OMNI Electron Microscopy 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.

Project Number (admin use only)
USER DETAILS

Please complete all marked sections and other relevant options.
Name 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

Status Staff Principal Investigator Post-doc PhD Masters Postgraduate Other Undergraduate Other
EFT Supervision Split (if you are a student)

EFT Supervision Split (if you are a student) All Division of Health Sciences All Division of Sciences Split supervision between Divisions Staff: Not Applicable

If you have supervisors in both the Divisions of Health Science and Science, please tick the Split Supervision option.
Principal Investigator's Name (if you are part of a research team) Principal Investigator's Name (if you are part of a research team) First Last
Supervisor's Name (if you are a student) Supervisor's Name (if you are a student) First Last
Supervisor's or Principal Investigator's Email
Start Date Start Date / DD / MM YYYY
Estimated End Date Estimated End Date / DD / MM YYYY
Technique(s) Required

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:

The PI and student have discussed this project with the following OCEM staff member(s) prior to registering: Richard Easingwood Fatima Jorge Niki Hazelton Marshall Palmer

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.
FUNDING SOURCE
Grant name (e.g. Marsden, UORG, HCR etc)

Please enter the source of funding for this project.
HEALTH AND SAFETY
Will your sample require PC2 containment?

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 working on site in the OCEM, please list any relevant allergies (e.g. latex gloves).
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
Those planning to work in the EM lab must attend a one-off induction before starting. Please arrange a mutually convenient date for this with EM staff.
TERMS AND CONDITIONS OF USE
I have read the OCEM's User Policy.

I have read the OCEM's User Policy. Yes

By ticking this box you acknowledge having read, and agreed with, the Terms and Conditions.

OMNI Electron Microscopy Project Registration For Internal Users

OMNI Electron Microscopy Project Registration For Internal Users

USER DETAILS

ACCOUNT CODE

FUNDING SOURCE

HEALTH AND SAFETY

Those planning to work in the EM lab must attend a one-off induction before starting. Please arrange a mutually convenient date for this with EM staff.

TERMS AND CONDITIONS OF USE