. (17) All agenda materials including ethics applications, reports and supporting documents are distributed to AEC members one week prior to the meeting date. This ensures members have adequate time to review materials, seek clarification, and prepare for informed discussion and decision making. (18) The Animal Ethics Executive Committee will not be assigned new materials for review during the week between agenda distribution and the meeting. (19) The Chair may include additional or urgent business items in the agenda at their discretion. (20) Researchers must complete the relevant Initial Application form (available from Animal Ethics Resources page) and may consult with the following, as necessary, to assist with completion of the form: (21) All Initial Applications must: (22) Where the Head of School has a direct association with the proposed (23) Initial Applications and supporting documents must be submitted via email to AEC-Submissions@newcastle.edu.au. (24) All Initial Applications must undergo a structured pre-review process, involving three stages, prior to being listed on the AEC meeting agenda, as set out in Table 1. (25) The Administrative Pre-Review should be completed by the Animal Ethics Officer within 5 business days of receipt of the Initial Application. Applications that meet the required administrative and compliance checks must then proceed to Veterinary Pre-Review. (26) The Veterinary Pre-Review should be completed by the Animal Welfare Officer within 5 business days of completion of the Administrative Pre-Review. Feedback from the Veterinary Pre-Review is compiled by the Animal Ethics Officer and provided to the (27) Following receipt of the (28) Following completion of Ethics Preâ€'Review, the Initial Application may be listed on the agenda for consideration at the next available AEC meeting. Applications are not required to have all ethical matters resolved prior to full AEC consideration. The final determination of whether ethical concerns are adequately addressed rests solely with the AEC. (29) Researchers must respond to all feedback requests from pre-reviewers within 3 months. The Animal Ethics Officer will issue reminders at 1 and 2 months. If no response is received within 3 months, the application will be considered withdrawn and a new Initial Application must be submitted. (30) Researchers must obtain AEC approval for any proposed changes to an animal (31) Variations are classified as minor, major or urgent. Examples of each are provided on ResearchHub. (32) A minor variation is a proposed change that: (33) An urgent minor variation is a time-critical minor variation required to address an immediate and unanticipated issue that, if not acted upon promptly, may adversely affect animal welfare, (34) A major variation is a proposed change that: (35) An Urgent Major Variation is a timeâ€'critical major variation required to address an immediate and unanticipated (36) Variation applications must be submitted via RIMS, and include: (37) On receipt of a variation application, the Animal Ethics Officer is responsible for completing an Administrative Pre-Review as per Table 1. (38) Where the nominated variation level (i.e. minor, major, urgent) is considered inappropriate, the Animal Ethics Officer must inform the Manager - Animal Ethics who must then contact the relevant research team to seek revision or re-classification. (39) Researchers must respond to feedback from Administrative Pre-Review or the AEC, within 3 months. The Animal Ethics Officer will issue reminders at 1 and 2 months. If no response is received within 3 months, the variation application will be considered withdrawn. (40) Once the Administrative Pre-Review has been completed by the Animal Ethics Officer, the application must be assigned to two AEC members for Ethics Pre-Review as per the process for Initial Applications. (41) Prior to assignment to Ethics Pre-Review, the AWO must be consulted by the Animal Ethics Officer for Veterinary Pre-Review where an application involves changes to animal protocols, monitoring, or welfare impacts that require veterinary input. (42) Minor variations must be reviewed by the Animal Ethics Executive Committee via an expedited pathway with recommendations made to the Animal Ethics Executive Committee Chair for determining the outcome of the minor variation application. (43) The Animal Ethics Executive Committee should make recommendations to the Animal Ethics Executive Committee Chair within 5 business days of receiving the variation. (44) In reviewing a minor variation, the Animal Ethics Executive Committee may seek advice from the AWO or other appropriate experts where such advice would assist in assessing potential animal welfare impacts or procedural implications. Consultation does not, of itself, determine whether a variation is minor or major. (45) Where the Animal Ethics Executive Committee requires additional information or clarification all requests must be communicated to the Research team via the Animal Ethics Officer. (46) The Animal Ethics Executive Committee may either approve or reject the minor variation application. (47) Approved minor variations must be reported to, and ratified at, the next meeting of the full AEC. (48) Where following review and any consultation, the Animal Ethics Executive Committee determines that a minor variation application should instead be treated as a major variation, the Animal Ethics Executive Committee may withdraw