MR TOYS INCIDENT REPORT
If for any reason the incident is serious enough to involve ringing 000, please make sure that head office is contacted by phone straight away to assist. Head office can be contacted on 300 or Alternatively you can call Deb, Liz or Phillip.
STORE
DATE OF INCIDENT
-
Day
-
Month
Year
Date
TIME OF INCIDENT
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
STAFF ON DUTY
DETAILS OF INCIDENT
INCLUDE DETAILS OF ANY NOTICEABLE INJURIES
CAUSE OF INCIDENT
WITNESSES
INCLUDE NAME, ADDRESS, EMAIL AND PHONE NUMBER
DETAILS OF AFFECTED PARTIES
INCLUDE NAME, ADDRESS, EMAIL AND PHONE NUMBER
ANY OTHER NOTES?
ACTION TAKEN TO PREVENT REOCCURRENCE
Shopping Centre Stores - Have You Reported To Centre Management Security?
Yes
No
I am not a Shopping Centre Store
Not Applicable
SUBMITTED BY:
Submit
Should be Empty: