This document provides a summary of the essential clinical trial documents, their recommended storage locations, and notes. It outlines that original paper documents such as signed consent forms and investigator agreements should be stored in the site file. Electronic versions may also be kept but original paper copies are required. Training documentation and logs can be kept electronically or using paper logs. Source notes and participant files can contain medical images and notes and be stored either electronically or in paper files at the site. Serious adverse events and safety reports are to be documented and stored electronically or in paper at the site file.
This document provides a summary of the essential clinical trial documents, their recommended storage locations, and notes. It outlines that original paper documents such as signed consent forms and investigator agreements should be stored in the site file. Electronic versions may also be kept but original paper copies are required. Training documentation and logs can be kept electronically or using paper logs. Source notes and participant files can contain medical images and notes and be stored either electronically or in paper files at the site. Serious adverse events and safety reports are to be documented and stored electronically or in paper at the site file.
This document provides a summary of the essential clinical trial documents, their recommended storage locations, and notes. It outlines that original paper documents such as signed consent forms and investigator agreements should be stored in the site file. Electronic versions may also be kept but original paper copies are required. Training documentation and logs can be kept electronically or using paper logs. Source notes and participant files can contain medical images and notes and be stored either electronically or in paper files at the site. Serious adverse events and safety reports are to be documented and stored electronically or in paper at the site file.
HREC Ref: Local Ref: Documents Storage Location Notes HREC Paper Electronic Not Notes Submission/approvals Site File Site file Applicable Original protocol/amendment Initial Approval from the ☐ ☐ ☐ signature pages must be maintained Ethics Committee (HREC) in the Site File Protocol Amendment approval documentation ☐ ☐ ☐ from HREC Annual Reports/submission ☐ ☐ ☐ and acknowledgement Submission / acknowledgement of ☐ ☐ ☐ Investigator’s Brochure Acknowledgement of safety ☐ ☐ ☐ reports/DSMB letters Other ☐ ☐ ☐ Paper Electronic Not Governance Approvals Notes Site File Site file Applicable Site Specific Approval ☐ ☐ ☐ Amendment ☐ ☐ ☐ acknowledgements Other ☐ ☐ ☐ Investigator Qualification Paper Electronic Not Notes Documentation tab Site File Site file Applicable 2 page CVs to be updated every 2 CVs for all investigators ☐ ☐ ☐ years TransCelerate Accredited courses ICG GCP Training ☐ ☐ ☐ valid for three years Paper Electronic Not Investigator’s Brochure Notes Site File Site file Applicable Investigator’s Brochure (IB) ☐ ☐ ☐
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Paper Electronic Not Regulatory Documents Notes Site File Site file Applicable Clinical Trials Research ☐ ☐ ☐ Original signed copy must be kept Agreement (CTRA) Indemnity Form ☐ ☐ ☐ Original signed copy must be kept Insurance Certificate ☐ ☐ ☐ eCTN Sponsors responsibility to supply ☐ ☐ ☐ acknowledgement/Receipt eCTN receipt to the site Financial Disclosure Forms Paper Electronic Not Notes tab Site File Site file Applicable Signed Financial Disclosure ☐ ☐ ☐ Forms (if IND) Paper Electronic Not Study Communication tab Notes Site File Site file Applicable All communication related to the conduct of the ☐ ☐ ☐ protocol and agreements with scientific collaborators Memos to File documenting important decisions ☐ ☐ ☐ regarding study conduct Delegation of Paper Electronic Not Notes Responsibilities Log Site File Site file Applicable Original signatures must be stored Delegation of in the Site File . An electronic ☐ ☐ ☐ Responsibilities Log version may be maintained in addition to the original log. Clinical Research and Study Paper Electronic Not Notes Training tab Site File Site file Applicable Documentation of study- Site initiation meeting/PowerPoint ☐ ☐ ☐ related training presentations The Training Log must be maintained using a paper log or Training Log ☐ ☐ ☐ electronically. Ensure confirmation of training is received either via email or dated signature Screening/Enrollment Log Paper Electronic Not Notes tab Site File Site file Applicable Subject Screening Log ☐ ☐ ☐ Subject Enrollment Log ☐ ☐ ☐
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Paper Electronic Not Signed Consent Forms Notes Site File Site file Applicable Original consent documents must be All original signed consent maintained by the site; a copy is ☐ ☐ ☐ documents given to the participant or person responsible (if applicable) Paper Electronic Not Supporting Departments Notes Site File Site file Applicable Investigational Product Pharmacy generally is responsible Accountability Log: Stock ☐ ☐ ☐ for the maintenance of this under Record the supervision of the PI Investigational Product Accountability Log: Subject ☐ ☐ ☐ Record Other ☐ ☐ ☐ Local Clinical Lab Paper Electronic Not Certificates / Reference Notes Site File Site file Applicable Ranges tab Contact SSWPS coordinator for Lab reference ranges ☐ ☐ ☐ updates versions NSWPATH- SWSTrials@health.nsw.gov.au Copy of certifications and ☐ ☐ ☐ accreditations Paper Electronic Not Specimen Tracking Log Notes Site File Site file Applicable Specimen Tracking Log ☐ ☐ ☐ Other ☐ ☐ ☐ Paper Electronic Not Source Notes Notes Site File Site file Applicable Participant Folder ☐ ☐ ☐ Clinical Information/Medical ☐ ☐ ☐ Notes Imaging (X-ray,CT scan,MRI ☐ ☐ ☐ etc.) Haematology/Biochemistry ☐ ☐ ☐ Other ☐ ☐ ☐
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Serious Adverse Events Paper Electronic Not Notes (SAEs) and SUSAR reporting Site File Site file Applicable SAE and SUSAR reports/documentation and ☐ ☐ ☐ reporting DSMB Letters ☐ ☐ ☐ Other ☐ ☐ ☐ Paper Electronic Not Protocol Deviations tab Notes Site File Site file Applicable Protocol Deviation ☐ ☐ ☐ Forms/Reports Protocol Deviation Tracking ☐ ☐ ☐ Log Clinical Site Monitoring Paper Electronic Not Notes Visits tab Site File Site file Applicable The Monitoring Visit Log must be Monitoring Visit Log ☐ ☐ ☐ stored in the Site File and contain original signatures. Relevant Correspondence between site and ☐ ☐ ☐ CRO/Sponsor Paper Electronic Not Other tab Notes Site File Site file Applicable Newsletters ☐ ☐ ☐ Other relevant correspondence relating to ☐ ☐ ☐ the management of the clinical trial Site closure reports ☐ ☐ ☐ Archiving ☐ ☐ ☐ Other ☐ ☐ ☐
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