AIBI Critical Incident Report

Critical Incident Report
Section 1: Your personal details
Name*

First NameLast Name
Role/Relationship to AIBI HE*

StaffStudentVisitorOther
Email*
example@example.com
Phone number*

Section 2: Critical Incident Details

Please provide as much information regarding the incident as you can to support the resolution of the matter.
Date of incident*

DayMonthYear
Date
Time of incident*
Location of incident*
Please describe where the incident took place, including the campus location, floor level and area (e.g., Sydney campus, level 2, classroom 201)
Persons involved.*
Please include the name(s) of individuals involved (if known). This section should be completed if the person involved is someone other than yourself (the reporter)
Type of Incident*
Incident details*
Additional information

Section 3: Impact and Response
Was anyone injured or harmed?*

YesNoUnsure
If Yes, please describe the nature of the injury and any immediate actions taken.
Was emergency assistance required? (eg, Campus Security, First Aid, Police, Fire Department, Triple Zero)*

YesNo
Actions taken at the time of incident (e.g., Reported to supervisor, called emergency services, provided first aid)*

Section 3: File upload

Please upload all the relevant documents in support of your report if there are any, e.g., photos, video recordings etc.
File Upload

Cancelof
Would you like to be contacted regarding this incident?(Please ensure to provide your contact details if you wish to be contacted by us)*

YesNo

Section 4: Sign and submit your request

Please sign, date and submit your request using the fields and buttons below.

All actions required and described by/in the following policies and procedures will be adhered to:
Your report will be reviewed by the Critical Incident Warden and you will be contacted to discuss the issue further. If you have any questions or concerns, please contact the Compliance Department at compliance@aibihe.edu.au.
Signature*

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Date*

DayMonthYear
Enter the date you signed this form
Please verify that you are human*
Privacy Statement – Collection of information

The Australian Institute of Business Intelligence (AIBI) is bound by the Privacy Act 1988 (Cth) (‘Privacy Act’) and will protect your personal information in accordance with the Australian Privacy Principles (APP). These principles govern how we can collect, use, hold and disclose your personal information, as well as ensuring the quality and security of your personal information. By completing this form, you give consent to Australian Institute of Business Intelligence to collect and use your personal information for the purpose of processing your request and keeping the Student Management System up-to-date as per regulatory bodies requirements. The information will be held by the Institute in accordance with its Privacy Policy and maybe accessed and used by people employed/engaged by the Institute. The information may be made available to government departments, third parties and agencies in relation to the Institute’s obligations under law and Education Provider requirements. You have a right to access and correct your personal information in accordance with privacy legislation and the Institute’s Privacy Policy.
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Critical Incident Report

Section 1: Your personal details

Section 2: Critical Incident Details

Section 3: Impact and Response

Section 3: File upload

Section 4: Sign and submit your request