UBC Centralized Accident / Incident Reporting System (CAIRS)

Instructions

User Filling in Form (You): Supervisor Person Involved in Incident (WorksafeBC 6A form) Witness/Person Reported To
Employee Campus Affiliation: Vancouver Okanagan Other UBC Location
Person Involved Type: Staff Faculty Paid Student Practicum/Clinical Placement Student Other Student Visitor/Volunteer/Visiting Student Contractor
Severity: Incident Only (near-miss, minor injury, or property damage) Medical Treatment (visit doctor, no days off) Time Loss (days off work, excluding incident day)
Type of Claim: No injury An injury An occupational disease A repetitive/gradual onset injury


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Risk Management Services

Risk Management Services
Room 336 - 2389 Health Sciences Mall
Donald Rix Building (Technology Enterprise Facility III)
Vancouver, BC, V6T 1Z3
Tel: 604-822-2029
Fax: 604-822-6650
Website Admin: jessica.tranter@ubc.ca

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