OSHA Log Information

INCIDENT REPORT FORM - editable pdf

PLEASE NOTIFY THE SYSTEM OFFICE OF RISK SERVICES, IN ANCHORAGE OR FAIRBANKS, IF ANY OF THE FOLLOWING OCCUR:

IMMEDIATELY:

• Any occurrence affecting the UA system resulting in a loss of life or requiring the hospitalization of 1 or more people
• Any declared disaster within the UA system at any campus or facility
• Any situation requiring the implementation of either a campus or UA Emergency Operations Plan, and use of public response agencies

WITHIN 8 HOURS:

• Property damage or loss expected to result in a claim over $10,000
• Any environmental release that is reportable to either a Federal, State or Local regulatory agency

WITHIN 24 HOURS

• All injuries to third parties (anyone who is not an employee)
• Employee injuries requiring a doctor visit or time off work
• All motor vehicle accidents involving UA and a third party
• Any other situation that may give rise to an adverse claim against the UA
• Any official visit by a regulatory agency that involves either a compliance audit or a documented Notice of Violation from that agency