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Thompson Rivers University
Thompson Rivers University

TRU Incident Report Form

Report of Injury or Occupational Disease to TRU.

If you are a TRU employee, student, contractor or visitor and experience an INJURY or INCIDENT on campus or during TRU related work, please fill out this form.

For employees and practicum/apprenticeship students, a WorkSafeBC form can also be downloaded and sent to TRU Risk and Safety services at safety@tru.ca - Worker's Report of Injury or Occupational Disease to Employer Form 6a instead of this form.

If you need assistance filling out this form, then please contact safety@tru.ca.

Personal information








Address






Period of exposure resulting in occupational disease



hh:mm

Missed work



Who did you report to and when?



hh:mm

Direct supervisor or direct instructor


First Aid



hh:mm


Physician or Provider




hh:mm




Witnesses

Type of incident


What part of the body was injured?


ex: room number, parking lot, outside

Lifting






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