Report an accident

Complete the form

If you prefer, you can use the dynamic PDF form. You must download the form Report an accident – PDF (729 KB) before opening.

If the report concerns petroleum equipment, please use the form entitled Relevé d’événement des équipements pétroliers [Fr] – PDF (516 KB).

The fields preceded by an asterisk ( * ) are mandatory.

1. Scene of the accident

At what location did the accident happen?

Do you have any complementary indications to help us in finding the location where this accident happened?

*This field is mandatory.This accident would involve which type of facility or equipment/device among the following?

2. Date of the accident observed

Indicate, to the best of your knowledge, the date and time where the accident occurred.

3. Description of the accident

*This field is mandatory.Is the danger still present?

Describe the accident.

4. Your details

5. Do you authorize the Régie du bâtiment du Québec (RBQ) to communicate with you?

If you check “No”, please make sure that you have provided a complete set of information, in order that your reporting may be processed.

Print the form before sending it and keep your copy for reference.