The University of Winnipeg

The University of Winnipeg

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The University of Winnipeg

Slip and Fall Reporting Form

Please complete all fields of this report form to report an unsafe condition or a slip/fall as a result of an unsafe condition. Once submitted, the Safety Office will retain the record and forward to our Facilities Team for addressing any issues. You can also attach a picture from your mobile device of the hazard.

Incomplete forms will be dismissed.

All slip/fall injuries should be reported as soon as possible to your supervisor after attending to injuries and first aid.

Reporter Info

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Location

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    Exact Location

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    Basic Information

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    Add Supporting Documents

    Add files to upload as supporting documentation along with your incident report.