Forms

Employee's Work Injury and Illness Report

Please complete the report before your shift ends or within 24 hours of the incident. 

Click here to report an incident

Supervisor's Accident Analysis and Prevention Report

Please complete the report within 24 hours of notice of the incident.

Click here to report an incident

Safety Manager Review

Please complete the Safety Manager’s Review within 48 hours of being notified of an incident.

Click here to submit your investigation.

Forms for Employees

Forms for Supervisors

Forms for Safety Managers

Safety Manager Review docx

Forms for Worker’s Compensation Coordinators

Forms for Witnesses

Witness Statement Form pdf