A health and safety incident form must be completed for any health and safety incident involving anyone on University premises or during the course of organised work or student activities (eg
Use the form to report:
If you have a concern about a health and safety issue you can report the matter to one of our campus-based support teams.
Please complete the form below and send it to safety@essex.ac.uk, marked 'Confidential'. You should keep a copy for your own records.
It is important incidents are reported to Health and Safety promptly, as certain incidents have to be reported to the enforcing authority within strict timescales. Report serious
incidents (i.e. those needing emergency first aid) and dangerous occurrences to
The department, section or person responsible for the activity must ensure a form is completed. If they are able to do so the injured person must report their incident. If they can’t, someone acting on their behalf can report the incident. Security staff may complete a form if they have provided first aid, however the responsible person must still submit a report of the accident from their perspective.
It is essential the report is as factual and accurate as possible as this may be used as evidence in the event of a claim. Any equipment involved in the accident should be retained for inspection. To assist the
If possible, include some photographs of the incident site.
The
Any serious accidents or incident could result in a criminal investigation by the Health and Safety Executive (HSE), police or fire service. It is therefore important that:
Health and Safety's role will be to give advice, initiate an internal investigation and report to or liaise with enforcement officers.
If staff have been involved in a serious, traumatic incident, managers should contact Occupational Health for advice on how to provide support. Additional physiotherapy or counselling support may be available through the University's insurers. Occupational Health can also be contacted for advice on work-related ill health.
A Health and Safety Adviser will review each form and will usually follow up with the injured person or their manager, to confirm the circumstances.
Where an
The form may be forwarded to others who can provide support or need to know for investigation purposes. For example:
The information is also recorded on our database, so that we can analyse and report on trends and for incident prevention purposes. Please see the data protection statement below.
Your privacy: The information provided on our health and safety incident form and the data held on our systems is stored securely in the UK and kept in line with our retention schedules. It will only be disclosed within the University to members of staff who need to know it in order to carry out their duties, e.g. the Occupational Health and the University Insurance Officer. Relevant information will be disclosed outside the University where it is required by law to do so. In the event of a personal injury claim, information may be disclosed to the University's Insurers. Anonymised data may also be disclosed to relevant Trade Union officials.
The Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR) requires the University by law to report certain major injuries, dangerous occurrences and ill-health conditions to the HSE (the enforcing body for health and safety) within legally set timescales.
Reporting is carried out by Health and Safety. Departments/section are responsible for informing their Health and Safety Adviser of any incident that may be RIDDOR reportable so that the HSE can be informed.
RIDDOR sets out the requirement to report the following types of incident:
Further information on RIDDOR is available from the HSE leaflet reporting accidents and incidents at work (.pdf).