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