Safety Improvement Suggestion Form
Office of Health & Safety
The Safety Improvement Suggestion form provides students, staff and faculty an opportunity to submit ideas to improve safety on campus, beyond the scope of legislated requirements. Submitted suggestions will receive a response from the Office of Health & Safety. Implemented suggestions are eligible to be nominated for the University Safety Award, which is recognized by the Central Safety Committee and the Office of the President.
Please complete form below and click "Submit".
1. Describe your safety improvement suggestion here:
2. Select the safety hazard type (please check all that apply):
Physical hazards
Slips/trips/falls
Struck by / against
Sharps / cuts
Heat / cold
Noise
Vibration
Radiation
Confined space
Chemical / Biological hazards
Chemicals
Hazardous materialst
Fire / explosion
Compressed gas
Dusts/fumes/vapours
Biohazardous material
Asbestos
Human Factor hazards
Ergonomic (Repetition, posture, manual lifting, pushing, pulling)
Visibility
Working alone
Driving
Workplace violence/harassment
Other
3. Method of Implementation (Solution):
4. Approximate cost (if applicable):
5. Applicability in other departments:
Yes
No
other
If YES, please list other departments here:
6. Contact information:
Name:
Department:
Ext:
Email: