Safety Response Form
Use this for reporting safety concerns, near-misses, and incidents. Reports are anonymous, unless you provide your email at the bottom.
What are you reporting?
Date of incident, near-miss, or concern
Location of incident, near-miss, or concern
If you want to be looped in on this incident/near-miss/concern, provide your email below
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This form was created inside of University of Minnesota Twin Cities.
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