Report a Concern

Important Information

This form is managed by Emverio, an independent external provider authorised by organisations to recieve concerns.

Emverio's purpose is to support organisations to create and maintain safe, respectful and healthy workplaces where people feel able to speak up about concerns without fear. This reporting process exists to support a robust reporting culture, that encourages early identification of risks, promotes respectful behaviour, and helps prevent harm before it escalates.

We recognise that concerns relating to workplace behaviour, gender-based harm, and psychosocial risks can arise in many forms. People may not always have the language, certainty or confidence to describe what they are experiencing.

You do not need to know how to describe your concern or whether it meets a legal definition. If something feels unsafe, harmful or concerning you can raise it here.

By providing this reporting pathway, the organisation seeks to:

encourage open and safe reporting
identify, manage and prevent psychosocial hazards and gender based harm and unsafe workplace behaviours
meet its obligations under Australian laws
support fair, proportionate and timely responses

Privacy and Data Collection

We collect only the information to:

understand the concern raised
assess safety and risk
meet workplace health and safety and legal obligations
support appropriate prevention or response actions

Information may include:

details of behaviour, conduct or workplace conditions
impacts on health, safety or wellbeing
information about roles, locations, or work arrangements

Your information is handled in accordance with Australian privacy law and stored securely.

We do not collect unnecessary personal information.

Confidentiality

Your information is treated as confidential. Access is limited to authorised people involved in:

assessing risk and safety
meeting legal or regulatory obligations.
determining appropriate next steps.

Where possible, information is shared with the organisation in a limited or de-identifed way without consent.

There are some circumstances where confidentiality cannot be absolute. These include situations where:

there is a serious or immediate risk to health and safety
disclosure is required by law or a regulator
limited information must be shared to ensure procedural fairness

If disclosure is required, we aim to share only what is necessary.

Anonymity and Identification

You may choose to:

submit this form anonymously
provide your identifying information to us only, request confidential handling and progress updates
consent to dislose your information to the relevant organisation

If you choose to remain anonymous your concern will still be assessed. However, our ability to clarify information, provide updates and take actions will be limited.

You will not be pressured to provide identifying information.

How this Information is Used

Information provided through this form may be used to:

identify and manage psychosocial hazards and / or gender based violence
assess risk and prevent harm
support workplace safety and respectful conduct
meet legal duties relating to workpalce health and safety

Raising a concern does not automatically result in an investigation. The response will depend on; the nature of the concern, safety risks, legal obligations and the information available.

Support and Safety

If you concern relates to immediate danger or risk, please contact

emergency services (000)
a trusted support service
local State based workplace health and safety department
Safework Australia
check your orgnanisations Employee Assistance Program (EAP) for counselling support.

Retaliation and Victimisation

Retaliation or disadvantage for raising a concern is not acceptable and may breach a workplace law. If you experience negative treatment after raising a concern, you can report this as a separate issue.

Your Choice

You can complete as much or as little as you feel comfortable with, stop at any time and / or report a concern via telephone or email info@complaints.emverio.com or call us on 1300 454 574

By continuing, you acknowledge that you have read and understood this information *

How would you like to report this concern? *

If you would like follow-up, how would you prefer to be contacted?

Last Name

First Name

Email Address

Phone

Which best describes your relationship to this concern? *

Which best describes your connection to the organisation? *

Organisation Name

Which industry or work sector does this concern relation to?If you don't know you can just skip this question.

Where does this concern relate to? *

Address of the site / location where you have a concern

Street address

City

State

Postcode

Describe the Concern (in your own words)You can keep this brief. Share only what you feel comfortable sharing. If you are reporting anonymously, please remember not to include any identifying details. If you are unsure, you can call un on 1300 454 574. We won't store any identifying information without your consent.

Feel free to attach any relevant documentation

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How is this concern affected you or others? *

Which of the following best describes the concern you are raising? *If you're unsure, that's okay. You don't need to be certain about how to describe this. These options help us understand risk patterns and respond appropriately. Just choose one that you think best fits.

Can you summarise the frequency of the concern? *

Does this concern involve a power imbalance?

YesNoUnsure

For example, seniority, control over work, pay, performance or access to opportunities

Has this concern been raised before? *

Yes, informallyYes, formallyNoUnsure

If yes, who has it been raised with?

What would you like to happen as a result of raising this concern? *

Do you consent to information you have provided being shared with the organisation? *

Yes - the information can be used and provided to the organisationNo - I do not want you to provide this information to the organisation

Note: If you choose no, you are confirming that Emverio cannot disclose the information you have provided to the organisation, and under these circumstances no further action can be taken. However, please note that we may use generic information to report on trends, patterns and hazards.

Is there anything else that would make it unsafe to contact you or take action at this time? *

YesNoUnsure

If you wish, you can tell us more

Would you like information about support options? *

Is there anything else you want us to know?

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