Fillable Including Off-Campus Research Sites or Field Stations (University of Manitoba)

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Including Off-Campus Research Sites or Field Stations (University of Manitoba)

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Page | 1
Request to Continue Research in University Research Facilities
Including Off-Campus Research Sites or Field Stations
**form before completing
Name of Principal Investigator
Department
Email
Phone
Building room number(s) or off-campus research site or field station location:
Will this research have direct contact with Indigenous communities?
Yes / No
(if the answer is “yes”,
please include a letter from the community confirming/affirming support of the continuation of research.
Will this research involve international travel (i.e., travel outside Canada) Yes / No
If the answer is “yes” please describe who is traveling, where they are traveling to/from, and for how long.
Name(s) of graduate student(s), postdoc(s), research associate(s), and research technician(s) involved:
Describe 1) why this research is essential at this time; 2) why it cannot be done in a remote contactless
manner; 3) what would be the impact of delay [max 400 words]
Page | 2
Outline in detail your plan for ensuring employee(s) safety. How will the employee get to the lab/field
work/research location? What are the procedures for decontaminating the lab after use by a given employee?
What is the plan if this (first) employee becomes ill and cannot continue the work? What is the plan if that
(first) alternate employee becomes ill and cannot continue the work? [maximum 400 words]
Approvals
Principal Investigator
Department Head
ADR or Dean
Chair, COVID-19 Research Recovery
Team
After completing the form, save and send to the next person for approval, who will add
their signature and save, and so on. Final approver email to: crsc.research@umanitoba.ca
Notice Regarding Collection, Use, and Disclosure of Personal Information by the University
Personal information is being collected under the authority of The University of Manitoba Act. The information provided will be used by the
University for the purpose of business continuity planning in relation to research and research facilities. The personal information will not be
used or disclosed for other purposes, unless permitted by The Freedom of Information and Protection of Privacy Act (FIPPA).
If you have any questions about the collection of your personal information, contact the Access & Privacy Office (tel. 204-474-9462), 233
Elizabeth Dafoe Library, University of Manitoba, Winnipeg, MB, R3T 2N2.
Feb 2021
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Including Off-Campus Research Sites or Field Stations (University of Manitoba)

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Completed 5 February 2021

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