the minor variation and either: (49) Note: reclassification from minor variation to a new Initial Application should be rare, as such misclassifications should be identified during the Animal Ethics Office Administrative Pre-Review stage prior to Animal Ethics Executive Committee consideration. (50) Urgent minor variations may be reviewed and determined by the Animal Ethics Executive Committee via an expedited process. (51) Upon receipt of an Urgent Minor Variation submission, the Manager - Animal Ethics must conduct an expedited compliance and classification review to confirm that: (52) Where confirmed as an urgent minor variation by the Manager - Animal Ethics, the Animal Ethics Executive Committee will review the application as soon as practicable, aiming to provide a decision within hours of receipt. (53) The Animal Ethics Executive Committee may seek advice from the Animal Welfare Officer or other appropriate experts where such advice would assist in assessing animal welfare implications. Consultation does not alter the classification of the variation. (54) The Animal Ethics Executive Committee may either approve or reject the urgent minor variation application. (55) Approved urgent minor variations take effect immediately upon notification of the outcome to the (56) All decisions made under the urgent minor variation pathway must be documented and reported to the next AEC meeting for noting and ratification. (57) Where during expedited review the Animal Ethics Executive Committee determines that an application submitted as an urgent minor variation instead meets the definition of a urgent major variation, the Animal Ethics Executive Committee must not determine the outcome of the application and must initiate the emergency AEC determination process in accordance with Clauses 61-67. (58) Urgent Variations that meet the definition of a major variation and require immediate consideration to protect animal welfare or safety must be determined by the AEC through an emergency or outâ€'ofâ€'session process. (59) Upon receipt of an Urgent Major Variation application, the Manager - Animal Ethics must conduct an expedited compliance and classification review to confirm that: (60) Where urgent consideration is warranted, the AEC Chair (or Deputy Chair) may convene an emergency AEC meeting or initiate an outâ€'ofâ€'session determination, provided that: (61) Emergency AEC meetings may be conducted by electronic or virtual means and may occur outside the scheduled AEC meeting cycle. (62) For outâ€'ofâ€'session determinations, all eligible AEC members must be provided with the application materials and a defined timeframe for response. Decisions are valid where quorum is met and the determination is agreed by the AEC acting collectively. (63) The Animal Ethics Executive Committee may coordinate urgent circulation, collate expert advice (including veterinary input from the AWO), and support the emergency decisionâ€'making process but is not authorised to make final determinations for major variations. (64) Decisions made through emergency or outâ€'ofâ€'session processes must be formally recorded and ratified at the next scheduled meeting of the AEC. (65) A Registration of Animal Tissue Use (Registration) is required when animal tissues or samples are sourced from external sources (including abattoirs, veterinary clinics, farms, government agencies, or other (66) Where the tissues or samples are pre-collected and their use raises no animal welfare, ethical or governance concerns, the Registration will be reviewed by the Animal Ethics Executive Committee under an expedited review process and a recommendation made to the AEC Executive Committee Chair for determination. (67) The Registration cannot be determined by the Animal Ethics Executive Committee Chair, and must be referred to the AEC for consideration where review of a Registration identifies that: (68) Annual progress reports must be submitted via RIMS on the anniversary of the project ethics approval. These reports are required to maintain ethics approval and ensure ongoing oversight of animal use. (69) For wildlife and livestock (70) Where standardised dates apply, the first progress report is due on the assigned date, not the actual approval anniversary. Subsequent reports follow the standardised annual cycle. (71) Progress reports must be submitted in time for consideration at the AEC meeting immediately prior to the project anniversary/expiry date. For example, projects expiring in February must have progress reports submitted for consideration at the January AEC meeting. This ensures adequate time for the full review process, including AEC feedback and research team response, prior to project expiry. (72) Progress reports for teaching projects must include a (73) For field-based wildlife (74) Following submission of a progress report the Animal Ethics Officer must conduct an Administrative Pre-Review in accordance with Table 1. (75) Progress reports that meet the above requirements will be listed on the meeting agenda for AEC consideration. (76) Where a progress report is not finalised by the anniversary date the ethics approval will automatically expire. The Animal Ethics Officer will notify the (77) Where information contained in a progress report indicates a potential deviation from the approval, any AEC conditions, or (78) Final reports must be submitted via RIMS within 2 months of project completion, discontinuation, or replacement by a new animal ethics approval. (79) Upon receipt of a final report, the Animal Ethics Officer must conduct an Administrative Pre-Review in accordance with Table 1. (80) Following completion of the Administrative Pre-Review, final reports will be listed on the AEC meeting agenda for consideration. Ethics Pre-Reviewers are not assigned, instead, all AEC members must review the reports as part of their meeting preparation. (81) Final reports are reviewed by the AEC to assess project outcomes and confirm that animal use was conducted in accordance with the ethical approval. (82) Information from final reports is used to support the AEC Annual Report and legislative reporting requirements. (83) Where information contained in a final report identifies or reasonably suggests that animal (84) Requirements for the identification, management, and reporting of Unexpected Adverse Events are set out in the Animal Research Regulatory Manual. (85) Upon receipt of an Unexpected Adverse Event Report, an initial review must be undertaken by the AEC Chair, the AWO and the Manager - Animal Ethics to assess: (86) Where an event has, or is likely to have, a significant or ongoing impact on animal welfare the report must be circulated to the Animal Ethics Executive Committee for immediate out of session consideration. (87) Reports of unexpected adverse events with no significant or ongoing impact to animal welfare will be reviewed at the next ordinary meeting, unless an urgent request for review or modification is made by the (88) Any request for out-of-session AEC consideration arising from an unexpected adverse event will be managed in accordance with the procedure for handling urgent variations where applicable. (89) Requested reports are reports specifically required by the AEC as a condition of ethics approval or ongoing oversight. These may include, but are not limited to, pilot studies, interim milestone reports, breeding reports, and other conditional reports specified by the AEC. (90) All requested reports must be submitted via RIMS. (91) Upon receipt of a requested report, the Animal Ethics Officer will conduct a Administrative Pre-Review in accordance with Table 1 to confirm: (92) Following the Administrative Pre-Review, the Animal Ethics Officer will forward the report to the Animal Ethics Executive Committee for review. The Animal Ethics Executive Committee will determine whether: (93) The outcome determined by the Animal Ethics Executive Committee Chair must be communicated to the (94) Where the AEC Executive Committee Chair determines that the requested report requirements have been satisfied and the project or activity may proceed, the decision must be ratified at the next full AEC meeting. (95) Where concerns are identified that require further information, modification, or additional conditions, the matter must be referred to the AEC, and the research team must be notified of this referral via the Animal Ethics Officer. (96) The routine meeting dates for the calendar year are published on the ResearchHub. (97) The AEC may also hold additional meetings, if required, at times agreed by the members. (98) During review of submissions, the AEC assess whether any proposed or continued use of animals in a project is ethically justified by weighing: (99) When considering ethics approval for the re-use of animals, the AEC considers: (100) Researchers may attend AEC meetings to discuss their application and respond to questions. Attendance is arranged via the application form or by contacting the Animal Ethics Officer. (101) Discussion of each application is led by the assigned Ethics Pre-Reviewers, or by the Animal Ethics Executive Committee if a minor variation has been referred to the AEC. (102) All members are expected to read agenda materials in full and participate actively in discussion and decision-making. The Ethics Pre-Review process does not replace the responsibility of all members to consider each item thoroughly. (103) AEC decisions must be made in accordance with relevant legislative requirements, with particular reference to the principles outlined in the Code Clause 1.1, and where subject to a delegation of authority, the Delegation of Authority Framework. The decision-making process proceeds as follows: (104) Decision by the AEC in relation to applications to commence, vary, or renew a project or activity must be categorised in accordance with Table 2. (105) All AEC decisions must be clearly documented, including the decision outcome, any conditions imposed, and associated requirements and timelines for implementation. (106) The Animal Ethics Office is responsible for ensuring all Researchers named on the application are notified in writing of AEC decisions within 7 business days. (107) Specified conditions are categorised as either pre-commencement or ongoing, as outlined in Table 3. (108) The ethics approval notification and ARA will specify: (109) Where pre-commencement conditions apply, a new ARA without conditions will be issued once those conditions have been met. (110) All conditions imposed by the AEC must be recorded in the Outstanding Items Register. The Animal Ethics Officer is responsible for: (111) The Outstanding Items Register is reviewed by the AEC at each meeting. Researchers are expected to respond promptly to enquiries and provide updates on progress, recognising that some conditions may require extended timeframes to fulfil due to experimental or project specific