Highlands Forward  ·  Safety & Incident Reporting

Safety Incident Report

Fields marked * are required  ·  All submissions are logged

Submission Type
Progress
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Incident Type
Choose Incident for events involving people, Accident for unintentional events (falls, damage), or Other for anything else.
Site
Select your site to auto-fill the address.
Date, Time & Location
If the time is unknown, check 'Time unknown' and explain details in the description section.
People Involved
Include name, role (student / staff / visitor), and contact number for each person.
Parties Involved
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Witnesses
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Incident Description
Facts only. What happened, who was involved, and in what order. No opinions or speculation.
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Supporting files: This form does not upload photos or documents. Submit the report first, then send any supporting files through the approved Safety Department process and reference the generated Report ID.
Actions Taken
Who was notified, any first aid given, whether authorities were called.
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Report Information
Certification: I certify that the information contained in this report is true and correct to the best of my knowledge.
Use this section to attach additional statements from students, staff, or witnesses, plus any follow-up narrative. This is linked to and filed with your main report.
Student / Witness / Staff Statement
Start each statement with the person's name and role, e.g. "John Smith (Student, Grade 10): I saw…"
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Additional Notes or Follow-up
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Narrative Supplement
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Supplement Reported By
Violent Incident Log
Confidentiality requirement: This log is for workplace violence incidents and is designed around LC section 6401.9(d). Do not enter personally identifying information for individuals involved (including names, physical/electronic addresses, telephone numbers, or Social Security numbers).
Incident Details
Type of Incident
The source form distinguishes Workplace Violence Type from the nature or characteristics of the incident. Select all incident characteristics that apply.
Incident Context
Consequences & Response
Include whether security or law enforcement was contacted and their response, plus actions taken to protect employees from a continuing threat or other hazards.
Employer Record
Completed By
Your Submitted Reports

Submission receipts saved on this device. You can download a receipt PDF at any time; detailed incident content is intentionally not retained in browser history. The central Safety Team Portal retains the authoritative submitted record.

Report ID

Report Submitted!

Your incident report has been recorded. Save your Report ID above for your records.