Confidential/Hazard Report

All faculty members, students and visitors at USA have an obligation to perform their work in a manner that does not endanger their health and safety, the well-being of others, or the university environment. Members of the university community can participate in making the university a safe place to work, study and live by identifying health and/or safety hazards or unsafe conditions by informing those responsible for the problem area. This report will be held in confidence.

 
Description and location of unsafe conditions of practice:

   
Has this matter been reported to the area supervisor, MSO, or Dept. Chair?
     
Would you prefer your personal information to be held confidential?
     
Name
Phone
E-mail
Department
Building
   

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Last date changed: February 8, 2011
URL: http://www.southalabama.edu/environmental/confidentialreport.html