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Fieldwork Preparation and Risk Assassement Form

Step 1 of 3

33%

Date(Required)

DD dot MM dot YYYY

Personal Information (ECR)

Name(Required)

First Last

Email(Required)

Untitled(Required)

Master student

PhD Student

Postdoc

Other

University / Institution(Required)

Department(Required)

Name supervisor(Required)

First Last

Email supervisor(Required)

Name co-supervisor

First Last

Email co-supervisor

Name emergency contact 1(Required)

First Last

Relationship emergency contact 1(Required)

Phone number emergency contact 1(Required)

Name emergency contact 2(Required)

First Last

Relationship emergency contact 2(Required)

Phone number emergency contact 2(Required)

Fieldwork overview

Country of field work(Required)

Specific location or region(Required)

Nature of field work(Required)

Linguistic fieldwork

Interviews or surveys

Participant observations

Experiments

Biological or animal sampling

Other

Please specify nature of fieldwork(Required)

Start field work(Required)

DD dot MM dot YYYY

End field work(Required)

DD dot MM dot YYYY

Accommodation and local contact

Accommodation type(Required)

Hotel

Private residence

Field station

Other

Name and address accommodation(Required)

Accommodation Name Address City State / Province / Region ZIP / Postal Code Country

Email Accommodation(Required)

Phone number Accommodation

Website accommodation

Travel advice and registration

Have you sought medical advice and received all required vaccinations?

Yes

No

Not yet

Have you sought medical advice and received all required vaccinations?

Yes

No

Not yet

Will you register at your embassy or consulate in case of repatriation?

Yes

No

Not yet

Not applicable

Will you register at your embassy or consulate in case of repatriation?

Yes

No

Not yet

Not applicable

Will you register at your embassy or consulate in case of repatriation?

Yes

No

Not yet

Not applicable

Will you register at your embassy or consulate in case of repatriation?

Yes

No

Not yet

Not applicable

Will you register at your embassy or consulate in case of repatriation?

Yes

No

Not yet

Not applicable

What is the current travel advice for your destination?

Please consult the FDFA webpage.

How will you keep yourself updated about changes at your destination?

We strongly advice to download and use the FDFA's travel admin app https://www.eda.admin.ch/en/travel-admin-app-en

Medical, insurance, and institutional requirements

Have you sought medical advice and received all required vaccinations?

Yes

No

Not yet

Have you checked and fulfilled your home institution’s foreign travel requirements?

Yes

Not

Not yet

Please check the box if you valid insurance coverage for:(Required)

Health care abroad

Travel and accidents

Repatriation

Personal liability

None of the above

Please check the box if you hold all required(Required)

Research permits

Ethics approvals

Please check the box if you are familiar with and compliant with(Required)

The NCCR Human Research Ethics Roadmap

The NCCR Animal Ethics Charter

Please check the box if you are familiar with(Required)

the local laws

the cultural norms

customs, traditions and history

Include considerations related to gender norms, sexuality, and potential risks.)

Did you complete any first aid course?(Required)

Yes

No

Will you be wokring alone for any part of the fieldwork?

Yes

No

Are there any personal circumstances that could compromise your safety or the safety of others?

Yes

No

(e.g. medical conditions, allergies, medication requirements)

Please specify personal circumstances(Required)

This information will be treated confidantially.

The National Centres of Competence in Research (NCCRs) are a funding scheme of the Swiss National Science Foundation.

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