Report a Work Related Incident

Programs and Services Programs and Services

UNCW works very hard to make sure that our campus remains as free from hazards as possible and that our campus community is a safe place to live, work and learn.

All incidents and/or near misses should be reported to Human Resources (HR) and Environmental Health & Safety (EH&S) to help promote a safe and healthful campus community. An unsafe condition can be confidentially reported to EH&S without fear of retribution or breech of confidentiality.

If you need us, please call us.

Employees

Employee's Statement for Work-Related Injury
- Employee completes/signs DocuSign form, and copy automatically sent to HR Benefits Counselor
Supervisor's Injury Data Report
- Supervisor completes/signs DocuSign form, and copy automatically sent to HR Benefits Counselor
Witness Statement Form
- Witness completes/signs DocuSign form, and copy automatically sent to HR Benefits Counselor
Refusing Medical Treatment Form
- Employee then supervisor completes/signs DocuSign form, and copy automatically sent to HR Benefits Counselor

Where do I go if injured on the job?

Monday - Friday, 8am - 5pm

Wilmington Health Associates - Occupational Medicine 1202 Medical Center Drive - 910.815.5228

Monday - Friday, 5pm - 8am or weekends

Cape Fear campus of Novant Health, 5301 Wrightsville Avenue - 910.667.8100

Student or Visitor Incident Reporting

Student or Visitor Incident Reporting Form