Accident / Illness / Incident Reporting

Whenever you suffer a workplace accident or illness, or experience a close call, the situation must be reported. This page will assist you on what actions to take and in completing the Accident/Illness/Incident Report Form.

Critical Injury Steps

If a workplace injury meets the definition of a critical injury, take the following steps:

  1. Ensure the accident victim has received proper first aid, then:
  2. Immediately secure the accident scene and prevent any evidence from being removed prior to the completion of an investigation.
  3. Contact Health & Safety by emailing or by calling Human Resources at x82194, and contact Western Special Constable Service at 911.

For further information or if you have a specific question, please contact Louise Koza at or call 519-661-2111 extension 85540.

Accident / Illness / Incident Reporting Steps

Personal injury accidents, occupational illness, property damage over $250 and close calls which in another set of circumstances would result in personal injury, must be reported.

Definition of Occupational Illness

Priority Steps

  • Medical assistance and first aid are your priority.
  • The accident/incident scene must be secured and made safe to prevent further accidents until the investigation is completed.

Steps for Supervisors

  • The supervisor conducts the investigation and completes the Accident/Illness/Incident Report Form. Complete the upper part of the form, working with the person(s) involved.  If there is a dispute separate reports may be filed.
  • Analyze contributing factors and from these determine the corrective actions needed.  Indicate these on the form.
  • Sign off on the form once completed and fax to Employee Health & Well-being at 519-661-3420 or 83420.
  • Distribute copies of the Accident/Illness/Incident Report as follows:
    • Workplace/Student Health Services (UCC 25)
    • Budget Unit Head/Supervisor or Chair
    • Employee/Student/Visitor
    • Originator
    • Applicable Employee’s Union/Staff Group – JOHSC Rep
      • UWOSA – UCC 255
      • PMA – UCC 351
      • CUPE 2361 - FM - SSB 1320
      • CUPE 2692 HS – Perth Hall 152
      • OPSEU 102 – LwH 1257
      • IUOE
      • PSAC 610 – UCC 271
      • SAGE – STVH 3107P
      • UWOFA - Elborn

Remember, our first goal is always prevention!

Critical Injury Definition

Serious accidents which meet this definition must be reported to the Ministry of Labour immediately.

A critical injury means an injury of a serious nature that:

  • places life in jeopardy,
  • produces unconsciousness,
  • results in substantial loss of blood,
  • involves the fracture of an arm or a leg but not a finger or toe,
  • involves the amputation of a leg, arm, hand or foot but not a finger or toe,
  • consists of burns to a major portion of the body,
  • or causes the loss of sight in an eye.


Occupational Health and Safety Act of Ontario, Regulation 834

Occupational Illness Definition

An occupational illness as defined in the Occupational Health and Safety Act (section 1 (1)) is “a condition that results from exposure in a workplace to a physical, chemical or biological agent to the extent that the normal physiological mechanisms are affected and the health of the worker is impaired thereby and includes an occupational disease for which a worker is entitled to benefits under the Workplace Safety and Insurance Act, 1997”.

Examples of Occupational Illnesses

  • Asbestosis
  • Dermatitis (skin rashes and inflammation)
  • Occupational asthma
  • Infectious diseases (tuberculosis, hepatitis, norovirus,influenza, chickenpox)
  • Certain types of cancer
  • Noise induced hearing loss
  • Chronic obstructive pulmonary disease
  • Silicosis

Health and Safety Ontario

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