Hazard Alert Submission Form

We appreciate your time in completing the following form with information that WSN can distribute as a hazard alert. Your contributions help support Ontario workplaces like yours in keeping workers safe and healthy. All detailed information will remain confidential and will only be used to create a general awareness piece to support workers across the province.

Hazard alerts typically contain information on an event resulting in an injury, illness, or a near miss. After completing the form below, consider sending additional information (such as incident investigation forms or photos) by email to website@workplacesafetynorth.ca.

Industry (please select)
Incident type
Can Workplace Safety North contact you for more information? (Remember, this report is collected anonymously.)