NOTE:  Employees should be aware that the Corvallis School District encourages and welcomes input regarding the safety of their work environment. Employees should report any/all incidents without concern for retaliation. To ask a question or voice a concern anonymously, employees can utilize the I Have a Health and Safety Question survey. 

NOTE:  This form is automatically routed based on responses to location, job classification, and/or severity of injury questions. Not every report will necessitate an individualized response. Employees with questions or concerns should direct them to their immediate supervisor. 

IN ADDITION TO COMPLETING THIS FORM, please verify that your Supervisor and/or Office Manager are aware of your injury. This form will be routed according to individual responses, but automation has limits!