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Stanford Injury & Illness Prevention Program

Updated:  Workplace Incident Investigation Report (SU-17) Form
As part of the University’s efforts towards continued reduction in workplace safety risks, substantial changes to the Incident Investigation Report Form (SU-17 Form) have recently been made.  The revised form will better help supervisors follow up on workplace concerns via:

  • Better capture of key incident details
  • Easier identification of likely contributing factors and root cause of an incident
  • Guidance for planning follow-up safety efforts

Regarding Non-Employees:
Another major change is that incidents involving students w/ non-employee status, visitors, and other third-parties will no longer be reported using the same SU-17 form.  Non-employee incident reporting should be done using the Non-Employee Incident Report Form (SU-17B).

EH&S Assistance Available:
While communicating these SU-17 changes to your units, this is a good opportunity to remind both employees and supervisors of their basic roles and responsibilities for actively ensuring workplace safety.  Contact EH&S at 723-0448 or browse the EH&S homepage for information on available support services including but not limited to:

  • Safety training assistance
  • Workplace safety consultation
  • Emergency preparedness
  • Medical surveillance

 

Back to main Stanford Injury and Illness Prevention Program Page