Workplace Incident Report Form

Workplace Incident Reporting

If you or someone you know has witnessed a workplace incident, please fill out this anonymous report form.

 

If the incident you are reporting is an emergency, dial 911 immediately.

Please note: Nelson Connects encourages reporting of all workplace incidents without the fear of retaliation. 

 

Submitting your contact information is optional and will only be used to gather additional information about your submission.