requirements. (112) The research team is responsible for complying with all specified conditions of approval. Failure to comply may result in suspension or withdrawal of ethical approval. Commencement of the activity constitutes acceptance of all specified conditions by the (113) Where pilot studies are imposed as a condition of approval, the AEC will specify the requirements for the pilot phase. Ethical approval for the entire project or activity must be contingent on the review of pilot outcomes and any required amendments. (114) The Animal Ethics Office is responsible for communicating any deferral decision with feedback outlining: (115) Deferred applications may be resubmitted when the (116) Resubmitted applications must undergo an Administrative Pre-Review (Table 1) before being listed on an agenda for AEC consideration. (117) The AEC review should focus on whether the specific issues causing the prior deferral have been satisfactorily addressed, and whether any modifications create new concerns. (118) Responses to deferrals should be received within two AEC meeting cycles. Where a (119) For progress reports, final reports, and inspection reports: Researchers must respond within two AEC meeting cycles. Withdrawal is not permitted due to regulatory and welfare obligations. These matters will be considered as a potential breach of Clause 2.4.34 of the Code and must be managed under the AEC Non-Compliance Management Procedure (Section 9). (120) If a response has not been received within the specified time, the following reminders will be issued by the Animal Ethics Office: (121) For all other application types, failure to respond by the final deadline will result in the application being considered abandoned and a new application process must be commenced. (122) An applications will not be approved where the AEC determines it cannot be ethically justified, either due to fundamental ethical concerns that cannot resolved or because the proposed activity or project does not meet acceptable animal welfare standards. (123) Reasons for non-approval include but are not limited to: (124) The Animal Ethics Office is responsible for communicating the non-approval decision with detailed rationale explaining the following: (125) Non-approval constitutes the final decision for the submitted application. Researchers may submit a new Initial Application addressing the fundamental concerns. This constitutes a new submission, not a resubmission. (126) New applications must demonstrate substantial changes to address the ethical concerns that led to the original non-approval. (127) When reviewing final reports the AEC may determine an outcome of: (128) When reviewing Unexpected Adverse Event Reports, the AEC will consider the (129) Following consideration of an Unexpected Adverse Event Report, the AEC will determine one of the following outcomes in relation to the status of the report: (130) The AEC will determine one of the following outcomes in relation to the continuation or cessation of the approved project or activity in which the unexpected adverse event occurred: (131) Events are recorded in the Unexpected Adverse Events Register which is maintained by the Animal Ethics Office. (132) All decisions of the AEC are minuted by the Animal Ethics Officer. Minutes must include the decision made, dissenting views, and the main points of discussion. (133) Feedback to the (134) The AEC may identify other issues that, while outside their area of responsibility, are required to be considered by the (135) The Animal Ethics Officer must circulate the draft minutes of each AEC meeting to AEC members with the agenda papers for the subsequent meeting. Any comments or proposed corrections may be tabled for consideration and endorsement at that meeting. (136) Where follow-up action is required as part of an AEC decision, the proposed action must be listed in the Outstanding Items Register by the Animal Ethics Officer for consideration as business arising. (137) The Animal Ethics Officer must circulate the Outstanding Items Register with the agenda for each meeting. (138) Where satisfied that a project or activity is ethically justified, the AEC may grant ethical approval and make a recommendation that an Animal Research Authority (ARA) be issued. (139) In accordance with Section 25 of the NSW Animal Research Act, an ARA may be issued only by the University as an accredited research establishment, and only on the recommendation of its AEC. (140) Ethical approval granted by the AEC is a necessary precondition for the issuing of an ARA but does not, of itself, authorise the commencement of animal (141) The authority to issue an ARA is exercised by the (142) An ARA may be issued for a maximum period of 12 months. Where an approved project or activity is expected to extend beyond this period, the (143) Where an AEC ethical approval expires, is suspended, or is withdrawn, any associated ARA is no longer valid, and all animal (144) If a Chief Investigator wishes to appeal a decision of the AEC, a written request must be lodged with the Animal Ethics Officer for consideration within 14 (145) An appeal of an AEC decision may be lodged only on one or more of the following grounds: (146) Appeals cannot be lodged solely on the basis of disagreement with the AEC’s ethical judgment or weighing of harm and benefit. (147) An appeal does not constitute a re-submission or new ethics review and must be confined to the grounds outlined