CLH welfare incident log
Purpose: For CLH members and attendees to advise the Safety secretaries of incidents for reference and possible further action. To read more about our safety policy and what will happen to any information received via this form go to:
Are you happy for our safety secretaries to contact you regarding this incident?
Understanding that if you select 'No' this comment will be recorded for information only and no immediate further action may be taken.
Date and time of incident
University Social Club
Person causing harassment
Recipient of harassment (please state 'anonymous' if you/they don't wish to be named)
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