TISA Safeguarding and Accountability Line.
The Institute for Social Accountability.
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Which of the categories below best describes the nature of your report? (See description at the end of this form) *
Tell us what happened: *
Did the incident/violation occur more than once? *
Is anyone else aware of this violation? *
Were you the target of this behaviour? *
Was anyone outside the organization involved in the violation? *
Has the incident been reported to anyone in supervision/management? *
Has the incident been reported to anyone outside the organization? *
Are you a current employee of the organization on which your report is based? *
What is your relationship to the institution? Describe: *
Did anyone else witness this incident? *
What monetary loss is associated with this violation? Describe: *
Was there anyone injured? *
Was there any property damage? *
Abuse of Power, Authority, or Control.
The misuse of power, authority, or control related to one's position in the organization. Examples include but are not limited to: directing employees to perform non-organization related work; or using organization assets for non-organization business without proper permission.
Compliance/Regulation Violations.
Violations of or failure to comply with a rule, regulation, law, operating procedure, past practice, or protocol for any aspect of the organization.
Employee Relations.
Any issues related to the way employees work with each other, their supervisors/managers, and the organization. Examples include job related actions like promotions, job or shift changes, terminations, disciplinary actions, and performance issues.
Financial Concerns.
Any concern that is financially related to, an employee or the organization.
Safety Concerns.
Any workplace condition that potentially compromises the health, safety, and well-being of employees, customers, vendors, or visitors of the organization. Such conditions may include: poor lighting or signage; unstable stacking or storage of materials, product, or equipment; exposure to hazardous materials or contaminants; exposure to excessive noise; lack of protection against weather elements; walkways, floors, or stairways in disrepair; or unnecessary exposure to dangerous machinery.
Sexual Harassment.
Unwanted and offensive sexual advances or sexually offensive remarks or acts, especially made by one in a superior or supervisory position or when acquiescence to such behavior is a condition of continued employment, promotion, or satisfactory evaluation. Examples may include unwanted conversation, obscene gestures, comments, jokes, touching of a sexual or lewd nature, staring/leering or whistling.
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