Biological Hazard Laboratory Incident Report
1. Report Details
Date of Incident
Time of Incident
Location (Lab/Room)
Reported By (Name & Contact)
2. Individuals Involved
Names and Roles
3. Incident Description
Describe the Incident
Type of Biological Hazard (Agent/Material)
How Did the Incident Occur?
4. Immediate Actions Taken
Actions (Including Cleanup & Medical)
5. Exposure Assessment
Was Anyone Exposed?
Yes
No
Unknown
If Yes, Provide Details
6. Reporting & Follow-up
Supervisor/PI Notified
Further Actions Required or Recommendations