Whistleblower Report
To make an Anonymous Report please complete the following:
Step 1
Q1. Which of the following best describes your relationship with the organisation your concern relates to?
Q5. Have you previously reported this concern to EAP Assist?
Q6. Do you consent to Eap Assist reporting your concerns to your organisation?
Q7. Have you previously reported this concern within your organisation?
Step 2
Q8. Are you comfortable providing your name and contact details to Eap Assist (so that one of our investigators can contact you)?
Q8b. How would you prefer us to contact you?
Q9. Do you consent to EapAssist including your name and contact details in the report to your employer?
Q10. Which of the following best describes the type of conduct or unacceptable behaviour you are reporting?
Step 3
Do you know or believe that this has occurred before?
Q15. Who was involved in the conduct or unacceptable behaviour? (the person/s who committed the conduct )
Person #1
Person #2
Person #3
Person #4
Q17. Do you have any evidence or documents that relate to the conduct or unacceptable behaviour OR communication with the person/s concerned?
Q17a. Upload docs here (accepts jpg/png/pdf/doc filetypes)
Max. size: 128.0 MB
Q17b. Are you aware of any other sources of evidence or documents that relate to the conduct or unacceptable behaviour?
Section 4
Q18. Did the conduct or unacceptable behaviour breach company policy or procedure?
Q19. Will reporting of this incident or conduct identify you even if your name isnt included in the report?
Q20a. Is the person aware that you were concerned about their conduct at the time?
Q20d. Will reporting of this conduct or unacceptable behaviour identify you even if your name isnt included in the report?
Q21c. Did the impact on the organisation include a financial loss? (please describe)
Q21d. Did the impact on the oganisation include a saftey risk or environmental risk? (please describe)
Q21e. Were there any security breaches involved in the conduct or unacceptable behaviour? (please describe)
Q21f. Do you know or believe that this conduct or unacceptable behaviour is still occurring?