above. (148) The written appeal must include: (149) Appeals will be considered at the next scheduled AEC meeting following receipt of the written appeal. The Chief Investigator and/or Lead Animal Investigator must attend the meeting to present their case and respond to questions. Failure to attend will result in the appeal being withdrawn. (150) The Chief Investigator and/or Lead Animal Investigator will not be present during the AEC’s deliberations or decision-making on the appeal. (151) In considering an appeal, the AEC will review: (152) Following consideration, the AEC may: (153) The Chief Investigator will be notified accordingly in writing of the appeal outcome, providing transparency in relation to how the determination was made. (154) The AEC’s decision on the appeal is final and there is no further avenue of appeal within the (155) The AEC must conduct routine inspections of all licensed animal research premises at least annually in accordance with the Animal Research Review Panel guidelines. Routine inspections may be either scheduled or non-scheduled (unannounced). (156) The Animal Ethics Officer will release the annual inspection schedule at the first AEC meeting of each calendar year, accompanied by a call for member participation. (157) Each routine inspection should be conducted by an Inspection Team, usually comprised of: (158) Routine inspections must assess: (159) Following a routine inspection, the Inspection Team must prepare a formal inspection report for submission to the next available full AEC meeting. The report must include: (160) The AEC must consider and discuss the inspection report and its findings at the meeting at which it is tabled. Any required actions arising from the inspection must be determined by the AEC and communicated to the relevant (161) (162) Failure to meet the response deadline will constitute a potential breach of Clause 2.4.34 of the Code and will be managed in accordance with the AEC Non-Compliance Management Procedure (Section 9). (163) Where inspection findings raise immediate or serious concerns for animal welfare, human safety, or regulatory compliance, the AEC Chair in consultation with the AWO and the Animal Ethics Executive Committee may direct the immediate suspension or restriction of animal (164) Adhoc inspections are distinct from routine inspections in that they are initiated in response to specific concerns or emerging (165) In accordance with ARRP Policy, adhoc inspections may be initiated in response to: (166) The following parties may initiate an adhoc inspection: (167) At a minimum, adhoc inspections must be conducted by the AWO. Attendance by the AEC Chair or other AEC members may be considered necessary based on the nature of the inspection or issues being assessed. Final Inspection Team composition will be determined by the party initiating the inspection according to the specific circumstances and expertise required. (168) Adhoc inspections should be unannounced to ensure authentic assessment of day-to-day operations. However, where specific animal protocols need to be observed, inspections must be arranged with the (169) Urgent inspections may be conducted immediately without prior notification where animal welfare concerns require immediate assessment. (170) The following requirements of the Code (Clauses 2.1.5.4 and 2.5.6) should be adhered to during an adhoc inspection: (171) Where authority for emergency interventions has been enacted: (172) The AWO is responsible for ensuring that all adhoc inspections and any emergency interventions are comprehensively documented including: (173) Documentation must be provided to the Animal Ethics Office for inclusion in the official AEC records and reporting. (174) Non-compliance means any failure to comply with: (175) Potential non-compliance may be identified through various means, including but not limited to: (176) All potential instances of non-compliance must be directed to the Animal Ethics Office via animal-ethics@newcastle.edu.au. (177) Matters involving urgent animal welfare concerns must be communicated immediately to: (178) The person reporting the concern must submit a formal report containing all relevant information to the Animal Ethics Office following any immediate intervention, regardless of who conducted the intervention. The report must be provided in writing (e.g. by email or institutional reporting forms via the ServiceNow portal). (179) In instances where the person making the report wishes to remain anonymous, complaints can be made to the Research Ethics and Integrity Unit via the ServiceNow portal. After initial review the Research Ethics and Integrity Unit it will be determined if the matter is referred to the AEC or managed under the (180) Initial assessment of reported non-compliance by the Manager - Animal Ethics should commence as soon as practicable and ordinarily within five business days of receipt, noting that urgent animal welfare matters must be addressed immediately. (181) Matters of non-compliance must be graded in accordance with Table 4. (182) Detailed grading criteria and examples are available in the Non-Compliance Grading Reference Table on ResearchHub. (183) For the purposes of this procedure, a non-compliance event becomes a potential (184) The Chief Investigator, Lead Animal Investigator, and any Researcher directly involved in the potential non-compliance must be notified by the Manager - Animal Ethics of the management pathway. (185) Where