OnSet Incident Form
COVID Team Representative
*
First Name
Last Name
Location
*
Please Select
Art Department (Steinway Road)
Costumes (Airport Road)
Hangar (Midfield Road)
Lock up (Cardiff Boulevard)
Production (Kestrel Road)
Terminal (Britannia Road)
Other (Please Specify)
If "Other" is selected, please identify location:
*
DateTime
*
Name of Individual Disobeying Protocol:
*
First Name
Last Name
Department of Individual Disobeying Protocol:
*
Protocol Violation
*
Please Select
Mask Not Being Worn/Worn Below Nose
Physical Distancing Not Being Maintained
Eye Protection Not Being Worn
Eating Outside of Designated Areas
Aggressive Behaviour
Other:
If "Other" is selected, please describe nature of violation:
*
Summary of Incident/Action Taken:
*
Signature
*
Submit
Should be Empty: