occupational health & safety

Incident Report Form


New On-Line Incident Report Form Starting January 1, 2008

January 1, 2008 kicked-off a new system for reporting workplace injuries and illnesses at WSU. The electronic form is easier and faster to fill-out and submit. Now you can report a workplace injury or illness by accessing the electronic form from Reporting Accidental Injuries and Work-Related Illnesses in the Safety Policies and Procedures Manual. The improved process will save you time!

Safety committees still need to receive copies of incident reports for reviewing and suggesting preventative measures to their unit administrator. The person preparing the report should print hard copies and route them to their safety committee chair and the affected party.

For detailed information please review the Online Incident Reporting Guide.

Human Resource Services (HRS) will provide training on the new on-line system upon request. To schedule a training session please contact Jamie Gecas, 335-1760.

If you have any questions, please contact Jamie Gecas, HRS, or Ed Havey, Environmental Health & Safety, 335-5311.

Complete and prompt reporting of workplace incidents is a critical step in preventing future accidents and eliminates delays in Workers Compensation benefits to employees!

Please recycle all old hard copy Incident Report forms.



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Created
01/2/02
Reviewed
01/04/08