OCEM Project Registration For Internal Users

Every user MUST have completed this form and have their project approved BEFORE use of equipment can commence. Failure to do so may make you liable for any damages caused during unauthorised use.

USER DETAILS

Please complete all marked sections and other relevant options.
Name * First Last
Department *
Email *
Staff ID Number
Your own or your supervisor's. This is VERY important for collating publications and is only used for this purpose. *

This number is used to trace publications which included research done in the facility. It is important we find such publications for justifying future equipment purchases.
Student ID Number
(If applicable)
Lab Phone Number *
Mobile Phone Number *
Status *
Staff Principal Investigator Post-doc PhD Masters Postgraduate Other Undergraduate Other
Principal Investigator's Name (if you are part of a research team) First Last
Supervisor's Name (if you are a student) First Last
Supervisor's or Principal Investigator's Email
Start Date * / DD / MM YYYY
Estimated End Date * / DD / MM YYYY
Technique(s) Required *
Transmission Electron Microscopy Scanning Electron Microscopy Specimen Preparation Laboratory Ultramicrotomy Sectioning Liquid Nitrogen Supply Other
Brief Description of Project. *

Describe your project clearly and concisely. This information is used when making bids for equipment funding and if there is anything that you would prefer not to be publicly disclosed please make a note of this.
The PI and student have discussed this project with the following OCEM staff member(s) prior to registering: *
Allan Mitchell Richard Easingwood Liz Girvan Gillian Grayston Marianne Negrini Sharon Lequeux
This helps us coordinate your project amongst all the other ones we receive. It's better for everyone if you make time to discuss your project with one of the staff before you register it.
ACCOUNT CODE
Account Code *

Your account code will begin with GL if it is a General Ledger account and PL if it is a Project Ledger account.
HEALTH AND SAFETY
Will your sample require PC2 containment? *
Yes No
If your sample requires PC2 containment please include why (is the sample a risk good, animal cell culture, new organism, GMO, unwanted organism or an uncleared biological product?).
Will you be working on site at the OCEM?

Will you be working on site at the OCEM? Yes No
If you will be using the Preparation Laboratory or PC2 samples, provide your PC2 training details below.

1) Sector where trained
2) Sector manager
3) Date of training
4) Test score
If you will be working on site in the OCEM, please list any relevant allergies (e.g. latex gloves).
TERMS AND CONDITIONS OF USE
All users must attend a one-off OCEM induction (held on the first Wednesday of each month). Select a date that you would like to attend.

2nd August 2017
6th September 2017
4th October 2017
1st November 2017
6th December 2017
I have read the OCEM's User Policy. *
Yes
By ticking this box you acknowledge having read, and agreed with, the Terms and Conditions.

OCEM Project Registration For Internal Users

OCEM Project Registration For Internal Users

USER DETAILS

ACCOUNT CODE

HEALTH AND SAFETY

TERMS AND CONDITIONS OF USE