INLAND SCIENCE AND ENGINEERING FAIR

CERTIFICATION OF HUMANE TREATMENT OF

LIVE VERTEBRATE ANIMALS

 

Name of Student ______________________________________________________

 

Project Title __________________________________________________________

 

Any student research involving animals MUST COMPLY with the requirements of the California Education Code stated below and Regulation #5 of the Inland Science and Engineering Fair.

 

HUMANE TREATMENT OF ANIMALS, State of California Education Code Title 2, Division 2, Part 28, Chapter 4, Article 5 (51540). In the public elementary and high schools or in public elementary and high school sponsored activities and classes held elsewhere than on school premises, live vertebrate animals shall not, as part of a scientific experiment or any purpose whatever:

(a)                Be experimentally medicated or drugged in a manner to cause painful reactions or induce painful or lethal pathological conditions.

(b)                Be injured through any other treatments, including, but not limited to, anesthetization or electric shock.

Live animals on the premises of a public elementary or high school shall be housed and cared for in a humane and safe manner. The provisions of this section are not intended to prohibit or constrain vocational instruction in the normal practice of animal husbandry.

 

“Experiments involving any procedures which are not in violation of the “painful reaction” or ‘injured” restrictions of the California Education Code and are not in violation of Inland Science and Engineering Fair Rule #5 are permitted if certified by a qualified biomedical scientist prior to the beginning of the investigation. It is permissible for the student and designated adult supervisor to consult with a bio­medical scientist to obtain detailed instructions and guidance in the techniques to be used by the student under the direct continuous supervision of the designated adult supervisor (for research not conducted in the biomedical scientist’s lab). In this instance the designated adult supervisor will be required to certify in writing jointly with the biomedical scientist. Either the biomedical scientist or adult supervisor must provide continuing supervision to assure compliance with the protocol. Major deviations from the approved protocol may be implemented only with the written approval of the biomedical scientist.  The biomedical scientist or designated adult supervisor must be in the same locality as the student for the duration of the experimental work except for short trips. This means that a project started in one city may not be continued in another unless an alternate designated adult supervisor, approved by the biomedical scientist prior to the continuation of the experimental work, agrees to supervise the project. A biomedical scientist is defined as one who possesses an earned doctoral degree in science or medicine and who has current working knowledge of the techniques to be used in the research under consideration. A designated adult supervisor is defined as an individual who has been properly trained in the techniques and procedures to be used in the investigation. The biomedical scientist must certify that the designated adult supervisor has been so trained. For additional informa­tion see pages 78-80 in the “Science Safety Handbook for California High Schools,”

 

RESEARCH PLAN

 

Purpose of  Project: ____________________________________________________________________

Starting Date: _________________________________________________________________________

Site at which investigation will take place:

Name _______________________________________________________

Address______________________________________________________                         Page 1 of 4


Inland Science and Engineering Fair

Certification of Humane Treatment of Live Vertebrate Animals

Page Two

 

Live vertebrate animals to be used:

 

a)                  Genus, species, and common name ____________________________________________

 

b)                  Number of animals ________________

 

c)                  Animals obtained from ______________________________________________________

 

List objectives of the experiment and describe fully the methods and techniques involved, When the use of electrical current, laser beams, sound stimuli or other artificial stimuli an integral part of the Research Plan, they must not exceed the normal tissue tolerances for the species concerned (as indicated in the Biology Data Handbook, 2nd Edition; editors, P.O. Altman and S.S. Dittmer: publisher, Federation of American Societies for Experimental Biology).

 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

 

 

Describe proposed methods of animal care:

 

a)                  Cage size ____________________________________

 

b)                  Number of animals per cage _________

 

c)                  Temperature range (maximum and minimum) degree Celsius of room where animals are to be kept ______________________________________________

 

d)                  Frequency of feeding and watering _____________________________________

 

e)                  Frequency of cleaning cage ___________________________________________

 

f)                   Type of bedding to be used _____________________________________________

 

g)                  Where will animals be housed? __________________________________________

 

h)                  Where will animals be returned when research is complete?  _________________________

 

___________________________________________________________________________

 

 

Name of animal care supervisor  ________________________________________________

 

Name of biomedical scientist  __________________________________________________

 

Name of designated adult supervisor _____________________________________________

 

Signature of student ________________________________________________________

 

Page 2 of 4

Inland Science and Engineering Fair

Certification of Humane Treatment of Live Vertebrate Animals

Page Three

This section must be completed for all vertebrate animal projects.

