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Report an Issue to Environment, Health & Safety

This form is to be used to report potential environmental or safety hazards.

Examples of issues to be reported on this form:

  • Potential fire hazards.
  • Slip, trip and fall hazards.
  • Improper removal and disposal of asbestos or any other hazardous waste.
  • Improper storage of hazardous materials, such as, flammables, toxic and corrosive substances
  • Failure to follow safe work practices.
Examples of issues NOT to be reported on this form:
  • Sexual harassment (please report this directly to the Equal Opportunity Office (745-5121), Human Resources (745-2071), the Dean of Student Life (745-2791), or the Office of the Provost (745-2297)).
  • Crime (please report this directly to the  WKU Police Criminal Investigations Division or call 911 for an emergency)
  • Personal grievances with other employees or superiors (please follow guidelines established in the Personnel Policies and Procedures Manual as set forth by Human Resources)
Name:
E-mail:
Department:
Telephone:

Your Report

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