QAS athlete safeguarding report form

Report a safeguarding concern

This form is to be used by QAS supported athletes, coaches and QAS staff members for reporting a concern regarding the safety and wellbeing of a QAS supported athlete.

If the concern DOES NOT involve the safety and wellbeing of QAS supported athlete, please contact the QAS People and Culture team at qashr@dtis.qld.gov.au.

If it is an emergency:

Phone Triple Zero (000) if it is an emergency or if you believe a QAS supported athlete is in immediate danger or a life-threatening situation. Then proceed to record and submit your report.

About You

The information provided in this form will be handled in accordance with the Qld Privacy Act.

What is your role at QAS? *
Are you 18 years or over? *

The incident

Nature of the complaint *
Date the incident occurred *

Please include person’s full name, their position at QAS and any other relevant information that will assist in identifying the person.

Please provide as much information as possible including details of who was involved, describe what happened and when (time/date), where and how you found out about the incident.

Is the person who the incident happened to under the age of 18? *
Are there any witnesses to this incident? *

Witness details

Declaration

I acknowledge that QAS may refer my matter to the relevant national or state sporting organisation for processing if applicable.
 I agree that the information provided in this form is true and correct.
 I accept that the information provided may be used and disclosed for the purposes outlined in the  Information Privacy Act 2009. If your report includes information about potential imminent harm, an ongoing risk of harm or information about criminality, we may provide your details or information from your report to relevant law enforcement or other relevant parties.

Note: more information on the Information Privacy Act 2009.

Last updated: 24 Jul 2024

About

Information for

Inside QAS

Contact us