* Use this form to report an incident that may require follow up from your supervisor.
* Staff to submit this form as soon as possible to the supervisor.
* The supervisor will conduct the investigation and complete part B of this form.
* A copy of this form will be routed to the Division Health & Safety Officer who will route as appropriate.
* This form is to be used for staff-staff, student-staff, threat assessment, and environmental reports.
*This form is to be used for all NEAR MISSES (new)