Incident Reporting Form

Any incidents that occur on the University premises, or incidents involving staff or students on any business or educational activity (whether on University premises or otherwise) must be reported. This includes any environmental incidents, near misses (where there has been no injury) or work-related ill health.

Any major incidents should be reported directly to Security on ext: 5555 or 01707 285555 (external).

Where there are building faults or defects, these should also be reported to the Estates Helpdesk (ext: 3019, estates@herts.ac.uk)

Privacy Notice: By submitting an accident/incident form you agree to allow the Health, Safety and Workplace Wellbeing office to use and share this information with relevant people (e.g. SBU Safety Contact/Line Manager) in order to facilitate a follow-up of the accident/incident or near-miss.

The University will hold all information provided in accordance with Data Protection legislation and the University’s Data Protection UPR.

Fields marked with an asterisk (*) must be completed.

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