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Thompson Rivers University
Thompson Rivers University
 > TRU Home > Risk Management Services > Health and Safety > Safety Programs > Incident Reporting and Investigation > Incident Report Form
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Incident Report Form

Report a health, safety and/or environment incident on the TRU campus.

If you are an EMPLOYEE of TRU, then please fill out the TRU EMPLOYEE INCIDENT FORM.

If you are reporting a non-emergency potential hazard that needs to be addressed:

Hazard Identification / Near Miss Report

If you need assistance filling out this form, please contact osem@tru.ca.

Incident Report

Personal information










hh:mm


Who did you report to and when?



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First Aid



hh:mm


Physician or Provider




hh:mm




Type of incident


What part of the body was injured?


ex: room number, parking lot, outside

Lifting






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