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Singapore Institute of Technology
1 Punggol Coast Road
Singapore 828608
Phone +65 6592 1189

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    Reporting Form

    Thank you for reporting an incident or near miss. Such reporting is essential for maintaining a safe work environment, safeguarding occupants, and preventing future incidents.

    Examples of incident or near-miss reporting include:

    • Incident: A worker slips and falls on a wet floor, resulting in a sprained ankle.
    • Near Miss: A worker slips on a wet floor but manages to regain balance and avoid falling.
       
    • Incident: A piece of equipment malfunctions, causing minor burns to a worker.
    • Near Miss: A worker notices a malfunctioning piece of equipment and reports it before anyone is injured.
       
    • Incident: A worker is exposed to hazardous chemicals due to improper handling, resulting in skin irritation.
    • Near Miss: A worker almost spills a container of hazardous chemicals but manages to prevent it from happening.

    If you are in such a situation that requires immediate assistance, please call 999 or 995.

    Thank you for taking the initiative to report a hazard or unsafe condition that you have observed on campus. Hazard reporting is essential in identifying and documenting potential risks or hazardous conditions in the workplace. Such reporting could proactively address these risks and prevent accidents, injuries, and illnesses.

    Examples of hazard or unsafe condition reporting include:

    • Physical Hazard: A report of a loose handrail on a staircase that poses a falling hazard.
    • Chemical Hazard: A report of a spill of a hazardous chemical substance in a laboratory.
    • Biological Hazard: A report of mould growth in a building that could lead to respiratory issues.
    • Unsafe Condition:
      • A report of a wet floor without a warning sign, posing a slip hazard.
      • A report of a malfunctioning machine or equipment that could cause injury to operators.
      • A report of missing or damaged safety equipment, such as fire extinguishers or first aid kits.

    If you are in a situation that demands immediate assistance, please call 999 or 995 for emergency support. Your commitment to reporting hazards contributes to creating a safer environment for everyone on campus.

     

    Contact Information

    (Contact information provided is strictly for form-related use and will not be utilised for any other purposes.)

    (E.g 04:28 PM)
    Please select the location of the incident. (if the location is not within SIT premises, please select "Others")
    (E.g. Seminar Room SR-1A, Punggol Food Court, SIT @Dover Sports Hall, etc.)
    Please provide details of the injured or unwell person

    Please provide details of the injured OR unwell person. *

    injured_person_details_options
    Please provide details about the student who has been injured.
    Please provide details of the injured/unwell person.
    Please provide details about the staff who has been injured.
    Kindly provide additional information about the incident.
    • Briefly outline the incident, including what happened, how it occurred, your response, and the outcome.  
    • Identify the cause of the incident. Was it related to a physical item, or a hazardous situation. 
    • Specify if the incident resulted from an unsafe condition, an unsafe act by a person, or any other relevant details.
    Please indicate the outcome of the incident.
    First aid was administered on site
    Ambulance was activated
    Sent to hospital for follow-up
    Sent to GP/Polyclinic follow-up
    Sent home for self monitoring
    Other
    (You may select 1 or more outcome)
    Maximum 5 files.
    5 MB limit.
    Allowed types: gif, jpg, jpeg, png.

    By submitting this form, you hereby agree to the collection, use and/or disclosure of your personal data by SIT for the purposes of reporting an incident or a hazard, including disclosure to other organisations which are involved in the handling of any safety incidents or hazards within SIT. SIT will not disclose any of your personal data to other organisations except for these purposes. You also agree that SIT may contact you for the purposes of following up on your reporting of a potential incident or hazard. SIT collects, uses, discloses and takes care of your personal date, in accordance to the Personal Data Protection Act 2012 (Act 26 of 2012) (“PDPA”). For further details on SIT’s management of your personal data, please view SIT’s Personal Data Protection and Privacy Policy.

    I agree that SIT may contact or communicate with me via email, telephone call and/or text message for the purposes of following up on my reporting of a potential incident or hazard

    Reports can be sent to the following:

    By Email: Whistleblow@SingaporeTech.edu.sg
    By Post 10 Dover Drive, Singapore 138683 (Addressed to “Director, Internal Audit” in a sealed envelope marked “Confidential”)

    Whistleblowing reports on the Internal Audit Division should be directed to the President, SIT.

    For more information please refer to https://www.singaporetech.edu.sg/whistleblowing

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