Incident Report Form
Details of person writing incident report
Name
First Name
Last Name
Job Title
Email
Phone
Incident Number
If linked to an incident please input incident ref that can be found by contacting control - it should follow the format ALL- EVENT INITIALS - INCIDENT NUMBER so for example secret garden party would be ALL-SGP-001
Incident Report Number
Incident Details
Type of Incident
EG - Assault, theft
Type of Incident
*
Please Select
Theft
Assault
Sexual Assault
Fire Incident
Near Miss
First Aid
Property Damage
Hazard Report
Vehicle Incident
Accident Injury Incident
Missing Childs/ Persons
Drug Related
Refusal - Alcohol/drugs
Refusal - Aggression
Other incident
Other Incident
If incident type is not above
Date of Incident
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Time Incident Started
*
Hour Minutes
AM
PM
AM/PM Option
Time Incident Ended
*
Hour Minutes
AM
PM
AM/PM Option
Location of Incident
Event/Venue and specific location at event/venue i.e XYZ Festival, blue campsite toilets
Description of Incident
Details of Parties involved - Name, Role, Email, Phone, Address
Include Name, Role, Email, Phone, Address
Details of Witnesses
Include Name, Role, Email, Phone, Address and if a statement has been provided
Supervisor Name
First Name
Last Name
File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Police Notified?
Please Select
Yes
No
N/A
Follow up actions (if applicable)
Signature of person completing report
Submit
Should be Empty: