Issue Entry Form

Use this form to lodge an incident report, complaint, warning, or improvement suggestion

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Select the most appropriate title that describes the main category of the issue.

A short summary of the issue in less than 80 characters

Which area (if any) of the business does this issue best relate to?

Where did this incident occur?

Date of incident resulting in accident or complaint

Time of incident leading to accident or complaint if relevant

Tick if you believe that this incident needs to be reported to an authority (Police/NDIS Commissioner/WHS etc.)

Describe details of the issue (note that contact details of people involved are collected later and do not need to be included here)

Please select the option that best describes your role in relation to this incident (only select witness if none of the other options apply)

Contact Details

Please note that for complaints it is not mandatory to complete the following fields. If you do NOT supply a valid email address you will not be able to receive notifications or access the issue later.

First name and surname

Best email contact to use for contact and followup

Phone contact number - mobile is preferable

The organisation you represent - please only specify if relevant to the issue

Impact

Select option which best describes the impact of the incident. For incidents, this form makes provision to add THREE different people/impact reports. Leave blank for complaint if not relevant.

Provide details of the impact selected

This page provides the opportunity to add additional impact statements for people involved in an incident. If the issue is not an incident, then please click on Send to submit the issue as is.
NOTE: Additional data and files can be attached to this issue using the Issues App on the TG Team Portal under TG Team menu. You will need to register an account on the website in order to access this menu.
 

Check if you wish to add the impact description for a second person.

Contact Details

Please select the option that best describes the role of the second person in relation to this incident (only select witness if none of the other options apply)

First name and surname

Best email contact to use for contact and followup

Phone contact number - mobile is preferable

The organisation you represent - please only specify if relevant to the issue

Impact

Select option which best describes the impact of the incident. This form makes provision to add THREE different people/impact reports.

Provide details of the impact selected

Contact Details

Please select the option that best describes the role of the second person in relation to this incident (only select witness if none of the other options apply)

First name and surname

Best email contact to use for contact and followup

Phone contact number - mobile is preferable

The organisation you represent - please only specify if relevant to the issue

Impact

Select option which best describes the impact of the incident. This form makes provision to add THREE different people/impact reports.

Provide details of the impact selected

Please note anything else that you think is relevant to the issue which you have not mentioned in any other question.

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