Report

• Email
• Reporter name

• Information on the injured person

• Name
• Kennitala
• E-mail
• Mobile
• Relation to the University of Iceland
  • Member of staff
  • Student
  • Contractor
  • Guest
  • Guest under age
  • Other
• What relation?
• Faculty
   School of Social SciencesSchool of Health SciencesSchool of HumanitiesSchool of EducationCentral AdministrationSchool of Engineering and Natural Sciences
• Level
  • Undergraduate
  • Masters
  • Phd
• Was the student attending a course at the University of Iceland when the accident happened?
  • Yes
  • No
• Number and name of the course
• Contractor company name
• Contractor - Kennitala
• Contractor company - Mobile
• Contact
   SupervisorTeacherInstructorContact within UIGuardian
• Name
• Email
• Mobile
• Guardian/Guardians

  One per line: Name, phone and email

• Is the student an employer of the university with a valid employment contract
  • Yes
  • No
• At what time did the injured person arrive at work on the day of the accident
• What month of what year did the injured person start work at the university?

• Information on the Accident

• Date
• Time
• Where did the accidnt occur?
  • On Campus
  • Off Campus
• Building

  Inside or around the building

   AðalbyggingÁrnagarðurAskjaHáskólatorgSetbergTæknigarðurVR-1VR-2VR-3
• Location details
• What happened?

  What? How? Why?

• Property damage
• Vitnesses

  One per line: Name, phone and email

• Information on the response

• Was the accident reported to the emergency line (112)
  • Yes
  • No
• Who was mobilized
  • Ambulance
  • Police
  • Fire department
  • Search and Rescue
  • Coast Guard
• Was first aid applied?
  • Yes
  • No
• Who applied first aid?
• What sort of first aid was applied?
• Did the injured person go to the emergency reception?
  • Yes
  • No
• What happened to the injured person?
   Went back to work/schoolSpent the rest of the day at homeStayed at home for longer than one day
• How many days?
• Senda inn