Complete an Incident Report
For Faculty and Staff:
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, Safety & Wellness, 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.
Incident Reporting Procedure (400 KB)
- Incident Report Form (267 KB)
(fillable PDF)
- Incident Report Form (708 KB)
(fillable Word document)
Your supervisor/instructor should review page 1 of the Incident Report and provide their comments on page 2 and sign. 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.
For Students, Visitors, and Contractors:
Please complete the Incident Report form below and submit to health.safety@uregina.ca
- Incident Report Form (267 KB)
(fillable PDF)
- Incident Report Form (708 KB)
(fillable Word document)