Forms

There is various forms needed for Health and Safety. Just follow the links to the forms you require. Any additional questions, please contact:

Ken Jones
Health & Safety/Plant Services Officer
Phone:  613-735-1032 Extension 343
E-mail: kjones@rccdsb.edu.on.ca

FORMS

• Accident/Incident Report Form PDF
• RCCDSB Functional Abilities Form
• W.S.I.B Treatment Memorandum (To be taken to hospital)

Workplace Safety & Insurance Board Forms (W.S.I.B.)

• W.S.I.B Treatment Memorandum (To be taken to hospital)
• W.S.I.B. Worker Forms
• W.S.I.B. Employer Forms
• W.S.I.B. HealthCare Practitioner Forms
• W.S.I.B. Functional Abilities Form

STUDENT FORMS

• Student Accident Report Form PDF
• Student Accident Report Form Word

 

CARETAKER FORMS

• Water Flushing Form
• Sanding Salting Form
• Emergency Lighting Form