If you are a student-worker, employee - faculty or staff that experienced an injury or incident on the job, please navigate to this form:
Incident Report - Employee for handling by the HR team.
Members of the Holy Cross Community, to include students, employee's, faculty, staff, volunteers, spectactors, guests, audience members, etc... who experience an incident or injury are asked to complete this form regardless of the severity of the incident, accident or injury, to ensure we have an opportunity to address concerns and evaluate if any additional assistance that may be needed within 24 hours of an incident or accident.
Please be as detailed as possible and understand that we may follow-up to gather additonal information. Responses are reviewed by a member of the Risk Management team and routed to other Department partners when necessary and will reach out to you as needed.
Submissions by Holy Cross students reporting general injuries, or resulting from participating in Club or Intramural sports, may be contacted by Health Services to gather additional information.
If you wish to send pictures of videos to us related to this report, please send them to eanderson@holycross.edu
Our contact information is:
Risk Management and Compliance
Ellen Anderson
eanderson@holycross.edu
508-793-2520
We thank you for taking the time to complete this form.
What to do if there is an Emergency:
Call the Department of Public Safety at 508-793-2222 (on-campus) or 911 (off-campus) for immediate medical assistance or to report an emergency. They are the first point of contact for all Emergencys.
