Université d'Ottawa - University of Ottawa - Canada's university

Formulaire d'accident, d'incident, de maladie professionnelle ou évité de justesse/ Accident, Incident, Occupational Disease or Near Miss Form

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Should you need assistance in completing the form, consult the guidelines for completing an accident, incident or occupational disease form or contact the Health and Wellness Sector in Human Resources at extension 1473.

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Which of the following Occurred?




 
To Whom did it Occur?
To Whom does this Person report?