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:

• Incident Report Form (267 KB) (fillable PDF)
• Incident Report Form (708 KB) (fillable Word document)