Contact Safecall - Report an Incident

Use this form to report an incident or make a complaint about a situation in your workplace.

An immediate response regarding urgent matters can only be guaranteed by telephone.

If you wish to ensure anonymity do not complete this form, but instead telephone us on 0870 2410762.

Please note that fields marked with a (*) are required fields. We endeavour to respond to your enquries as soon as possible.

Your details

Name (*):

Address:

Postcode:

Telephone (*):

Fax:

Your Email (*):

Your employer's details

Name:

Address:

Telephone:

Details of incident or complaint

Name of person(s) subject of complaint:

Brief description of complaint (who, what, when, where and how):

We may wish to contact you for further information or to provide you with the results of our investigation. When and how should we contact you?

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