Complete an Incident Report
Faculty and Staff:
As a member of our campus community, it is your obligation to complete an Incident Report Form.
Please report any incident that involves injury to a person or damage to property (or had the potential to do so) to Health and Safety, Human Resources, within 24 hours of occurrence.
After completing Page 1 of the Incident Report, sign it and provide both pages to your supervisor immediately.
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Incident Report Form (267 KB)
(fillable PDF) -
Incident Report Form (708 KB)
(fillable Word document)
Your supervisor should review Page 1 of the Incident Report, provide their comments on Page 2 and sign (electronic signatures are acceptable). Incomplete Incident Reports will be returned and delay processing!
Please submit BOTH pages of the signed Incident Report to health.safety@uregina.ca or stop by the Human Resources office (AH 435) and drop it off at the front counter.
Students, Visitors, and Contractors:
Please complete the Incident Report Form below and submit to health.safety@uregina.ca
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Incident Report Form (267 KB)
(fillable PDF) -
Incident Report Form (708 KB)
(fillable Word document)