CAMPUS EMERGENCIES ARE ALWAYS TO BE IMMEDIATELY REPORTED TO PUBLIC SAFETY / UNIVERSITY OF CONNECTICUT HEALTH CENTER EMPLOYEE SAFETY HAZARD REPORT FORM Instructions / /
Organization
UNIVERSITY OF CONNECTICUT HEALTH CENTER EMPLOYEE SAFETY HAZARD REPORT FORM Instructions / / /
Position
Evaluation and Follow-up Actions Supervisor / Supervisor / /
Report Number: _____________ UNIVERSITY OF CONNECTICUT HEALTH CENTER EMPLOYEE SAFETY HAZARD REPORT FORM Instructions: Emergencies requiring immediate response (e.g. Fire, Police, Medical) to protect health, life or pro