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  Injury/Illness/Incident/Hazards Reporting

  1. Work Related Injury/Illness Report Form

  2. Other Injury/Incident Report Form (Non-Work Related)

  3. Hazard Report Form

  4. Workers Compensation Memo to all Faculty, Staff and Administrators (F/PT)

  5. Incident Report for Fire & Safety Office Use Only

  6. Fire/Safety Issue Notification Form for Official Use Only   

The following reporting procedures have been provided to better serve the university community as well as help the Safety Office track the number of injuries/illnesses claims, accidents, and potential safety hazards on campus.   This provides an excellent opportunity for the campus community to become involved in safety and promote awareness.   Your prompt response in filling out the appropriate forms is most appreciated.

Worker's Compensation Memo:  All faculty, staff, and administrators should review this memo which outlines the procedures to follow when an employee incurs a work-related injury or illness.  All employees, both full-time and part-time should sign the document and submit it to the BYU-Idaho Safety Office.

Work Related Injury/Illness Report Form:  Any full-time or part-time employee of the university must fill out the Injury/Illness Report Form for any work-related injury or illness.  This form is provided online. 

Incident Report Form:  The Incident Report Form is a campus-wide initiative to be utilized by all faculty, staff, administrators, and student employees in reporting all non-work related accidents/incidents occurring on campus (including:  falls, tripping, accidents, etc.).  Each department should instruct their employees on the importance of filling out the Incident Report Form, even if no serious injury occurs.  Your help in tracking incidents will greatly assist the university in its efforts to improve institutional safety, and is greatly appreciated.

Hazards Report Form:  The Hazards Report Form is open to all university faculty, staff, administrators, students, and guests who wish to report a potential safety hazard.  It is now possible to report a safety concern or safety suggestion online directly to the Safety Office. This is an excellent opportunity for the campus community to become involved in safety and promote awareness.  Types of safety concerns to report here may include:

1.  General workplace and office safety
2.  Fire safety
3.  Laboratory safety
4.  Environmental issues
5.  Other