Hazard Reporting Form

Note: The purpose of this form is to identify hazards on our campuses so they can be addressed.


Thank you for taking the time to fill in this form; by doing so you are making Algoma University a safer place for all of us. If you find a hazard and rectify it, it is still important that you fill in this form.

Kindly enter your Algoma University Email Address below

Campus/Site:*

Kindly mention the campus/site of the Hazard

Kindly mention the date when the hazard was observed

Kindly specify the type of Hazard below

Select or enter value
Caret IconCaret symbol

Kindly specify the type of hazard

Kindly specify the location where this hazard took place(building, floor, room...)

Kindly describe the hazard in details below

Were you able to rectify the hazard?*

Kindly be specific on the corrective actions taken by you

Did you notify someone about the hazard?*

Kindly mention the person you notified about the incident

Kindly mention what you think could have been the potential cause for the hazard

Kindly drop-in your recommendations for what else could have been done

Kindly upload your pictures here.

Drag and drop files here or