P&T Spill Response Report Form

This form should be used to report illicit discharges to the Office of Environmental Health and Safety.

Date of incident:

Time of incident?

Location of spillage:

Type of material:

Estimated quantity and/or extent of spillage:

Bus Number:

Route, if applicable:

Report Submitted By:

Brief description of measures that have been taken to confine the spilled material and prevent future spillage.