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The University of Winnipeg

Accident/Incident Reporting

Purpose

Legislative requirements demand documenting accidents in the workplace for legal and insurance purposes.

Reporting incidents which don't involve injury assists the Safety Office in monitoring trends and working with supervisors to make improvements to working conditions and the safety program.

An accident is an undesired event which causes harm to people or damage to property. An incident is an event which under slightly different circumstances could cause injury or damage to property.

Click here to download an Incident Report Form (Doc) (Opens in new window)

Click here to download an electronic fillable Incident Report Form (PDF) [Use Adobe Acrobat to utilize fillable portion] (Opens in new window)

Process

The UWinnipeg’s Incident Report form must be completed for incidents even if there were no injuries sustained, regardless if the injured person is a student or visitor.

Injured employees must also complete a Workers’ Compensation Board (WCB) form, if appropriate. If you are not certain if you have WCB coverage, contact Bryan Ward  (Director, HR Services).

Information for Workers (including students working in laboratories)

If you suffer an injury while at work:

  1. Seek medical attention or call 911 for emergencies.
  2. Report your injury to your supervisor as soon as possible and start an incident report form by entering your particulars and a description of the incident.

Information for Supervisors

  1. Report the incident to the Manager, Safety and Health (204.786.9894) or Campus Security (204.786.9272).
  2. Accept incident report and meet with employee to discuss the incident direct and indirect causes. Complete all sections of the incident report.
  3. Submit completed incident report to departmental manager for signature.

Information for Managers

  1. Accept incident report and meet with supervisor & employee to implement corrective action with a focus on prevention of recurrence.
  2. Sign off on incident report and support to Workplace Safety and Health Specialist

Where supervisors are unable to fully complete the form within 24 hours, notify the Manager, Safety and Health

Workplace Health and Safety Committee Involvement

  1. Participate in the investigation of all serious incidents and dangerous occurrences.
  2. Review and analyze incident reports and make recommendations.
  3. Participate in Incident Investigation training.