Report Employee Safety Concerns

Submitted reports are reviewed by the Augsburg Employee Safety Committee. 

You may submit anonymously or include your name and contact information if you’d like follow-up. Because a thorough investigation often depends upon an ability to gather additional information,  you are encouraged to identify yourself. The Employee Safety Committee will explore anonymous allegations to the extent possible, but will weigh the prudence of continuing such investigations against the likelihood of confirming the alleged facts or circumstances from attributable sources.

Reports are subject to Augsburg's Whistleblower Protection Policy detailed in the employee handbook.

This form's shortened URL: https://go.augsburg.edu/safetyconcern

Sign in to Google to save your progress. Learn more
Date of the observed concern or incident:
*
MM
/
DD
/
YYYY
Location of the concern *
Building, room, area, etc
Please describe the safety concern in detail:   *
What happened or what was observed? What are the potential risks?
Have any actions already been taken to address the concern?
*
Do you have suggestions for resolving the issue?  
Your Name
Not required—you may submit this report anonymously.
Your Email or Contact Information
Not required—you may submit this report anonymously.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Augsburg University.

Does this form look suspicious? Report