This form can be filled out and then submitted in draft form to EHS&RM electronically to insure timely notification of an incident, injury, or illness.
The draft form should be submitted within 24 hours on the incident.
To submit the report in draft form perform the following:
The draft copy has now been submitted.
Submit an original hard copy as soon as possible after the incident, generally within 72 hours. The original hard copy requires actual signatures at the bottom of the first page.
Click on the following link to access the form: