USF Incident and Near Miss Reporting Form
The Incident & Near Miss Reporting form should be used to report any incident that occurs within the USF System. An incident means any unplanned event that causes, or has the potential to cause, an injury or illness and/or damage to equipment, buildings, or the natural environment. This also includes near misses when there is potential for an injury or illness.
If an accident or incident resulted in a work-related injury or illness, your supervisor must be contacted immediately. Please proceed to the Workers' Compensation website for more information on how to report a work-related injury or illness.
Please fill out the online Incident and Near Miss Reporting form below and submit to Environmental Health & Safety within 24 hours of the incident. Due to medical privacy concerns, no personal identifying information of the person involved in the incident shall be entered or submitted with the form.
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