This report is to be completed by the Manager responsible for the area where the alleged incident occured. All spaces must be filled out or the letters "N/A" (non-applicable) used. It may be necessary for more than one Manager to complete an Incident Investigation Report for a single incident. Thie report is only a preliminary report and must be used to create a Final Incident Investigation Report.
At least one witness needs to sign this form. If the person filling out this form happens to be the person who was also the first witness, they are able to sign.
If medical treatment was declined, a signiture must be acquired by the person declining. If person is under 18, a parent or guardian's signiture must also be obtained.
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Do not sign until this form is complete.
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