Monitoring Log *

Principal Investigator:	Study Title:

HRC 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

Human Research Quality Improvement Program

Partners HealthCare System, Inc. All Rights Reserved 2004

MONITORING LOG*

Information Systems

2014-05-15

Partners Information Systems

Partners HealthCare System