Information:  Please use this form to report a safety concern you see on campus.  Completing this document triggers a Safety & Risk Management (SRM) personel response.

This form is not to be used for reporting injuries to MSU employees - please use the First Report of Injury (FROI) to report an injury.  https://firstreportinjury.mus.edu/

This form is not to be used for reporting damage or loss to property, or injury to third parties (visitors/guests to Campus) - please use the Report of Incident to report damage or loss to property, or injury to third parties.  http://www.montana.edu/srm/property-damage.html

 denotes required fields.

Personal Information
Concern Information
Example: "To the left of the fume hood" OR "The sidewalk on the North side of the SUB"
Accident Information
Additional Information