The "Unsafe Condition Reporting Program" is a proactive way to help reduce future incidents, accidents or injuries. If you see something you think may be unsafe on the UAF campus or remote campus locations, please take time to fill out this form and send it to EHSRM. You can either print the form and mail to PO Box 758145, fax to 474-5489, or simply fill out the form on the web and it will be sent automatically to EHS&RM.
We strongly encourage you to include your name and contact information. This information will allow for us to follow up in case there are additional questions regarding the condition you are reporting. Your concerns are important to us. While optional, if you provide us your name and contact information, we'll let you know how we've addressed your concern.
DO NOT USE THIS FORM TO REPORT UNSAFE ICE/SNOW CONDITIONS ON WALKWAYS/PARKING LOTS. INSTEAD, CONTACT FACILITIES SERVICES AT 474-7000 OR firstname.lastname@example.org
DO NOT USE THIS FORM TO REPORT AN EMERGENCY OR AN IMMEDIATE LIFE THREATENING HAZARD. For immediate emergencies call UAF Emergency Dispatch Center emergencies at (907)474-7721.
DO NOT USE THIS FORM TO REPORT AN INJURY OR ILLNESS SUSTAINED ON THE JOB. INSTEAD USE:
Accident/Incident Reporting Form For UAF faculty, staff, and student employees
System Office of Risk Services Incident Report Form For students, visitors, volunteers, or other