Report Client Incident or Risk

Report Client Incident or Risk
IMPORTANT NOTE: Autism 360 Team leaders have created an Incident Framework process. Please ensure you've gone through this document before logging a risk or an incident.

👉 CLICK HERE to check the latest version of the Process Document
Client Name*

First NameLast Name
Client Email*
example@example.com
Is this a Risk or an Incident?*

Risk - nothing has happened yet, but may eventuate and needs monitoringIncident - something has happened, needs action
Incident Severity
Risk Classification
What is this Risk/Incident about*
Describe the Risk/Incident*
When did this Incident happen

MonthDayYear
Date
Did this Risk/Incident involve Autism 360™ Staff or any of its contractors?*

YesNoNot sure
Is this a Reportable Incident?
Does it need to be reported to any State, Federal or Local Government bodies?
Which Govt/Non-profit Org was this Incident reported to?
Date This Incident was Reported to the above Organisation

MonthDayYear
Date
Have you logged the details of this risk/incident in your Session "Internal" Notes?*
Note: it is mandatory to record such observations in your Session notes in the "INTERNAL Notes" section so that it's only visible to the internal team (and not the client)
Your Name*

First NameLast Name
Your Supervisor/Team leader/Manager name*

First NameLast Name
Your Email*
example@example.com
Upload any necessary documentation (optional)

Cancelof
Status*
Should be Empty: