Accident & Hazard Reporting

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Incident, Injury, or Illness

Use the Accidental Injury form to report incidents or conditions which result in work-related injury or illness. Also, non-injury incidents with consequences such as motor vehicle accidents, hazardous spills, or property damage.

PDF icon A PDF version of the accidental injury form can be downloaded here.


Use the Hazard Report form to report a near miss or hazard that could potentially result in injury, illness, hazardous spills, or property damage. Examples are unsafe conditions, unsafe behaviors, improper equipment use, or unsafe equipment.

This form may be used to anonymously report concerns. If using the e-form version simply leave the email field blank.

A link to the pdf version can be accessed using this link:  PDF icon Hazard Report Form 

Please do not use this form to report incidents listed above under Incident, Injury, or Illness.


If you have any questions about which form you should use, or if you prefer to report by phone or email please contact EHS at (360) 650-3064 or