Reporting an Incident

If you attend the relevant training and follow the health an safety procedures most your sessions will run without the incident. But if there is a medical incident we need to know. If you are not sure if you should report an incident, report it anyway. As Health and Safety Officer, it is important you never keep your concerns to yourself. If you are concerned about a situation or a student always speak to the DSU Activities or Advice team. 

Please complete the form below as soon as possible after the casualty has received treatment or you have handed over the responsibility of the casualty.  

Health and Safety Casualty Report/Record of Treatment Form

Casualty's name:            

Gender:                           

D.O.B:                             

Student Group name:     

Home Address:
 
Contact Number:                    

DMU Faculty:                                  

Course Studying:                            

Area where the incident occurred:  

Time and Date of Incident:              

A brief description of the incident, illness or symptoms:
 
Treatment/advice given:
 
Actions taken: 
 

Health & Safety Officer Name: 

Contact number:                      

Email: