Incident Reports

The timer above is tracking time elapsed for record of clocked time in working on incident reports.

If you have been instructed to fill out an incident report from home, ensure you clock in on Time to Pet, and that the clock in/out duration matches this timer.

Write "Incident Report" in the text box for your time clock.
Incident Report Form

This form is to be completed in order to file written record of any policy breaks, protocol errors, or well-being concerns to staff, clients, pets, or homes within Cloud 9 Canine services. If you have been instructed to complete this, fill it out in full.
Did a member of management let you know you needed to fill out an incident report?
Your Name

First NameLast Initial
Date of Incident

MonthDayYear
Date
Approximate Time Incident Occurred

Hour Minutes

AM/PM Option
Did management have to come out to the property to file this report?
Name(s) of all staff involved in the incident.
Name(s) of all staff who responded to the incident.
Name(s) of all clients whose homes/pets the incident is related to. Write "N/A" if the incident is not client-related.
Name(s) of all pets directly involved in the incident. Write "N/A" if the incident is not pet-related.
What type of incident is being reported?

Other
NARRATIVE OF THE INCIDENT: Write a narrative, step by step, of what occurred from beginning to resolution of the narrative.
Upload any supporting images or files related to the incident.

Cancelof
Would you like us to follow up with a phone call, Zoom meeting, or in-person meeting to discuss this incident?
Do you have any concerns about your ability to feel safe and comfortable at work following this incident?
As the reporter of the incident what steps do you believe should be taken to remediate the incident OR prevent its recurrence?
Complete: Write "Incident Report" in the text box for your time clock and clock out after submitting.
Should be Empty:

Incident Report Form