Pre-hire Driver Authorization Check Form

This form is used by departments to request driving records (for Wisconsin drivers) in pre-employment or post-offer situations. Risk Management cannot access out-of-state driving records.

This form is used by departments needing to check an applicant’s driving record in pre-employment or post-offer situations.

You can request up to four (4) driver authorization checks per form submission.

Please note:

  • Pre-hire driver authorization checks can take up to five (5) business days to complete.
  • Risk Management cannot access out-of-state driving records.

UW–Madison Field Trip Guidance

Risk Management guidance for University sponsored field trips occurring as part of a UW–Madison course, program, or event. Includes Field Trip Participation and Emergency Contact Form and Alternative Transportation Waiver for Campus Field Trip.

The Office of Risk Management has created guidance for University sponsored field trips occurring as part of a UW–Madison course, program, or event.

The guidance includes these form templates:

  • Field Trip Participation and Emergency Contact Form
  • Alternative Transportation Waiver for Campus Field Trip

ORM UW–Madison Field Trip Guidance (PDF)

Use the “Download” option in Box  (button in upper right) to download the PDF. You will then be able to see the fillable form fields on pages 3 and 4.

If you have specific questions related to this document, please email us at riskmgmt@bussvc.wisc.edu.

Non-Employee Incident Report Form

Non-Employee Incident Report Form

*If you are having difficulty completing this online form, please contact risk management at riskmgmt@bussvc.wisc.edu.

Near Miss – Unsafe Act – Unsafe Condition Report

UW-MADISON NEAR MISS / UNSAFE ACT / UNSAFE CONDITION REPORT

Download Near Miss Report 1018

NEAR MISS– Near Miss (sometimes described as near hit) describes incidents where no property was damaged and no personal injury sustained, but where, given a slight shift in time or position, damage and/or injury easily could have occurred. This report is intended to help document these situations with the goal of prevention of future similar events. This form can also be used to report general unsafe acts and/or conditions. Anyone of the campus community may complete and submit. It is everyone’s responsibility to report and/or correct these potential accidents/incidents immediately.

The completed report is to be given to one’s supervisor/chair/faculty/building manager or other responsible individual for review and action. If necessary immediate corrective action shall occur to either eliminate the hazard or implement temporarily solutions until long term resolution is completed. This may include writing a work order to Facility Services for repairs. Attach pictures, additional sheets and other documentation if available.

Contact Supervisor for assistance in evaluation of these events. Supervisor may contact Environment, Health and Safety for evaluation assistance as necessary at 608-265-5000.