Incident Report • CampusOptics

Reporter Info

Email Address* Required

Phone Number* Required

First Name* Required

Last Name* Required

Campus, Building, or Outdoor Area* Required

Additional Location Details

Exact Location

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Reporter affiliation with Baylor University

Who is the Principal Investigator or Teacher of Record for the space?

If other, please describe

Please describe the incident including any chemical and/or biological material, equipment involved, etc...

What date did the incident occur on?

What time of day did the incident occur at?

If there was an injury or exposure, what clothing/personal protective equipment was worn at the time?

What was the response to the incident?

Was the Fire Department/Police Department/EMS called?

If first responders were called, what was the result?

First Name

Last Name

Email address

Phone number

Affiliation with Baylor University

Add files to upload as supporting documentation along with your incident.