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Templates| IMPACCT Trials Coordination Centre

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Reference Number Template
1

Staff Signatures and Delegation Log (DOC, 90 KB)

2

Staff Meeting Log (DOC, 76 KB)

3a

INDIVIDUAL TRAINING RECORD  (DOC, 82 KB)

3b

GROUP TRAINING RECORD (DOC, 84KB)

4

Short CV (DOC, 86 KB)

5

Site Feasibility Checklist (DOC, 77KB)

6

Site Risk Assessment Toolkit (XLS, 865 KB)

7

Protocol Deviation and Violation Report Form (DOC, 91 kb)

9

File Notes (DOC, 89 KB)

10 

Data Management Plan (DOC, 408 KB)

11

ESSENTIAL Document Log (DOC, 72 KB)

12 

Patient Master Index (XLS, 31 KB)

13

Data Closure Form (DOC, 81 KB)

14

Adverse Event Form (XLS, 18 KB)

14a

Adverse Event Coding Sheet (DOC, 93 KB)

15

Corrective Action Sheet (XLS, 13 KB)

16 

Monitoring Log (DOC, 74 KB)

17

Randomisation Registration Notification (DOC, 89 KB)

18

Unblind Request Form (DOC, 91 KB)

19 

Unblind Report Notification (DOC, 84 KB)

20

Trial Master File Index (DOC, 95 KB)

21

Study Feasibility Checklist (DOC, 77 KB)

24

Dissemination Plan (DOC, 75 KB)

25

Data Requests Log (DOC, 71 KB)

27

Pilot Study Progress Plan (DOC, 82 KB)

29 

Study Closure Checklist (DOC, 85 KB)

29a

Study Closure Checklist (each site) (DOC, 85 KB)

29b

Study Closure Checklist (all sites) (DOC, 83 KB)

30

SOP Development Template (DOC, 92 KB)

31a

PaCCSC New Study Proposal (DOC, 180 KB)

31b

CST New Study Proposal (DOC, 202 KB)

32a

PaCCSC New Study Proposal Evaluation (DOC, 120 KB)

32b

 CST New Study Evaluation  (DOC, 141 KB)

33

Site Initiation Program - Existing sites (DOC, 97 KB)

34

Site Initiation Program - new sites (DOC, 100 KB)

35

Study Monitoring Plan (DOC, 128 KB)

36

Study Recruitment Plan (DOC, 104 KB)

37

Recruitment Review (DOC, 81 KB)

38

Recruitment Phone Calls (DOC, 83 KB)

39 

ISF index (DOC, 138 KB)

40

Serious Adverse Event Report (DOC, 105 KB)

41

Training Compliance Form (DOC, 82 KB)

43

DSMC reporting template (doc, 140 kb)

44

SAe summary sheet (xls, 14 kb)

45

protocol violation log (xls, 16 kb)

46

Qualitative research costing (DOC, 80 KB)

47

forms and documents (doc, 78kb)

50

itcc data closure checklist (Doc, 86 kb)

Acknowledgement of Country

UTS acknowledges the Gadigal People of the Eora Nation and the Boorooberongal People of the Dharug Nation upon whose ancestral lands our campuses now stand. We would also like to pay respect to the Elders both past and present, acknowledging them as the traditional custodians of knowledge for these lands. 

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