Thompson Rivers University 50th Anniversary
Thompson Rivers University 50th Anniversary

Incident Report Form

If you need assistance, contact us at osem@tru.ca.


Personal information













Name of person reported to














Hierarchy of control
1. Elimination
2. Substitution (use an alternative)
3. Isolate (separation from hazard)
4. Redesign (change equip/process)
5. Administration (change work practice)
6. Personal protective equipment (gloves, glasses, hearing protection)



Supervisor/instructor signature and report date



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