DCIQ: Save the Children's Incident Reporting Form

Save the Children's Incident Reporting Form

Use this form to report incidents and near misses. An incident is an event that result in harm or loss to beneficiaries, staff, visitors, the public or the organisation. A near miss is an event that could have resulted in harm, damage or loss. To view our Incident Reporting Policy, user guide, and training documents, click HERE. If you require any assistance, please contact the Datix system administrator at datix@savethechildren.org

Translation instructions for Google Chrome and Firefox (in English)

Exact date known
Date range estimation
Date unknown

Reporter
- First name
  If you want to be anonymous, write 'Anonymous' as first name
  You must enter a value in this field
- Last name
  If you want to be anonymous, write 'Anonymous' as last name
  Write “No Last Name Known” if you do not have a surname
  You must enter a value in this field
- Email
  Even if you are anonymous, provide a temporary email for investigators to contact you on. This makes a strong investigation outcome more likely.
  You must enter a value in this field
- Telephone Number including country code
  You must enter a value in this field
- Would you like to be informed at the closure of this incident?
  You must enter a value in this field
  - Yes
  - No

Incidents

Save the Children's Incident Reporting Form