Safeguarding & Incident Report Form(to report about any staff member/volunteer or affiliate of TPP)

You may report anonymously. Use this form to report any safeguarding concern, risk or incident. If anyone is in immediate danger, contact local emergency services first.

Are you reporting anonymously?*

Yes – I prefer to remain anonymousNo – I will provide my details

Your Name

Contact (email or phone)

Your role in relation to TPP

Please describe

Who is the concern about? (if known)

If your concern is regarding the Safeguarding focal point please email: Gabrielle@afw.ngo

If your concern is regarding a board member please contact Clairelalande@protonmail.com

If you would like to remain anonymous please create a new email to contact the above addresses

Other people involved or witnesses (if any)

What type of concern?*

Sexual exploitation, abuse or harassment (SEAH)Physical harm or assaultEmotional or psychological harmDiscrimination or harassmentBoundary violation / misuse of powerUnsafe activity, environment or practiceSafeguarding risk (no incident yet)Other (please describe)

Describe other

What happened? (please describe what you saw, heard, or were told)*

Date of incident*

Date

Location

Is anyone currently at risk or unsafe?*

YesNoUnsure

If someone is in immediate danger, contact emergency services or the Safeguarding Focal Point (External): Claire Lalande — +33 7 86 87 23 05

Actions taken so far (if any)

Information will be handled confidentially and shared only on a need-to-know basis for safety or legal reasons. Anonymous reports are accepted.