Report an Incident
Any incident that involves injury to a person or damage to property, or had the potential to do so, must be reported to the Environmental Health and Safety within 24 hours of occurrence.
An Incident Report Form must be completed for every incident, even if there were no injuries sustained. If the incident involves a student or visitor to campus, the report form must still be completed.
There are three ways to report an incident. These forms can be used to report hazards, safety concerns or injuries to the Department of Environmental Health and Safety:
1. EAlerts is an online form available though the EHS website.
2. MUN Safe App - Available for Apple and Android devices. [Note: MUN Safe App is not recommended for injury reporting.]
3. Memorial University accident report form
Information for employees/supervisors/managers
If an employee suffers an injury while at work:
1. Report your injury to your supervisor immediately.
2. Seek medical attention or call emergency contact numbers applicable for you area.
3. The supervisor must complete an incident report form and return it to Environmental Health and Safety within 24 hours of the incident.
Where supervisors are unable to fully complete the form within 24 hours, the form, with as much information as is available at the time, should be submitted with the remaining information to follow later. The supervisor and employee review the recommendations of corrective action with a focus on prevention of recurrence.
4. The supervisor and employee review the recommendations of corrective action with a focus on prevention of recurrence.
Please note: If it is a serious incident it must be reported to Environmental Health and Safety immediately (864-3786). A serious incident is defined as any of the following:
- Collapse or structural failure of a building, tower, crane hoist, temporary construction support system. or excavation
- Explosion, fire, or flooding
- Fracture of a major bone
- Amputation, or cuts where major blood volume is lost requiring hospitalization or time off work
- Loss of sight
- Third degree burns
- Unconsciousness resulting from concussion, electrical contact, or asphyxiation
- Any injury resulting in paralysis
- Any other injury likely to or had the portential to endanger life or cause permanent disability.
When an employee is injured at work, the injury should be reported the the Workplace Health and Safety Compensation Commission (WHSCC).
WHSCC Form 6 - For employees
WHSCC Form 7 - For employers (submit to WHSCC within 3 days)
For more information how to submit a claim please see the WHSCC website.
Incidents that do not result in injury but had the potential to (near miss)
1. Report the incident to your supervisor immediately.
2. The supervisor must report the incident to the Environmental Health and Safety within 24 hours of the incident.
3. The supervisor and employee review the recommendations of corrective action with a focus on prevention of recurrence.
Information for students
If injured while attending Memoiral University or during a university sanctioned event:
1. If required seek medical attention or call emergency contact numbers applicable for your area.
2. Report your injury to your supervisor (if applicable), the event coordinator or to the Department of Environmental Health and Safety as soon as possible using any of the methods listed above.
1. Fill out Incident Report with employee / student if possible.
2. Submit the Incident Report to Environmental Health and Safety within 24 hours of the incident occuring.
4. Cooperate during the investigation.
3. Implement effective and practical action to prevent a recurrence of the hazardous condition. May require short-term corrective action measures to control immediate hazard, and long-term measures to effect change.
4. Complete the supervisors/managers portion of any WHSCC forms in the event of an injury.
5. Provide employees with WHSCC form 6 in the event of injury.
1. Immediately report your injury to your supervisor or designate.
2. Assist in completion of the incident report if possible.
3. Cooperate during the investigation.
4. If you suffer an injury while at work, complete the WHSCC Form 6 Worker’s Initial Report of Injury if you are an employee that is covered by Workers Compensation.