Incident and Injury Reporting

The safety of our students and employees is a priority for the University and, therefore, it is important to report injuries and property damage incidents so that appropriate corrective actions can be taken to prevent future incidents and improve our safety program. Employee injury reports are also necessary to manage billing for medical care and to comply with OSHA reporting requirements.

University students and employees are required to report incidents that result in an injury, illness, chemical exposure, or property damage to their supervisor or instructor as soon as possible. The supervisor or instructor is required to investigate the circumstances surrounding the incident and summarize their findings on the incident and injury report form. The report format will adjust automatically for injuries or property damage
incidents.

Incident and Injury Report Form


How to View the Form


Due to the complexity of the Incident and Injury Report Form, only certain browsers display this file properly. If you have trouble viewing the form, please right click on the link and download the form on a desktop computer. Then, open the file in Acrobat Reader.

A Return to Work Form shall also be submitted for injured full- and part-time employees that require medical care.