Supervisor Report of Injury (SRI)

Supervisors & Managers

Please use the attached Supervisor Report of Injury (SRI) Form to report to Human Resources about the incident/accident that just occurred. Anything that is beyond a near miss will need to have an SRI submitted. If you have any questions or concerns, please contact Human Resources. 

If you have any issues completing the form, please use the attached PDF version and send it to Human Resources.