Health and Safety Concern

By completely filling out the form below, your health or safety issue/concern will be sent to the appropriate member of Environmental Health & Safety.

Procedure for Reporting a Health & Safety Issue or Concern

EHS encourages the use of the following process for reporting health & safety concerns:

  • Report the concern to your immediate supervisor or person-in-charge. Concerns related to air circulation, temperature fluctuations etc. should be referred to the Facility Liaison Officer. Some resolution and remedial actions may need to involve the departmental safety committee or the senior departmental administrators.
  • When the problem requires specialized expertise the department should refer the issue to EHS for further action and policy considerations.
  • The worker may call EHS directly if their concern is not being addressed to their satisfaction.
  • Reports will be kept confidential if so requested.
Previous Reporting of this Concern
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Health or Safety Concern Details
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Date
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Your Information
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