See note at the bottom of page four, to determine if page four is required.

 

CERTIFICATIONS

 

THE FIRST TWO CERTIFICATIONS MUST BE COMPLETED FOR
ALL PROJECTS INVOLVING LIVE VERTEBRATE ANIMALS

 

CERTIFICATION BY TEACHER/ADVISOR I agree to sponsor the student named above and as­sume responsibility for compliance with the existing rules and regulations pertaining to experiments with animals.

 

Signature _______________________________________________________________________

 

Name (type or print) _______________________________ Date ___________________________

 

Institution ________________________________________Title ____________________________

 

Institution Address_________________________________ Phone ___________________________

 

Home Address ______________________________________

 

Home Phone _______________________________________

 

 

CERTIFICATION BY AN ANIMAL CARE SUPERVISOR of compliance with California Education Code. (Must be completed prior to receipt of animals by the student.)

 

I certify that I have reviewed and approved the Research Plan and will supervise and accept primary responsibility for the quality of care and handling of the live vertebrate animals used by the desig­nated student. I further certify that I am knowledgeable in the proper care and handling of experi­mental animals and meet prevailing animal supervisory requirements.

 

Signature ______________________________________________________________________

 

Name (type or print) _________________________________________ Date ________________

 

Institution _________________________________________ Title ___________________

 

Institution Address ________________________________________________________________

 

Telephone Number  _______________________________________________________________

 

Home Address  ___________________________________________________________________

 

Home Telephone Number ___________________________________________________________

 

Source of My Authority/Expertise____________________________________________________

 

 

Page 3 of 4

 

Inland Science and Engineering Fair

Certification of Humane Treatment of Live Vertebrate Animals

Page Four - See note below to determine if this page is required.

 

CERTIFICATION BY BIOMEDICAL SCIENTIST (if required) of compliance with Califor­nia Education Code and Rule #5 of the General Regulations for the Inland Science and Engineering Fair (Must be completed prior to the start of the project.)

 

I certify that I have read the General Regulations for the Inland Science and Engineering Fair; that I have reviewed and approved the Research Plan; that if the student or designated adult supervisor is not trained in the necessary procedures, I will ensure his/her training; that I will assure that the requirements of the California Education Code are fully met; that I will provide advice and supervi­sion personally or through a designated adult supervisor throughout the project; and that I am a qualified scientist with an earned doctoral degree (Ph.D., M.D., D.V.M.) and a working knowledge of the techniques to be used by the students in this research.

 

Signature _________________________________________________________________________

Name (type or print) _________________________________________            Date__________________
Institution________________________________________ Title_______________________________
Institution Address ____________________________________________________________________
Telephone Number ____________________________________________________________________

Home Address _______________________________________________________________________

Home Telephone Number________________________________________________

Source of My Authority/Expertise ________________________________________________________

 

CERTIFICATION BY DESIGNATED ADULT SUPERVISOR (if required)

I certify that I have been trained in the techniques to be used by this student; that I have read the General Regulations for the Inland Science and Engineering Fair; and that I will provide direct supervision for the research.

 

Signature _________________________________________________________________________

Name (type or print)________________________________ Date __________________________

Institution_________________________________________ Title __________________________

Institution Address ____________________________________________________________________

Telephone Number ____________________________________________________________________

Home Address  _______________________________________________________________________

Home Telephone Number_______________________________________

Source of My Authority/Expertise ________________________________________________________

 

Note: This form, properly completed, must be part of the carefully planned procedures for experimenta­tion with live vertebrate animals or animal parts. It must accompany any such project exhibited at, or when presented for any public display associated with, the Inland Science and Engineering Fair. All sections must be completed except the “Certification by Biomedical Scientist” and the Certification of Designated Adult Supervisor” which need be completed only by those students carrying on experiments in a research or clinical facility or where the use of anesthetics, drugs, or euthanasia becomes necessary.

 

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