Incident Reporting

 

An incident is any unplanned event that either results in personal injury or damage to property; equipment; or the environment, or has the potential to result in such consequences (near-miss).

Incident reports are to be submitted within 24 hours when any of the following occur on campus:

Immediately report incidents resulting in severe injury, illness, exposure, property damage, or death to University Police, 814-732-2911, and the Office of Safety and Risk Management, 814-732-2709, for further action.

Reporting an incident allows the Office of Safety and Risk Management to:

Incidents Involving Employees

  1. The employee directly involved with the incident should complete the Incident Report.
  2. The employee's Supervisor shall complete the Supervisor's Incident Report, with the input from the involved employee and collect a Witness Statement from all involved persons.
  3. The reports, including witness statements and pictures, should be submitted to the Office of Safety and Risk Management via email to safety@pennwest.edu, fax to 814-732-2228, or submitted in person. The preferred method is via email.

Incident involving work related injuries or occupational illnesses should see the Workers' Compensation Page.

Incident Involving Non-Employees

(i.e. Students, Visitors, Contractors)

  1. Incidents involving students, visitors, or contractors should be reported to their designated University contact (i.e. Faculty or staff).
  2. The designated University contact shall complete the Incident Report, with the assistance of the involved person.
  3. Incident Report should be submitted to the Office of Safety and Risk Management via email to safety@pennwest.edu, fax to 814-732-2228, or submitted in person. The preferred method is via email.

Example: If an incident occurred in class, then it should be reported to the professor. The professor would complete the Incident Report and submit it to the Office of Safety and Risk Management.

Student Health Services
300 Scotland Road
Phone: 814-732-2743

Forms

Incident Report

Supervisor's Incident Report

Witness Statement

Contact Us

Office of Safety and Risk Management
1st Floor Lawrence Towers
150 Perry Lane
Edinboro, PA 16444
Phone: 814-732-2709
Fax: 814-732-2228

Jim Dahle
Director of Safety and Risk Management
Email: jdahle@pennwest.edu
Phone: 814-732-2709
Fax: 
814-732-2228