Reporting Forms

All workplace accidents, near misses, losses, property damage, and unusual events must be reported to the Office of Risk and Safety (ORS) within 24 hours or the next business day with the appropriate reporting form. Note: ORS-4 Citizen Report Form - Form is Under Re-Construction.

  1. ORS-1 Work Comp 1st Report of Injury (PDF)
  2. ORS-2 Incident Report (PDF)
  3. ORS-3 Motorist Call in Report (PDF)
  4. ORS-5 Vehicle CRASH Report and Supervisor Analysis (PDF)
  5. ORS-6 Property Loss and Damage Report (PDF)
  6. ORS-7 Supplemental Narrative Form (PDF)
  7. ORS-8 Employee Safety Citation (PDF)
  1. ORS-9 Safety Suggestion Form (PDF)
  2. ORS-10 Medical Travel Reimbursement Form (PDF)
  3. ORS-11 Employee Declination Form (PDF)
  4. ORS-12 MVR Consent Form (PDF)
  5. ORS-13 Driver Orientation Form (PDF)
  6. ORS-14 Motor Vehicle Crash Worksheet (PDF)
  7. ORS-15 Vehicle Crash Corrective Action Table (PDF)