ACCIDENT/INCIDENT REPORT

This form is for the intended purpose of an accident or incident regarding Environmental Health & Safety. Please fill out as accurately as possible.

Staff Member Completing Report*
First Name Last Name
Date of Incident*
MM slash DD slash YYYY
Approximate Time of Incident*

: Hours

Minutes

AM/PM
Location of Incident*

Building, Room Number
Staff/Faculty/Students Involved in Incident*
Professor's Description of Incident*
Immediate Action Taken to Deal with Emergency*
Action Taken to Avoid Repeat of Incident in the Future*
Date Report was Completed*
Month
Day
Year
Staff Member Completing Report (serves as signature)*
First Last

CONTACT TUSCULUM ADMISSIONS

High School Transfer Adults Graduate

For current high school students

Our unique Civic Arts focus takes the liberal arts a step further in a nationally recognized approach to educating individuals of integrity and ideals.

For transfer students

Tusculum provides a unique service for entering transfer students called an Individualized Graduation Plan (IGP). It will list all the courses that are needed in order to graduate from Tusculum, while giving you an idea of the courses you will be taking each semester.

For adult students

Our uniquely focused and practical program has enabled thousands of men and women to obtain the degrees they need to succeed professionally and personally.

For graduate students

Our graduate programs offer flexible scheduling, convenient locations, reasonable tuition and quality programs that truly help our students meet their goals.

Accreditation

UNDERGRADUATE

GRADUATE