Reporting & Forms
There are different reporting structures to respond to accidents, emergency events, environmental or safety concerns. A brief explanation of how to make a report, receive and review incidents on campus is captured in the table below. These can be found by selecting the appropriate form and its associated link below.
| Category | Your Responsibility |
|---|---|
| Accident | Complete an Accident Report for any unplanned or unintended event that disturbs normal operations related to 1) property damage or 2) physical injury while on campus and/or required medical assistance. This category does not include employee injuries or vehicle accidents. If an accident resulted in injury to an employee within the scope of their work, the employee and supervisor should follow the Worker's Compensation Reporting Process and forgo the Accident Report. |
| Emergency Event | Contact University Policy, x2300 or 911 If anyone witnesses or is a party to an emergency event, they should immediately contact University Police or 911 to request immediate assistance. University Police will respond to the request for assistance and facilitate other operational areas as needed. Emergency Events may include, but are not limited to:
|
| Environmental Concern | Follow operational area protocols and notify Environmental Health and Safety Supervision at pionteks@uwgb.edu Any environmental incident which results in the disruption to a business process or an immediate or future safety concern must be reported consistent with the protocols required by the operational area and to the Environmental Health and Safety Supervisor as soon as practical. If the operational area has a specific Incident Report Form, the employee should complete this form and submit it consistent with the procedure required by the operational area. |
| Safety Concern | Report a Safety Concern Any student, staff, faculty, or member of the public may identify an incident or raise awareness of a safety concern using the link above. Utilize How to Enter a Safety Concern.docx for instructions on using the Safety Concern link. You may also report concerns through University Police. If unsure A safety concern may include, but is not limited to a situation that has the potential to harm a person or University property such as:
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| Vehicle Accident | In the event of an accident or sustained vehicle damage while driving a vehicle for University business, it is the responsibility of the driver to immediately report the accident to the following:
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| ADA Accessibility Concern | Reasonable accommodations are provided in accordance with the Americans with Disabilities Act of 1990. Employees: Contact Human Resources Disability Accommodations Students or Members of the Public: contact Accessibility - UW-Green Bay |
| Bias/Hate Crime Incident | Report incidents motivated by bias or hatred, which occur, on and off campus using Bias Incident Report. |
| Bloodborne Pathogen Exposure | Exposure to bloodborne pathogens should be reported immediately to your Supervisor. Exposure can be any stick or direct contact. Employees are encouraged to seek testing and submit testing invoice to UW-Green Bay Compliance Specialist who will review and approve. |
| Student Complaint | Students have the right to seek resolution when they believe they received unfair or improper treatment from a UW-Green Bay faculty or staff member, department or office. Students are encouraged to resolve the matter informally before initiating the formal complaint process with the Office of the Provost. |
| Title IX Incident | An individual who believes they are a victim, or who have received a report of or witnessed an incident of relationship violence or sexual harassment may report the incident to the Title IX Coordinator. |
| Volunteer Form | Individuals serving in a youth program should work with their Program Facilitator in completing requirements noted on the Youth Protection webpage. Volunteers serving in programs not youth related will complete a Volunteer Agreement and forward to the Pre-College Liaison. |