Accident and Incident Report Forms

This form should be filled out following an accident, incident, or occupational disease report including ergonomic injuries.

Please fill out and submit the Online Accident, Incident & Occupational Disease Form

  • After filling out this form, please print the confirmation page and ask your Supervisor to complete Section C and D and then ehs [at] (email it to EHS)
  • If time loss from work has exceeded 24 hours, then note that you need to sign the confirmation page as well.


Printable Accident & Incident Forms are also available, if necessary. 

If you have a work accident:

  • Report the event to your supervisor immediately
  • Participate in the work accident investigation with your supervisor (if you are fit to do so)
  • Complete the Online Accident, Incident & Occupational Disease Form. The supervisor is responsible for sending the completed Accident, Incident & Occupational Disease Report form to EHS promptly.
  • If you believe you require medical assistance, you should consult a physician. If the physician provides documentation, you should provide a readable copy of the medical documents to your immediate supervisor or your HR Advisor
  • If time off work is prescribed by the physician, then the supervisor must submit promptly, to your area HR Advisor, the completed Accident, Incident & Occupational Disease Report form and all the medical documentation. The HR Advisor will send everything to Benefits who will open a claim file with CNESST.

Union and Association contact information

Please send a copy of your completed accident form to your union or association. 

Contact information provided here when available:

info [at] (MUNACA)

Dan Giglio

MUNACA – PSAC Local 17602
3483 Peel Street
Montreal, QC, H3A 1W7 [at] (AMURE)

info [at] (MUNASA)

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