Use this form to report accidents, incidents, near misses & first aid occurancies (none crime related). A. Information A1. Issue Type Type of issue you are reporting - None -Health & Safety Issue Category - Select -Accidents where a person was injured;Non-Accidents where First Aid was administered e.g., Fainting;Damages to equipment, property, vehicles etc;Unsafe acts and conditions;Harassment & Verbal abuse;Near Misses;Mental Health First Aid & Support; A2. Person Reporting Details Name Mobile Number Email Staff / Student ID Staff / Student ID - Select -StaffStudent IDOther… Enter other… Staff Rank - Select -ProfessorΚαθηγήτριαAssociate ProfessorΑναπληρώτρια ΚαθηγήτριαAssistant ProfessorΕπίκουρη ΚαθηγήτριαLecturerProfessor EmeritusΟμότιμη ΚαθηγήτριαAssistant Teaching PersonnelSecretary PersonnelTechnical and Laboratory PersonnelAdministrative PersonnelPost Doctoral ResearcherPostGraduate StudentUnderGraduate StudentResearcherPast Faculty MemberOther Department ProfessorCollaborating Teaching Personnel Student ID B. Issue Details B1. Details & Information Date and time issue occurred Date and time issue occurred: Date Date and time issue occurred: Time Location/Building Floor / Room / Area Location Other Description CAPTCHA Math question 2 + 11 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
