For the report type, select 'I'm reporting for myself' if you are the ill or injured party; otherwise, select 'I'm reporting on behalf of someone else' if you're reporting for another individual who ...
Please use the appropriate incident report form below to report an incident or concern to our office. Do not use this form to report an immediate threat. If you require emergency assistance, call 911.
Report an accident or incident / near miss using the Online MySafety Reporting Form takes you through the steps of how to report an accident, incident or a near miss. The on-line form takes 3 to 5 ...
Members of the UB community can file a small claims incident report arising from alleged negligence on the part of the University ... Claims must be filed within ninety (90) days of the alleged ...
Please use this form if you are an individual identified as a "Campus Security Authority" to report the required information about specified crimes (listed below) pursuant to the federal Clery Act.
Please provide your full name, email address, and contact information so that an Officer can contact you to verify certain information, ask you additional question and provide you with the incident ...
Send this completed form to David Heath in Human Resources, [email protected]. If a work-related injury meets any of the following criteria, the "UW First Report of Accident/Incident" must also be ...
Use this form to report a bias-related incident involving students only. If an incident involves an employee or third party, please use the Report Employee-Related Incident or Concern form instead. If ...
Unfortunately, accidents can happen in any work place at any time. The Accident and Incident Report Forms are there to record these incidents. DMU has a clear duty to keep us all safe and ensure that ...
The time spent completing these forms will ultimately speed up the arrival of appropriate help. The first form is an Accident Report. It is one side of A4. It is designed to be used to summon help. If ...
The immediate measures to be taken are outlined below (as adapted from UB Workers’ Compensation Accident/Injury Report form). Several of the agents responsible for viral, fungal, bacterial, and ...