Skip navigation
Search Phrase:
Report an incident
STFC Home
>
SHE Home
>
Forms
>
Report an incident
SHE Home
Policies
Codes
Emergencies
Forms
COSHH guidance
Disposal authority guidance
DSE guidance
Manual handling guidance
STFC Environmental Improvement Suggestion Scheme
Contact
Campus Partners
Printer-friendly
Report an incident
Please complete all fields marked
*
Incident details
Your details
*
Reported by:
Status:
-- Please choose --
Contractor
Employee
Member of the Public
Tenant
User
Visitor
Directorate
-- Please choose --
Business Development
Corporate Affairs
Corporate Services
Directorate Support
Finance
Non STFC
National Labs
STFC Innovations
Department
-- Please choose --
Accelerator Science & Tech
ASTeC Photonics
Atmos
Building Projects Group
Cella Energy
Central Laser Facility
CICT
CLIK Knowledge Transfer
Cockcroft Insitute
Corporate Affairs Dept
Diamond Project
DL Ops and Estates
Facilities Resources
Finance
Human Resources
Innovations
Isaac Newton Group
ISIS
IT & Communications
Joint Astronomy Centre, Hawaii
JVT
Knowledge Exchange
Nuclear Physics
NWBLT
Particle Physics
Qudos
RAL Ops and Estates
RAL Space
Science Programmes
Science Programmes Resources
Scientific Computing
SHE Group
SuperSTEM
Technology
Technology Resources
UKATC
Line Manager:
About the incident
*
Incident type:
-- Please choose --
Accident
Near Miss
Fire
Environment
*
Incident site:
-- Please choose --
Chilbolton
Coseners House
Daresbury
Diamond
ING La Palma
JAC Hawaii
Off Site
ROE
Rutherford Appleton
Swindon
*
Date:
Time:
HH:
Hour
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
MM:
Minutes
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
Location:
Date reported:
Description of Incident:
About the person involved
Name:
Status:
-- Please choose --
Contractor
Employee
Member of the Public
Tenant
User
Visitor
What happened next
Post Injury Action:
-- Please choose --
Work
Restricted Work
Home
Own GP
To Hospital
Action
Incident report form v1
© 2013 Science and Technology Facilities Council - All Rights Reserved.
