Incident Reporting

All work-related incidents that result in an injury or illness must be reported to Environmental Safety as soon as possible. After properly attending to your injury, please use the forms below and fax them to X82228 and mail or deliver them to Environmental Safety, Maintenance Building (MB 120A).  In most cases, reports should be forwarded to Environmental Safety 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 Environmental Safety.

• 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 Safety. After properly attending to your injury, please use the form below and fax, mail or deliver it to Environmental Safety (MB 120A) as soon as practical. If you have questions, please contact Environmental Safety @ X66485.

• NON-EMPLOYEE INJURY REPORT FORM

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