Incidents happen everyday everywhere in the world so it is a routine thing but to avoid these and to do something to prevent it in the future is the most important thing and that's why an Incident Report is written about what happened and how it happened. Incident Report Word Template gives you an idea how to write an Incident Report. This is a sample and contains a supposed incident which happened and this report was formulated. It contains the Name and Date, Detail of What happened, Who was involved, People present at sight, Why did it happened and the Action Happened. In short it is a simple and complete Report.
[Name of Place] Incident Report Form
Date & approximate time of incident
12th September 2011
9.30am
What happened ?
Majek was disruptive during Luke’s talk. He asked him a number times to be quiet. He wouldn’t so we asked him to leave. He continued to be disruptive and refused to leave. At that point we guided him to the door. He went to head butt Luke and I he made contact with Luke. He continued to struggle and wrestle with us all the way to the top gate.
Who was involved ?
Guests – names, if known:
Majek
Staff:
Tim Fielder
Daniel Peterson
David Clover
Luke Carson
Why did it happen?
Disruptive during morning talk, then abusive to staff.
Action taken
Banned for at least 2 weeks but will be a lot longer.
Police was Called
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