Injury and Illness Reporting

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 Incidents

All work-related incidents that result in an injury or illness must be reported to Stacy Messick, Human Resources Administrator, as soon as possible. After properly attending to your injury, please use the forms below and fax them to X82228 and send via campus mail to Stacy Messick, Maintenance Building. In most cases, reports should be forwarded within 24 hours of the occurrence of the incident. If you have questions, please call 410-543-6282 or X36282.

Non-Employee Incidents

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 Wayne Shelton, Environmental Safety (MB 120A) as soon as practical. If you have questions, please contact Environmental Safety @ X66485.