Risk Management - Injury & Incident Reporting - Report a Near-Miss or Unsafe Act
Extension employees should submit all near-miss/unsafe act reports using an Extension-specific SharePoint workflow.
Overview
Submit a report if there is an incident that:
- Did not result in property damage;
- Did not result in personal injury;
But, given a slight shift in time or position, a high-risk injury/incident could have occurred:
Risk Management - Injury & Incident Reporting - Injuries & Incidents
Instructions to Report a Near-Miss or Unsafe Act
1) Notify your Extension Supervisor
Contact your supervisor to initiate the Extension Phone Tree as soon as possible after the near-miss or unsafe act. County-based faculty should contact their Area Extension Director (AED).
Risk Management - Injury & Incident Reporting - Escalate Using the Extension Phone Tree
2) Complete the Near-Miss Report
- Download the Near-Miss Report to your local computer. Complete the report.
- Note: If you have printed copies that you have filled out by hand, you can scan them into PDFs.
- Download the Near-Miss Report from the Business Services website.
3) Submit the Report via SharePoint
Get Help
- For general questions, contact hr@extension.wisc.edu.
- For questions related to the report form, contact riskmgmt@bussvc.wisc.edu.
- For questions related to the workflow, contact helpdesk@extension.wisc.edu.