Stanford University

SU-17: Incident Investigation Report for Employees

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Last updated: January 10, 2019
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How to Use

Supervisors must report work-related incidents, injuries, and illnesses within 24 hours to EH&S and the Office of Risk Management. Use this form to report an incident involving a University employee or student employee.

For an incident involving non-employees such as students, contractors, or visitors, use the SU-17B Incident Investigation Report for Non-Employees.

After completion, submit this form via email to with “SECURE:” in the subject line.

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