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Environmental Health & Safety HOME

All work-related incidents that result in an injury or illness must be reported to Environmental Safety / Human Resources. After properly attending to your injury, please use the forms below and fax (75026), mail or deliver them to Human Resources (HH 153) as soon as practical.  Reports should be forwarded to Human Resources within 24 hours of the occurrence of the incident.

Some of the forms below are editable "form-fill" Word documents that may be completed electronically and printed or completed by hand. The final copy must be signed prior to delivery to Human Resources.

• EMPLOYEE INCIDENT REPORT FORM

• SUPERVISOR INCIDENT REPORT FORM

• WITNESS REPORT FORM

• FORM COMPLETION INSTRUCTIONS

• DRIVING DIRECTIONS & PHONE NUMBERS FOR INJURY CARE

All non-employee incidents that result in an injury or illness are tracked by Environmental Health & Safety. After properly attending to your injury, please use the form below and fax, mail or deliver it to Human Resources (HH 153) as soon as practical. If you have questions, please contact Environmental Health & Safety @ 66485.

• NON-EMPLOYEE INJURY REPORT FORM

• NON-EMPLOYEE INJURY REPORT FORM (FORM-FILL VERSION)

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Comments and questions about this page can be directed to Wayne Shelton.

Environmental Health and Safety   Holloway Hall 159   410-546-6485

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