Download FORM II

AUS RESEARCH FORM II
FIELD STUDIES INVOLVING
MANIPULATION OF ANIMAL SUBJECTS
TITLE OF PROJECT:
PLEASE CHECK ONE OF THE FOLLOWING:
_____
STUDY INVOLVES NO SIGNIFICANT PAIN OR DISTRESS TO ANIMALS.
(Greater than that experienced through administration of an anesthetic, analgesic or tranquilizer
by simple injection, or as experienced through mild electric shock. Significant distress would
cause a change in normal food and water uptake, movement, or other obvious behavioral
Characteristics.)
_____
STUDY INVOLVES THE USE OF APPROPRIATE ANESTHESIA, ANALGESIC OR TRANQUILIZER
TO AVOID PAIN OR DISTRESS.
_____
STUDY INVOLVES PAIN OR DISTRESS WITHOUT ADMINISTRATION OF APPROPRIATE
ANESTHETIC,
ANALGESIC OR TRANQUILIZER.
A. NARRATIVE DESCRIPTION OF THE STUDY
Briefly describe the study in lay language, but it must include the following:
1) The scientific purpose of the project.
2) Describe the role of animals in the project.
3) Describe procedures which may cause pain and/or distress to the animals and justify.
4) Describe the types of animals in the study (SIZE, HABITAT, BEHAVIOR, ETC.)
_____________
Revised 10/02
B. ANIMALS PROPOSED FOR THE STUDY
1) List the species and estimated number of animals to be used in the project.
Be sure to include animals required to train personnel in your total. Give
common and scientific names of the animals if applicable.
SPECIES
ESTIMATED NUMBER
a)
b)
c)
d)
2) JUSTIFICATION FOR NUMBER OF ANIMALS USED
This is a very important part of the Animal Use Statement. One objective of protocol review is to optimize the number of animals
used in research. The estimate of the total number of animals required for a project should be explained in sufficient detail that the
IACUC can understand how the number was obtained. If based on statistical analysis, you should indicate which tests were
employed, the power value assigned, the numbers of animals in the control and test groups, respectively, and the number of
replications proposed. In population censuses, statistical analysis may not be appropriate. If animals are collected through trapping,
you should identify and justify an upper number of animals of each type that will be collected. This can be based on your previous
experience, review of the pertinent literature, etc. If animals are batch collected, as in seining or mist netting, an upper number of
collection events (i.e., seining, netting the experimental sites) should be identified and justified. As above, personal experience,
literature review, etc. can serve as a basis for these estimates.
C. FIELD STUDY PROTOCOL
1) Are the animal subjects of this study captured in any way?
_____ yes
_____ no
2) If animals are captured, are they live trapped or killed?
_____
_____
Live Trapped (live traps include mist nets, gill nets, pitfalls, etc.)
Killed
3) Describe the trapping mechanism, including the mechanism by which kill traps
cause death.
4) If the animals are live trapped:
a) How often will the traps be checked?
b) Are trapped animals protected from predation?
_____ yes
_____ no
c) If they are not protected from predation, justify why not.
d) Will food be provided while the animals are confined in the traps?
_____ yes
_____ no
e) Will water be provided while the animals are confined in the traps?
_____ yes
_____ no
f) If food and/or water are not provided, justify why not.
g) Will shade be provided?
_____ yes
_____
no
h) If shade is not provided, explain why not.
5) Will the captured animals be euthanized rather than released?
_____ yes
_____
no
6) If yes, describe the method.
(NOTE: If the ability of animals to survive in the wild has been significantly
compromised by physical damage through taking tissue samples or by extended
holding in the laboratory environment, euthanasia may be a more humane
treatment than to release into the wild.)
7) If released, will they be marked for future identification?
_____ yes
_____
no
8) If they are marked for future identification, describe the marking procedure.
9) Will tissues, blood samples, etc. be taken from the animals?
_____ yes
_____
no
10) If tissues, blood, etc. are collected, describe the procedure.
11) Will captured animals be transported alive to the laboratory for study?
_____ yes
_____ no
(If yes, complete FORM III - Laboratory Study)