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. Intended to be an active researcher who will champion the purchase).
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First Name
Last Name
Scientific Advocate Email
*
example@example.com
Core Facilities Contact (to help co-ordinate equipment applications and ensure a dialogue between the research team and infrastructure).
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First Name
Last Name
Core Facilities Contact Email
*
example@example.com
Name of Scientific Advisory Committee (SAC) you represent
*
Please Select
Biobanking
Bioinformatics
Bioresources
Imaging
Cytometry
Genomics
Proteomics
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)
*
-
Day
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Month
Year
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.
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0/200
Usage (Projects and Researchers). Please explain who will use this, how many people, and for approximately how many total hours per week
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Request Type
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Please Select
New (adds new technology)
Adds Capacity (technology duplicates a function already at capacity)
Repairs, Replaces or Upgrades (failing existing equipment)
Do nothing risk (in 100 words or less, explain the consequences of not acting within a given time frame).
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0/100
Price Estimate
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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.
*
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Any existing funding towards this equipment
*
Has the supplier quoted for lower maintenance costs for a fixed period of time?
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Yes, they have
No/Not sure
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
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Yes
No
HUB STAFF Status
Please Select
Pending MEC
Approved by MEC
Approved by MEC (Legacy)
Pending Ops
Approved by Ops
Pending G&I
Reviewed at G&I
Declined
Incomplete
Incomplete - Awaiting SAC reply
Funding application submitted
Awaiting Funding
Unknown
Removed from list
Select status
HUB STAFF MEC Ratified
-
Month
-
Day
Year
Date
HUB STAFF Next Committee
Please Select
Major Equipment
Operations
Grants & Investments
Ops/G&I on same day
None scheduled
HUB STAFF Notes
Additional Notes
HUB STAFF ONLY Priority Number
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