University of Alberta - Department of Biological Sciences
Accident Reporting Book
May05/00
Enter information here and leave in kit
OR
complete an
Accident Report Form
and deliver to Department of Biological Sciences Safety Officer - CW315A
Year/Date/Time
Injury Occurred
Reported to Employer
Injured Person's Full Name
Describe where/how injury occurred
Describe Injury/illness
Describe First Aid given
Name of Person giving first aid
Name of Witness