For Student or Visitor

Incident/Injury/Hazards Report

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

Incident/Injury/Hazards Report

Person Reporting Incident

Sending

For incidents involving a University employee or student employee, use the
Workers Compensation Claim Form

Contact

Josh Thayn

Executive Director (Risk/Emergency Manager & Fire Marshal)

Email: JThayn@dixie.edu

Phone: 435-652-7855

Office: FacMan 148

Don Christensen

Fire & Life Safety Officer

Email: Don.Christensen@dixie.edu

Phone: 435-652-7722

Office: FacMan 150

OFFICE OF HUMAN RESOURCES

Email: HR@dixie.edu

Phone: 435-652-7520

Fax: 435-656-4001

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

Michelle Cabana

Human Resources Coordinator

Email: Michelle.Cabana@dixie.edu

Phone: 435-652-7523

Fax: 435-656-4001

Office: North Burns 143