COVID incident report and safety concern form

Use this form to register incidents with the employer and with your local branch

This COVID incident report form –  availeble to download here is a safety notification form produced by UCU to help members alert their employer to any COVID incidents or concerns that arise.  This form will support any current reporting mechanisms.  The nature of the concern or incident will determine whether all questions require completion.

We urge all members to use this whenever you have a concern.

An incident or concern can arise when a Risk Assessment control fails, is not sufficient or does not exist. It’s important for these matters to be brought to your employer’s attention. For example, this form should be used for a breach of social distancing guidelines, a lack of hand sanitisers, the breakdown of a cleaning schedule, or problems with ventilation etc. Do not wait for a number of incidents to occur; register each one as soon as possible. This will help your branch negotiators as they seek to ensure that suitable and sufficient safety controls are in place to keep you and your colleagues safe.

Please copy your local branch into any form submissions you make to your line manager. Where relevant this form can be used in association with UCU’s advice on how to respond to a Serious and Imminent Danger situation. Ask your branch reps for a copy of Serious and Imminent Danger advice.

Download it here: COVID incident report and safety concern form.

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