appropriate and not in breach of confidentiality provisions, the Manager - Animal Ethics may inform the complainant of the proposed management pathway. (186) At any stage of the initial assessment of the non-compliance and management process in this document, the AEC Chair may decide to take immediate action in order to ensure animal welfare or prevent a recurrence of the non-compliance. (187) This action may include ordering emergency treatment, relocation of animals, or the emergency euthanasia of animals if deemed essential for animal welfare. (188) Actions taken by the AEC Chair may precede a response to the complainant or the alleged person/s involved, if deemed urgent. (189) Communication of required actions will be provided to all relevant parties as soon as practicable by the Manager - Animal Ethics. (190) If there is ongoing potential for adverse effects on animal welfare, the AEC or AEC Chair may suspend the ethical approval of the project by issuing an instruction to the project’s Chief Investigator to immediately cease all activities involving animals in the project (other than ongoing maintenance of the animals). (191) Suspension notices will be automatically copied to Associate Dean (Research) for the (192) Routine care of animals may be assigned to BioResearch Facilities technicians if required during assessment of non-compliance by the AEC. This must be overseen by the AWO and/or Operations Manager, BioResearch Facilities as necessary. (193) Where potential non-compliance is reported directly to the Animal Ethics Office or identified by the AWO, an initial assessment must be conducted by the Manager - Animal Ethics. (194) This initial assessment process applies to potential non-compliance related to animal (195) Upon receipt of a direct report of potential non-compliance, the Manager - Animal Ethics will: (196) The initial assessment by the Manager - Animal Ethics will entail: (197) Where the non-compliance relates to an activity that may affect an animal’s welfare or present a breach to legislation, the report will be forwarded to the Animal Ethics Executive Committee for review. (198) The Animal Ethics Executive Committee will take immediate corrective action to ensure animal wellbeing is not compromised. This may include: (199) Following any immediate corrective actions, the Animal Ethics Executive Committee must grade the potential non-compliance using the categories identified in Table 4. (200) Matters graded as ‘Moderate’ with realised impact on animal welfare, or ‘serious’ must be referred to the Research Ethics and Integrity Unit under the Research Breach Investigation Procedure. (201) Matters graded as ‘minor’ or ‘moderate’ with no realised impact on animal welfare must be placed on the next AEC meeting agenda for consideration and final determination of outcomes. (202) Where the initial assessment determines that the reported activities were compliant with the ethics approval and institutional requirements, the matter will be: (203) Where potential non-compliance is identified during AEC business (including through Unexpected Adverse Event Reports, progress reports, applications, or inspections), the matter must be graded by the AEC and managed in accordance with Table 4. (204) Matters graded as ‘Moderate’ with realised impact on animal welfare, and all matters graded as ‘Serious’, must be referred to the Research Ethics and Integrity Unit for management under the Research Breach Investigation Procedure. Immediate actions to ensure animal welfare may be taken prior to or concurrent with referral. (205) Where the non-compliance is determined to be Administrative/Technical (procedural compliance issues with no animal welfare impact), the Manager - Animal Ethics must: (206) Where the non-compliance does not relate to an activity that may affect animal welfare or present a breach to legislation, policy or procedure, but is not Administrative/Technical in nature, the report will be tabled for grading at the subsequent AEC meeting. (208) Formal outcomes of the discussion will be issued by the AEC to relevant parties via the Animal Ethics Office; (209) The Manager - Animal Ethics will be responsible for: (210) All responses and evidence will be tabled for discussion at the next available AEC meeting for determination of outcomes. (211) The Chief Investigator and/or Lead Animal Investigator (or nominee) may be invited to attend the meeting to: (212) The Chief Investigator and/or Lead Animal Investigator must not be present during deliberations to inform the AEC’s final decision. (213) Outcomes from the AEC may include the following measures directed to the (214) The Animal Ethics Officer is responsible for communicating outcomes to relevant parties, including: (215) The Animal Ethics Officer must add the following items to the Compliance Register to ensure appropriate follow-up:Animal Ethics Committee Procedure Manual
Section 1 - Introduction
Section 2 - Purpose
Section 3 - Scope and Audience
Section 4 - Definitions
Top of PageSection 5 - AEC Structure and Decision Making
Section 6 - Ethics Application Submission and Pre-Review Process
Types of Submissions
Submission and Distribution Requirements
Initial Ethics Approval Application Process (Initial Application)
Table 1: Pre-Review Stages and Focus Areas
Stage
Conducted By
Focus Areas
Administrative Pre-Review
Animal Ethics Officer
Form version, completeness, personnel, training, funding, approvals, attachments.
