Utah Occupational Safety
and Health Division

Accident Reporting

Report a workplace accident

Step 1 of 11

Reporter Information

Please add information about the person reporting the accident (yourself). Contact information is very important if we need additional information to investigate the accident, injured persons, and the companies involved.

Reported By

Please select what best describes your function.

Reported By Name

Please enter your name here

Reported By Title

Please enter a job title Ex: Forman, Crain Operator, ...

Reported By Email

Please enter your email here. A confirmation email will be sent here.

Reported By Phone Number

Please enter your contact phone. Please use the format ###-###-####

​Utah Occupational Safetyand Health Division

​Accident Reporting

Utah Occupational Safety
and Health Division

Accident Reporting