Safety and Security
Risk Management Incident Report
Utilize this form to report any injury and/or property damage incident that occurs on campus or at a campus sponsored event.
- The form must be completed by a MSU employee or supervisor
- MSU Security will investigate and report incidents involving visitors to campus
There are two options for completing the form:
- Print and fill out by hand
- Complete electronically (First download form, then either print or save and attach to an email once completed)
Completed forms should be forwarded to Gary Orluck (gary.orluck@minotstateu.edu), Safety and Security Director, within 24 hours of the occurrence of the incident.
Risk Management Incident Report [pdf]