Sewer Problems? Call (630) 969-0664
Our technicians are available at all hours to help you.

Near Miss / Hazard Reporting Form

A “Near Miss” is an unplanned event that didn’t result in injury, illness, or death but that had the potential to do so. Although Near Misses cause no immediate harm, they can provide us with useful information to be used to prevent a future accident.

Some examples of Near Misses:


District employees are encouraged to fill out this form to help make the workplace safer for all employees. The Safety Committee reviews each and every form submission, conducts an investigation, and makes recommendations for safety improvements. 

Employees who have identified a hazard or simply have a suggestion for improving workplace safety are also encouraged to fill out this form, even if they would not categorize the issue as a “Near Miss.”

Please note that this form can be submitted anonymously. In order to ensure you are submitting this form anonymously, please make sure you have logged completely out of the Employee Login section of the portal. Including your name is not required but providing your name will allow the Safety Committee and supervisors to follow up with you regarding additional questions.

 

Sewer Problems? Call (630) 969-0664
Our technicians are available at all hours to help you.

Contact Information

2710 Curtiss Street
P.O. Box 1412
Downers Grove, Illinois 60515-0703

Phone: (630) 969-0664
Fax: (630) 969-0827

Office Hours

Monday-Thursday: 10 a.m. - 12 p.m. and 1 p.m. - 3 p.m.

Friday, Saturday and Sunday: Closed

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