Injury and Near Miss Report
for all students, employees and visitors.
This electronic form must be completed for injuries or near miss incidents involving employees, students, and visitors that occur on the job or during BBCC activities/events on or off campus. Form should be completed within 24 hours of an incident.
A near miss is when an unplanned event occurs resulting in no injuries or damages, but had the potential for such. These are important to report as near miss reporting can help us prevent an injury.
The form is electronic only – no hard copy. When you complete the form, press the submit button at the bottom of the page. You should also print a copy for yourself. There is no need to send a hard copy through interoffice mail.
This electronic form is not intended for the reporting of crime incidents. To report a crime, call Campus Safety 509-793-2286.
If the incident results in a fatality, amputation or hospitalization, call Campus Safety at 509-793-2286.
Please do not use the Print, PDF, and Email buttons shown below as they will not print your responses.
If you wish to print your responses, please do so by the traditional method: File – Print