• Occupational Health & Safety
  • Welcome
  • About Us
  • Legislative Compliance & Program Development
  • Roles and Responsibilities
• Joint Occupational Health and Safety Committees
  • About Humber College JOHSCs
  • North Campus JOHSC
  • Lakeshore Campus JOHSC
  • International Graduate School JOHSC
• Training Programs
  • Overview
  • Employee Health & Safety Training - Worker Session
  • Employee Health & Safety Training - Supervisor Training
  • Student Worker Health & Safety Awareness Training
  • WHMIS
  • Ergonomics at Home Webinar
• OHS Programs and Services
  • Accident Reporting and Investigation
    • Overview
    • Accident Reporting and Investigation Procedure
    • Reporting Work-Related Injuries
    • Factors to Consider During an Accident or Near Miss Investigation
    • Appendix A
    • Hazard Reporting Form
  • General Safety
    • Overview
    • Ladder Safety
    • Classroom Safety
    • Office Safety
  • Hazardous Materials
    • Hazardous Materials Overview
    • Hazardous (Chemical) Waste Disposal Procedure
    • Hazardous Materials Spill Procedure
    • WHMIS Procedure
    • Biomedical Waste Disposal Guideline
  • Indoor Air Quality Procedure
  • Office Ergonomics
  • Scented Product Guidelines
  • Smoke-Free Campus
    • About and FAQ
    • Smoking Cessation Resources for Employees
    • Wellness Resources
  • Student Unpaid Work Placement: Workplace Insurance Coverage - MAESD
  • Work Refusal Procedure
  • Working Alone
  • Workplace Assessments
  • Workplace Violence Prevention
  • WSIB Claims & Return to Work
    • Overview
    • Return to Work
• COVID-19 & Other Respiratory Illnesses Information
  • COVID-19 Measures
  • Frequently Asked Questions
• News and Announcements
  • Overview

Hazard Reporting Form

All employees are required to report any hazard, unsafe condition or activity, or safety concern to their supervisor or manager. Workplace hazards can also be reported to Occupational Health & Safety Services by completing an On-line Hazard Reporting Form.

1. Location of Hazard * (Please include campus, room number to help us find it.)

2. Hazard Description * (Describe the hazard or safety concern in detail.)

3. First Name

4. Last Name

5. Email

6. Phone

* marked questions are mandatory

Submit