CRNA will treat all individuals involved in the assessment and resolution of disclosures and/or investigations where applicable fairly, consistently, and objectively, regardless of their position or tenure.

The assessment, resolution and/or investigation of a disclosures will be handled with objectivity, confidentiality, and sensitivity.

There may be consequences for disclosures made for reasons beyond what could be considered “good faith,” for example, if the individual is aware that the disclosed information is false or is made with intent to harm another.

What type of concern are you bringing forward?

1 - How did you find out about this incident?

2 - Event description. *

Describe the incident or activity that has led you to believe wrongdoing has occurred, a risk has gone unaddressed or a policy or procedure has been violated. Please provide as many details as possible.

The following questions are intended to further clarify your description of your concern and may ask for information you provided above, please answer each question to the best of your ability.

3 - Are you able to identify the people involved in the incident?

Please provide the name, title and any other identifying information.

4 - Where did the incident occur?

Ex. At the office, an offsite meeting, a virtual discussion

5 - When did the incident or activity first occur?

6 - If possible, tell us the dates, hours or timeframe during which it happened.

Ex. On June 12 at 9h PM, the meeting lasted 20 minutes.

7 - As far as you know, how many times did this incident happen?

8 - Are any Councillors, committee members or management aware of this incident?

9 - Identify all the people who may have witnessed the incident.

Please provide the name, title and any other identifying information.

10 - Are you aware of or have you taken steps to address this matter prior to submitting this concern?

10.1 - Tell us about any action taken to raise awareness amongst those concerned or to resolve the problem.

Please provide the name of the person(s) involved in addressing this matter, the actions that were taken and all other useful information.

11 - What do you expect from this report?

We invite you to describe the actions and preventative or corrective measures you would like to see implemented.

Feel free to provide your name and contact information.

If you enter your contact information, the person assigned to your complaint will communicate with you to obtain additional information if it is deemed necessary.

If you choose to remain anonymous, we suggest that you access ALIAS Reporting Service on a regular basis in order to answer follow-up questions or provide further details that may be necessary. This is a way for you to complete your report by providing us anonymously with more information and thereby contribute to making sure that your organization follows up on your report.

Your username will be generated after clicking on the “Submit” button.

The password below has been automatically generated. You can change this password before sending your report. If you choose to change it, your password must contain between 12 and 30 characters, including at least one uppercase letter, one lowercase letter, one number and one special character (for example $%&*?).