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Department of Health
SINGLE JOINT RESEARCH ETHICS BOARD
SJREB FORM 6
CHECKLIST FOR EXEMPTION FROM FULL ETHICAL REVIEW
FORM
To be filled up by primary reviewer
Protocol Title:
Coordinating
Investigator:
A. Protocol Assessment
Questions Comment/s:
1. Does this research involve human
participants?
Yes No
2. Does this research involve use of non-
identifiable human tissue/ biological
samples?
Yes No
3. Does this research involve use of non-
identifiable publicly available data?
Yes No
*Protocols that neither involve human participants, nor identifiable human tissue, biological samples
and data shall be exempted from review (NEGHHR 2017)
4. Does this research involve interaction
with human participants
Yes No
5. Type of research (please tick appropriate box)
B. Risk Assessment
Questions Comment/s
1. Does this research involve the following: (please check all that applies)
C. RECOMMENDATION
Summary of
comments:
Signature: