EOI Serious Incident Independent Review Panel Experts Nomination Form

EOI Serious Incident Independent Review Panel Experts Nomination Form
Area of Expertise
State/Territory (Branch) *
Serious Incident Independent Review Panel Nominee Name
Mobile Number
Email*
A copy of your submission will be sent to this e mail address
Please provide a short description of your expertise within your chosen field.*
Should include years of experience, qualifications, key roles, other contributions.
The Equestrian Australia Serious Incident Independent Review Panel’s (SIIRP) core objective is to conduct independent reviews of serious incidents to both humans and horses that occur at Equestrian Australia related activities.

I agree to be a panel member of Equestrian Australia's Serious Incident Independant Panel if/when called upon to conduct an independant review of a serious incident within my field of expertise.

I agree to abide by the Terms of Reference issued by Chief Executive Officer (CEO) of Equestrian Australia, the chair of the Equestrian Australia Health, Safety and Welfare Committee or their delegate.

I consent to my contact details and SIIRP Panel member profile to be listed on EA's internal Health and Safety Register of SIIRP members.
Yes
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EOI Serious Incident Independent Review Panel Experts Nomination Form
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