KOMISI ETIK PENELITIAN KESEHATAN (KEPK)

FAKULTAS KEDOKTERAN GIGI UNIVERSITAS JEMBER

(THE ETHICAL COMMITTEE OF MEDICAL RESEARCH
FACULTY OF DENTISTRY UNIVERSITY OF JEMBER)

No.2486/UN25.8/KEPK/DL/2024
Title of research protocol : " Description of Safety and Health Risks on Tempe Making
Process at Pantura SMEs 2024 "

Document Approved : Research Protocol

Principal investigator : Dr. Anita Dewi Prahastuti Sujoso, S.KM., M.Sc.,
Member of research : 1. Yanti Susilawati
2. Ana Islamiyah Syamila, S.Keb., M.KKK
Physician : -
Date of approval : March 2024
Place of research : UMKM Tempe Pantura Dusun Tegalgede Kulon Tegalrejo
Village Dringu District Probolinggo Regency

The Research Ethic Committee Faculty of Dentistry University of Jember states that the
above protocol meets the ethical principle outlined and therefore can be carried out.

th
Jember, March 04 2024
Chairperson of Research Ethics Committee
Faculty of Dentistry University of Jember

(Prof. drg. Dwi Prijatmoko, Ph.D.)