Environmental Health & Safety

Hazard Reporting

Instructions: Use this form to identify any unsafe conditions and/or practices. Please note that this form is not to be used to report emergencies or eminent danger. Call 911 to report emergencies.

  1. Name: (optional)

  2. Department: (optional)

  3. Phone Number: (optional)

  4. Email Address: (optional)

  5. What is the Hazard?

  6. Where is it Located?

  7. How do you suggest we fix it? (optional)

For assistance with this form, please contact us by email or phone (951) 827-5528.

EMPLOYEE NOTICE: Employees are advised that it would be illegal for an employer to take any action against an employee in reprisal for exercising rights to participate in reporting safety issues.


More Information

General Campus Information

University of California, Riverside
900 University Ave.
Riverside, CA 92521
Tel: (951) 827-1012

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Environmental Health & Safety

Environmental Health & Safety
Environmental Health & Safety

Tel: (951) 827-5528
Fax: (951) 827-5122
E-mail: ehs@ucr.edu