Use this form to submit a report of a hazardous condtion or safety concern in your workplace or anywhere on campus. This includes any concerns about food safety or sanitation on campus.
Your Department (if Faculty or Staff):
Your Phone Number:
Location of the hazardous condition you wish to report (please be as specific as possible, including building and room numbers if applicable):
Description of the hazardous condition you wish to report (please be as specific as possible, including descriptions of equipment and processes if applicable):
© 2014 California Polytechnic State University San Luis Obispo, California 93407