Online forms: Workplace Injury/Illness Analysis Form

*** Return to the Director of Compliance & Enterprise Risk Management within two business days of the incident ***

Click ‘Begin this form’ to continue.  The form contains three pages – please ensure all sections are completed before submitting. Please be advised, the form does not retain information until submitted and may not properly record if you click/migrate away from it in any way, such as switching to another window or tab, closing and reopening your computer, or refreshing the page in any way.  Also, please be advised the form may time out if you do not complete it within ~30 minutes.