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Incidents involving criminal misconduct or crimes should be reported immediately to University Police at (859) 572-7777. Completion of this report is not required for these incidents.
The Incident Report Form must be used by all faculty, staff, students, contractors, and visitors to report ANY incident that either results in bodily injury, illness, or an accident that could have resulted in bodily injury (a near miss) that occurred at Northern Kentucky University (NKU). This form must also be filled out to report property damage resulting from such an incident.
Completing this form does not relieve individuals from an obligation to contact Human Resources, Police, or relevant authorities.

  • Please complete this report to the extent you can.
  • Any questions,  the answer to which is either not known to you or unavailable, should be left blank.
  • Every effort must be made to complete this document as soon as possible.
  • In the unfortunate case of a fatality, inpatient hospitalization, or serious injury, IMMEDIATELY contact University Police at (859) 572-7777.

In addition to completing this report please contact the following:

 

OSHA Definitions and Information:


The Occupational Safety and Health Administration (OSHA), defines the terms “near-miss”, “accident”, and "incident" in the following ways;

  • A "near miss" is defined as an incident in which no property was damaged and no personal injury was sustained, but where, given a slight shift in time or position, damage or injury easily could have occurred.
  • An “accident” is defined as an unplanned event that results in personal injury or property damage.
  • An "incident" is defined as an unplanned event that does not result in personal injury but may result in property damage or is worthy of recording.

 

The Accident/Incident Report Form is for record keeping and tracking purposes only.