Report It

Reporting adverse events is important

It's really important that staff, students and visitors to our campuses report any adverse events, so that we can put measures in place to prevent recurrences.

Adverse events are defined as:

Accident: an event that results in injury, ill health or damage to the environment;
Incident:

Near miss: an event that does not cause any harm, but had the potential to cause injury, ill health (including dangerous occurrences) or damage to the environment;
Undesired circumstance: a set of conditions or circumstances that have the potential to cause injury or ill health or damage to the environment. For example untrained lab technicians handling chemicals.

Dangerous occurrence: one of a number of specific, reportable adverse events, as defined in the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013 (RIDDOR)

If you've experienced an adverse event, please complete the below form. If you have any queries, don't hesitate to contact our dedicated Health and Safety team.

Section A - About the adverse event

What is being reported?

Date:

Time:

Campus

If "Other", please specify:

Building Name/Area:

Building Floor:

Location e.g. room number

Brief Details (What. where, when, who and emergency measures taken):

Details of Injury (Person):

First Aid Administered:

Damage (Equipment/Property/Habitat):

Witnesses (Name, Occupation and Tel No):

Section B - Who was involved in the adverse event

Full Name:

Age & DOB

Occupation/Course of study (If student):

Job Title:

University College/PSU or Employer:

Email:

Tel:

Status:

Employee Employee ID

Student: Student ID:

Visitor

Contractor

Other(Specify)

Address: (Visitor/Contractor/Other)

Has the adverse event resulted in an absence from work?

Yes:

No:

Reported By

Name:

Job Title:

Tel:

Email:

Date: