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Near-Miss or Unsafe Act :: 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.

Report a Near-Miss or Unsafe Act

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

Submit the Near-Miss 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.

Topics Map > Employee Handbook > Risk Management > Injury & Incident Reporting > Near-Miss or Unsafe Act

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Search result for "": 1-8
No.	Document Title	ID	Updated	Hits
1	Risk Management - Injury & Incident Reporting - Injuries & Incidents	95838	2021-05-02	1008
2	Risk Management - Injury & Incident Reporting - What are High-Risk Incidents?	95844	2021-05-02	1066
3	Risk Management - Injury & Incident Reporting - What are Low-Risk Incidents?	95840	2021-05-02	607
4	Risk Management - Injury & Incident Reporting - Report a Near-Miss or Unsafe Act	95547	2021-05-02	348
5	Risk Management - Injury & Incident Reporting - Escalate Using the Extension Phone Tree	95981	2021-05-02	695
6	Risk Management - Injury & Incident Reporting - Find your Supervisor's Emergency Phone Number	96763	2021-05-02	380
7	Risk Management - Injury & Incident Reporting - Using Professional Judgement for Reporting	96443	2021-05-02	405
8	Risk Management - Injury & Incident Reporting - FAQs	96768	2021-05-02	299

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