See a Hazard – Report it! Got Hurt? – Report it!

Workplace Safety &  Health Incident Reporting Form

Michelle Augustyn, Health & Safety Advisor

Michelle Augustyn, Health & Safety Advisor

If you have spotted a hazard, or have experienced an incident, please complete the Workplace Safety & Health Hazard & Incident Report Form and submit to:

REMEMBER to provide a copy to your Dean/Supervisor/Instructor.

ANYONE can use this form to report hazards and / or to report incidents and injuries, both on campus and while on practicum.

In addition to the WSH Hazard & Incident Report, you may need to complete the Worker’s Compensation Board of Manitoba – Worker Incident Report

Workers Report is for:

  • Students or staff that have received medical attention or have missed time from work due to a work related illness or injury.