Monitoring Log *

Principal Investigator:	Study Title:

IRB Protocol #:	Sponsor:

Date of Monitoring Activity	Description of Monitoring Activity

(e.g. meeting **, internal review, external monitoring ***)	PI/Study Staff Signature

* This log can be used to document any form of activity conducted for the purpose of monitoring study progress

** At minimum record dates and attendance

*** Record name and signature of monitor

June2016

MONITORING LOG*

Information Systems

2016-06-14

Marlene Berro

Partners HealthCare System