You are encouraged to report unsafe conditions that you observe on campus using this form. These may include health and safety risks (such as trip and fall hazards or unsafe conduct by employees or students), fire safety issues (such as faulty wiring or equipment or tampering with fire safety equipment), security issues (such as doors propped open), and environmental concerns (such as improper disposal of chemicals).

This form is not to be used to report emergencies, crimes, or other incidents that would ordinarily be reported to the Office of Public Safety; for such reports, contact security@goucher.edu. It is also not for routine maintenance problems, such as heating or pest control; for such reports, use this form. But if you have observed a non-emergency condition that you think may create a health or safety risk for you or another person, please report that condition.

If you would like, you can file a report of a campus hazard online:

Type of Incident:

Location of incident:

Building:
Floor:
Room
Date and time you observed it:
Please describe the condition you observed, and any actions you have taken to address it:
Other information:

**Optional Contact Information**
If you would be willing to be contacted about this information or receive information about resolution of the problem, please include your contact information.

Name
Phone
Email
Preferred Method of Contact:
Phone
Email