Use the form below to input the event details you are reporting. After submission, Environmental Health and Safety will contact you shortly. First Name Last Name Affiliation Email Lecturer's or Supervisor's Name What type of event are you reporting? Injury Exposure Chemical Spill Biological Spill Near-Miss Other What day did the event occur? Where did the event occur - building and room? Was anybody else involved? Yes No Did anybody else observe the event? Yes No Describe what occurred Leave this field blank
