Major Equipment priority items

Major Equipment priority items

To be completed after your Scientific Advisory Committee has agreed on equipment priorities. To submit to your SAC, please reach out to the relevant chair instead of using this form. Each SAC may have up to three (3) items listed as priority at any one time. NOTE: You can save and continue this application, but incomplete forms will not be reviewed.
Your email
example@example.com
Scientific Advocate (primary contact and grant lead).

First NameLast Name
Scientific Advocate Email
example@example.com
Core Facilities Contact

First NameLast Name
Core Facilities Contact Email
example@example.com
Name of Scientific Advisory Committee (SAC) you represent
By representing your SAC, you agree that the priority equipment has been agreed upon and ratified by your Committee.
Date of SAC Endorsement (the date of the meeting where this was voted on)

DayMonthYear
Date
Equipment Name
Equipment Supplier
Ensure that a specific piece of equipment of equipment is listed and not simply a technology concept.
Equipment Model Number
Link to equipment
Provide a URL
In 200 words or less, describe the function and applications of the technology and why it is critical. Address whether such capacity exists at Westmead facilities already.

0/200
Usage (Projects and Researchers). Please explain who will use this, how many people, and for approximately how many total hours per week
Request Type
Do nothing risk (in 100 words or less, explain the consequences of not acting within a given time frame).

0/100
Price Estimate
Attach a supplier quote that has been obtained within the last 6 months. This should include the equipment cost, installation, and a 5 year maintenance contract.

Cancelof
Any existing funding towards this equipment
Has the supplier quoted for lower maintenance costs for a fixed period of time?
What is the discounted rate for maintenance costs?
As quoted by supplier
For how many years will this discount be applied?
As quoted by supplier
Maintenance costs per year (without any discounts applied)
As quoted by supplier
Estimated lifespan of equipment
Proposed location of equipment, if a different facility will maintain the equipment and provide training and support, please specify.
Ensure you have discussed this with facility managers
Can you confirm that all WRH users will have full access to the equipment? By answering 'No' your submission will not be accepted by the MEC
HUB STAFF Status
Select status
HUB STAFF MEC Ratified

MonthDayYear
Date
HUB STAFF Next Committee
HUB STAFF Notes
Additional Notes
HUB STAFF ONLY Priority Number
Should be Empty: