For Student or Visitor

Incident/Injury/Hazards Report

Incidents, injuries, and illnesses that occur on Utah Tech University property must be promptly reported to University Safety and Risk Management. Use this form to report an incident involving a student, contractor, or visitor.

UT Incident Reporting Form

Person Reporting Incident

Preferred Phone Number


ACCIDENT PROCEDURES FOR EMPLOYEES

For incidents involving a University employee or student employee, use the Workers Compensation Claim Form. Complete the form and notify the UT HR Office within at least 24 hours of the injury so we may gather and process the injury claim with WCF.

Contact

Brent Stanworth

Fire & Life Safety Officer

Email: Brent.Stanworth@utahtech.edu

Phone: 435-652-7722

Office: FacMan 150

OFFICE OF HUMAN RESOURCES

Email: HR@utahtech.edu

Phone: 435-652-7520

Fax: 435-656-4001

Office: North Burns
225 South University Avenue
St. George, Utah 84770