Safety Risk Assessment

DATE RECEIVED:
Postmark:
ASSESSMENT
COVER SHEET
Please complete section below:
Course Code:
Course Name:
Due Date: Assessment Item #:
Course Tutor:
Course Convenor:
Study Period or Session 1 2 3 4
Please provide your STUDENT NUMBER here:
Student Name:
Address:
ACADEMIC INTEGRITY DECLARATION
Breaches of academic integrity (cheating, plagiarism, falsification of data, collusion) seriously compromise
student learning, as well as the University’s assessment of the effectiveness of that learning and the academic
quality of the University’s awards.All breaches of academic integrity are taken seriously and could result in
penalties including failure in the course and exclusion from the University.
Students should be aware that the University uses text-matching software to safeguard the quality of student
learning and that your project will be checked using this software.
I acknowledge and agree that the examiner of this assessment item may, for the purpose of marking this
assessment item:
reproduce this assessment item and provide a copy to another Griffith staff member; and/

submit this assessment item to a text-matching service. This web-based service will retain a copy of
this assessment item for checking the work of other students, but will not reproduce it in any form.
Examiners will only award marks for work within this projectthat is your own original work.
I, hereby certify that:
except where I have indicated,this project is my own work, based on my personal study and/or
research.
I have acknowledged all materials and sources used in the preparation of this project whether they be
books, articles, reports, lecture notes, or any other kind of document or personal communication.
I have not colluded with another student or person in the production of this assessment item unless
group work and collaboration is an expectation of the assessment item.
this project has not been submitted for assessment in any other course at Griifith, or at any other
University or at any other time in the same course without the permission of the relevant Course
Convenor.
I have not copied in part or in whole or otherwise plagiarised the work of other students and/or other
persons.
I haven’t made this piece of work available to another student without the permission of the Course
Convenor.
Providing this declaration falsely is considered a breach of academic integrity.
I have retained a copy of this assessment item for my own records.
Acknowledged by: Enter name Date:
(insert name here)
Where the item is submitted electronically Clicking “I Agree” constitutes an electronic signature for the
purpose of project declaration compliance.

STUDENT CONSENT
(to be completed by the student before their essay, project or other work is uploaded to an internal/online
learning University website or used for the purpose of moderation (not to be used if there is to be public
access to the work)
At Griffith the use of assessment exemplars by academic staff is encouraged to inform students’ understanding
of the performance standards associated with learning and achievement in the course. An assessment exemplar
is an authentic example, actual sample or excerpt, of student work that has been annotated to illustrate the
ways in which it demonstrates learning, achievement and quality in relation to the intended learning outcomes
(including graduate outcomes) for the course. Assessment exemplars may be made available in a range of
ways. In order to collect assessment exemplars students are asked to consent, on every assessment item
submitted, for their work, without disclosure of the contributor’s identity, to be used, and reproduced as an
assessment exemplar for standard setting and moderation activities.
I acknowledge that for the purpose of standard setting and moderation activities the examiner of this
assessment item may wish to store, reproduce, annotate, and communicate my work to others, including future
students, without disclosure of my identity.
I consent to my Work, Insert title of Project item____without disclosure of my
personal details, being stored, reproduced annotated and communicated within the University’s
secure online learning environment.
I do not consent to my Work, Insert title of Project item_being stored, reproduced
annotated and communicated within the University’s secure online learning environment.
Acknowledged by: Date:
(insert name here)
Where the item is submitted electronically Clicking “I Agree” or “I do Not Agree” constitutes an electronic
signature for the purpose of student consent.
Extension Requests:
Assessment Item Number: Due Date:
Extension Granted: Y N Amended Due Date:

Extension Approval Number:
Extension Approved by: ApprovalDate:
Examiner’s Use Only: Tick Where Appropriate:
Name: Submitted late without extension – returned to
student to seek extension /special assessment.
Mark Given: Suspected plagiarism: referred to the Course
Convenor.
Second Examiner: Returned to student to be resubmitted by:
(if required) (date) for the following reasons:
Mark Given:
Examiner’s Comments: