FREQUENTLY ASKED QUESTIONS
BGCCD-FAQ-INCIDENT REPORT (04/12) Risk Management
STUDENT, VENDOR, VISITOR ACCIDENT (Non-auto, Non-employee)
When should this form be used?
Whenever a non-vehicular accident; an injury to a student, vendor or other campus visitor occurring on District
property or during a District sponsored activity; and/or damage to District or personal property occurs.
This report is not intended to be completed and submitted for "employee accidents" or for "motor vehicle
accidents" because other forms and procedures apply to them.
What is the Incident Report?
This form is intended to record the initial facts of an incident. Only fill out the sections that apply to your
incident/accident. Attach additional sheets as needed to describe the incident. Please do not include opinion or
speculation in the report. You are not expected to conduct an investigation of the incident. If an investigation is
warranted, it will be conducted by another agency (i.e.: police, fire department, insurance company, etc.) or
initiated by District’s Risk Management office. This form will be kept confidential and only used by District
officials or agents acting on behalf of the District. If you have any questions about this form, contact Risk
Management at (530) 895-2341.
Who should use this form?
A Butte-Glenn Community College District employee who either witnesses or has knowledge of the
accident/incident should complete an Incident Report..
What if I do not have all of the requested information?
The information provided should be as detailed as possible, especially if there are serious injuries. Photos and
diagrams can be submitted as necessary. This report supplements, but does not replace, any Campus Police
report that may be developed. If some information is not be applicable or available, please submit basic
information, and you can amend the report later if more information becomes available.
What do I do with the completed form?
Submit the completed Incident Report form to the Student Health Clinic immediately if a serious injury occurs and
within 48 hours for others.
Where do I obtain a copy of the Incident Report form?
You may obtain copies of the Incident Report form from the Risk Management office, Facilities Planning &
Management, Student Health Clinic, Athletics Department office, or on the internet at:
What is an incident?
An "incident" refers to loss/damage to college property, loss/damage to personal property, criminal activity or an
injury involving a student or visitor occurring on campus or participating in a college activity.