BSR Research Consent Form

Consent Form

Built Environment Safety Culture Research

C111007173 - Industry Culture and Practice in Building Safety

If you wish to give consent, please initial the box after each statement:

1. I have read and understood the Participant Information Sheet about the research. The researcher has explained what it involves and I have had an opportunity to discuss this with them.

Yes

2. I confirm that I have had the opportunity to ask questions and that these have been answered satisfactorily.

Yes

3. I give permission for this interview to be digitally recorded using an audio recorder.

Yes

4. I understand that all personal identifiable information will be removed from the data and replaced with an anonymised code before being provided to the client. Data will only be used for analysis purposes and not linked to any individually named participants.

Yes

5. I understand that my participation is voluntary, and I can withdraw my consent at any time. The consent process has been clearly explained to me and I understand how to withdraw my consent.

Yes

6. I agree not to share information which is discussed as part of the research.

Yes

7. I agree to have my personal details added to Qualzy platform to take part in the pre-task.

Yes

Qualzy privacy policy link: https://app.qualzy.com.au/policies/privacypolicy

Print name (Researcher): Gurprit Dhillon…………….....................

Signed (Researcher): ……………………………………………………………….

Date: 17/02/2026……………………………………

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw Signature
Type In Signature

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Adopt & Sign

Timestamp

Audit

February 27, 2026 12:47 pm BST

BSR Research Consent Form Uploaded by Maya Mitchell-King - [email protected] IP 212.42.190.49

February 27, 2026 12:56 pm BST

Take Part in Research - [email protected] added by Maya Mitchell-King - [email protected] as a CC'd Recipient Ip: 212.42.190.49