Veterinary Pre-Review
Animal Welfare Officer (AWO)
Drugs, dosage, euthanasia, monitoring, welfare impact, logistics.
Ethics Pre-Review
Two AEC members (A/B and C/D) and the AEC Chair
Ethical justification, 3Rs, species, design, monitoring.
Variations to Existing Projects
Minor Variations
Major Variations
Variation Submissions
Major Variation Process
Minor Variation Process
Urgent Minor Variation Process
Urgent Major Variation Process
External Tissue Use Registration Process
Progress Report Process
Final Reports – Reporting and Review Process
Unexpected Adverse Events – Reporting and Review Process
Requested Report Process
Section 7 - Committee Review, Decision Making and Implementation
Meeting Schedules and Procedures
Submission Review Process at Meetings
Decision Making Process
Decision Types and Implementation
Table 2 – AEC Ethics Application Decision Types and Implementation
Decision Type
Definition
Implementation
Ethics approval is granted.
The application is granted full ethics approval.
The AEC recommends an Animal Research Authority(ARA) to be issued to allow commencement of the project or activity.
Ethics approval is granted, subject to specified conditions (see Clause x).
Ethics approval subject to pre-commencement or ongoing conditions.
The AEC recommends an ARA be issued to allow commencement of the project or activity, subject to conditions detailed in the approval letter. The completion of conditions are tracked by the Animal Ethics Officer via an Outstanding Items Register.
Ethics approval is pending completion of minor modifications (administrative).
Clerical or administrative issues.
Researchers must revise their application. Upon confirmation by the Animal Ethics Officer that the administrative corrections requested by AEC have been addressed, the ethics approval notification and ARA recommendation will be issued.
Ethics approval pending completion of minor modifications (ethical).
Minor ethical issues raised by AEC requiring satisfactory resolution.
Where the AEC has identified minor ethical concerns, completion of the required modifications will be reviewed by the assigned Ethics Pre-Reviewers or the Animal Ethics Executive Committee, as appropriate, to verify that the concerns have been satisfactorily addressed in accordance with the AEC’s decision. Final ethics approval and the ARA recommendation will then be issued.
Application is Deferred – Major modifications.
Significant ethical issues that require full AEC review and the provision of additional information before a decision can be determined.
The
Not approved.
The application cannot be ethically approved.
The
Referred for non-compliance review.
Potential breach of the Code or protocol.
Managed under Section 9.
Table 3 – Specified Conditions Associated with Ethics Approval
Condition Type
Requirements
Examples
Pre Commencement Conditions
Must be fulfilled before the project or activity may commence and be reported to the AEC for approval prior to commencement. These reports are reviewed by the Animal Ethics Executive Committee as outlined in Section 5.
- Completion of pilot studies and submission of reports.
- Observation of initial animal protocols by the AWO or an AEC subcommittee.
- Site inspections or facility modifications.
- Additional training requirements for personnel.
Ongoing Conditions
Become part of the ethics approval. Must be maintained throughout the project or activity period.
- Enhanced monitoring protocols or welfare assessments.
- Regular interim reporting at specified milestones.
- Modifications to experimental design, animal protocols, or timelines.
- Consultation with specialists or external advisors.
Deferred Applications
Applications Not Approved
Final Reports
Unexpected Adverse Event Reports
Recording of Decisions
Issuing of Animal Research Authorities (ARA)
Appealing Decisions of the AEC
Section 8 - Ongoing Oversight and Monitoring
Routine Inspections
Ad Hoc Inspections
Section 9 - Non Compliance Events Procedure
Identification and Reporting of Non-Compliance Events
General Framework
Table 4 AEC Non-Compliance Grading
Grade
Detail
Management Pathway
Administrative/technical
The matter is limited to procedural compliance issues.
Manager – Animal Ethics
Minor
Minor deviations from the ethics approval are evident, with no or minimal welfare im8plications.
AEC
Moderate
Notable deviations from the ethics approval are evident and represent minor welfare impacts and/or near-miss learning opportunities.
AEC -where no realised animal welfare impact.
Research Breach Investigation Procedure for moderate deviations with realised animal welfare impact.
Serious
Major deviations from the ethics approval are evident with significant welfare
Research Breach Investigation Procedure
Direct Reports of Potential Non-Compliance
AEC Identified Potential Non-Compliance
Management Pathways
Manager Animal Ethics Pathway
AEC Pathway