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Resources > Handouts > Handout 12
Handout 12. Hazard report
form
Download this handout as a PDF file (171 kb)
If you trip or fall on a sidewalk or street-report it to the city. Report hazards on sidewalks or pathways that make walking or rolling in a wheelchair difficult or dangerous. These include:
- Uneven sidewalk or pathway surfaces
- Broken or cracked sidewalks or pathways
- Slanted sidewalks or pathways
- Obstacles on sidewalks or pathways that prevent you from walking easily (signs, poles etc.)
- Too much snow or icy patches on sidewalks or pathways
- Traffic lights that are too fast to allow you to get across the street safely
Your call counts!
Most city road and sidewalk maintenance departments are required to check out all reported hazards within 24 hours. Depending on the problem, the repair will be done immediately or put into the city's maintenance plan. The city staff keep track of reported problem locations in order to plan for road and sidewalk maintenance.
Date and time:
Location of the hazard:
Describe the hazard
What is the hazard? Why is it a hazard to older adults? Any suggestions
to fix it?
Who was contacted:
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City information line
It may only be necessary to call the city information line.
You may want to ask for the name and number of the person
responsible.
Date contacted:
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City staff responsible for maintenance
in the district
Date contacted:
Name:
Telephone:
Address:
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City councillor
If you are unsatisfied with the response from the city staff
person, you may want to contact your city councillor.
Date contacted:
Name:
Telephone:
Address:
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Follow up:
Was the hazard report attended to?
If yes, when and how? (Congratulations—you have
helped seniors in your community!)
If no, what follow-up action was done? (phone calls,
letter, petition, contacting the media)
Thank you letter:
Date sent: __________________
If you are successful in getting action—remember
to write a thank you letter to the city staff or councilors you
contacted. We all like encouragement… and you may need to contact
them again!
| Active Independent Aging was a joint venture between the University of Ottawa and the Public Health and Long-term Care Branch, City Of Ottawa. For more information please visit our website at: www.falls-chutes.com. Funding provided by Health Canada/Veterans Affairs Canada Falls Prevention Initiative. The views expressed herein do not necessarily represent the official policies of Health Canada, Veterans Affairs Canada, the University of Ottawa and the Public Health and Long-term Care Branch, City Of Ottawa. The information in this handout is current as of 2004. |
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