Report a Hazard

If you are concerned about a hazard or potential hazard within your department or building, please complete the following. This will assist our staff in determining the best way to address your concerns. If you are experiencing an emergency, please dial 911 or call our office (294-5359) for immediate assistance.

Nature of Concern *

Nature of Concern Other (please specify)

Department *

Building *

Room *

Your Email

Supplying a return email address is optional. If an address is supplied, it will be used solely for internal record keeping, for gathering more information about the concerns you have, and for providing any necessary feedback.

Description of Concern *

Urgency *

Immediate hazard, could lead to a serious injury.

Not an immediate hazard but creates an unpleasant work environment.

For your information

To better assist you, please provide us with an idea of the immediacy of this concern.

Leave this field blank

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