Accident/Incident Reporting

The Department of Environmental Health and Safety (EHS) and the Office of Research Compliance, Integrity and Safety (ORCIS) developed this reporting program to enhance NIU's health and safety policy standards. In an effort to prevent reoccurrences, all accidents and incidents must be documented.

If you experience a near miss, minor injury or significant injury, you or your supervisor should complete and submit an Accident/Incident Report. Please provide as much information as possible, along with your contact information. EHS or ORCIS will review the form and may follow up with your supervisor if necessary. They may also conduct further investigations as necessary.

Please note: This form is not a substitute for workers' compensation. Contact Human Resource Services at 815-753-6000 regarding workers' compensation.

Report an accident or incident.