Form cover
Page 1 of 2

SafeSignal – Share Your Concern

https://storage.tally.so/036230a7-1ac9-4752-bb29-40c5295b520d/Home_Icon.svg

Brief Description of Concern

Please describe the health, safety, or environmental concern you observed. This could include potential hazards, unsafe conditions or practices, environmental issues (e.g. spills, pollution), or near-miss incidents. Providing specific details helps us understand the situation clearly and respond effectively.

Location

Where you have observed it - GPS Location will be the suitable choice or a map link, If not available you can describe it

Photos

Providing your name, email, or mobile number is optional and will only be used if we need to follow up for more details or to update you on any action taken.

Name

Email ID

Mobile

By selecting “I accept,” you confirm that the information provided is true and accurate to the best of your knowledge. This enables RAKEZ to review your concern responsibly and take appropriate action where necessary. The information may be shared with relevant internal departments or external authorities solely for the purposes of safety, compliance, or investigation. While all submissions are treated with due seriousness, submission of this form does not guarantee a specific outcome. RAKEZ remains committed to supporting a safe and secure environment for all

Terms_Acceptance