User registration, RIBF, RIKEN Nishina Center for Accelerator-Based ScienceAffidavit

To: Hiroyoshi Sakurai
DirectorRIKEN Nishina Center for Accelerator-Based ScienceI hereby promise to observe the following items in order to be registered as a user of the RIBF
facility at the RIKEN Nishina Center for Accelerator-Based Science.

1.

I will obtain consent from my home institute to register as an external user of RIBF.

2.

I will be responsible for keeping the entry permit issued by RIKEN, and will not lend ortransfer the entry permit to a third party.

3.

I will obtain private workers’ accident insurance if I am not currently covered by such a policy,
and, if I will be making use of the accelerator, participate in the radiation dose measurement
program of the organization to which I belong.

4.

I will not divulge any confidential or personal information obtained during my research at
RIKEN to any third party during my term, and after the expiration of my term, as an RIBF
facility user.

5.

I will not take out of RIKEN any documents, diagrams, electronic data, research material,written documents, or any other items belonging to RIKEN without obtaining prior permission.

6.

I will obey all rules, regulations, procedures and the like stipulated by RIKEN, observe safetymeasures, and will maintain a cordial relationship with RIKEN and its researchers, and:
(1) I will observe all safety regulations and cooperate by participating in disaster-prevention
measures.
(2) I will observe all regulations related to health maintenance and will cooperate by observing
instructions given by the health supervisor.
(3) I will observe all regulations, policies and the like related to information management andcooperate with all measures required by RIKEN for information security and prevention ofinformation leakage.
(4) I will observe all regulations related to the protection of personal information and cooperatewith RIKEN when measures are taken to protect personal information.
(5) When bringing in materials, chemicals and the like, I will observe procedures stipulated by
RIKEN and manage the items appropriately. I will take all such materials, chemicals andthe like back to the organization to which I am affiliated. I will not bring into RIKEN anymaterials requiring a license or registration by a government authority.

7.

As an external researcher I will not conduct any research or experiments involving humans,animals or genetically altered organisms.

8.

I will obey the orders of the personnel in charge of facility and safety management when using
RIBF and any related facilities, equipment and material. I will return all items to their originalplace after use.

9.

In journal articles and other material that I publish, I will make citations indicating that theresearch was conducted using RIBF at RIKEN.

10. I will respond appropriately to the measures implemented by the Nishina Center for
Accelerator-Based Science to prevent research misconduct. I will also comply with requests tocorrect any such misconduct.

11. I will pay for the cost of operation and the like of the accelerator for private use in accordancewith the regulations as stipulated by RIKEN. I will pay the handling fee when making aremittance.

12. I will obey orders from RIKEN to stop using the RIBF facility if I disobey any of the items inthis Affidavit, if any false statement(s) is/are found in documents I submitted to RIKEN, or if
RIKEN determines that my use of the facility is harmful to the operation of the Nishina Center
for Accelerator-Based Science.

13. In the event of an accident or disaster, I will act responsibly by taking all necessary measures,
including properly following emergency contact procedures as stipulated by RIKEN.

14. In the event that I could not conduct an experiment due to the failure and the like of thefacility’s equipment, I will not make a claim for damages against RIKEN.

15. In the event that I suffer any bodily injury or I cause injury to a third party while on RIKEN
property, I will not make a claim for damages against RIKEN, unless RIKEN is responsible forthe injury.

16. If due to an intentional act or my gross negligence I am responsible for damage to RIKEN, tojointly-managed research facilities, or to a third party, I will be responsible to pay for all or partof the damage.

17. I agree that any conflicts or disputes relating to this Affidavit shall be resolved through mutual
discussions and that legal resolution shall be according to Japanese law in a court having
jurisdiction over the RIKEN campus in Wako.

Date: ____________________________
Month / Day / Year

Affiliation:

Name:(signature)

1.Apr.2020