Safety Hazard / Near Miss Reporting Form

A Safety Hazard is defined as any condition which might be dangerous to faculty, staff, students, or visitors at FAU or something that could result in damage to University property.

A Near Miss is defined as an unplanned event that did not result in injury, illness, or damage, but had the potential to do so. Only a fortunate break in the chain of events prevented an injury, fatality, or damage from occurring.

Complete the following information when it is believed a safety hazard exists or a near miss has occurred. Contact information, though optional, is particularly helpful when reporting a near miss. Clicking the SUBMIT button will cause a report to be electronically submitted to Environmental Health and Safety.