Overseas Incident Form

Overseas Incident Form
Report Type*
Record Type ID*
Submitted By*
Submitted By - Other*
(SYSTEM) Submitted By
Destination*
Villa Name - Algarve*
Villa Name - Amalfi Coast*
Villa Name - Andalucia*
Villa Name - Bodrum*
Villa Name - Carribean*
Villa Name - Corfu*
Villa Name - Corsica*
Villa Name - Costa Blanca*
Villa Name - Costa Brava*
Villa Name - Costa Calida*
Villa Name - Costa Del Sol*
Villa Name - Costa Dorada*
Villa Name - Costa Verde*
Villa Name - Crete*
Villa Name - Dalaman*
Villa Name - Dubrovnik*
Villa Name - Florida - Gulf Coast*
Villa Name - Florida - Orlando*
Villa Name - French Riviera*
Villa Name - Fuerteventura*
Villa Name - Gozo*
Villa Name - Gran Canaria*
Villa Name - Halkidiki*
Villa Name - Ibiza*
Villa Name - Ionian Coast*
Villa Name - Istria*
Villa Name - Kefalonia*
Villa Name - Kos*
Villa Name - Lanzarote*
Villa Name - Larnaca Region*
Villa Name - Lefkas*
Villa Name - Madeira*
Villa Name - Mallorca*
Villa Name - Malta*
Villa Name - Menorca*
Villa Name - Montenegro*
Villa Name - Paphos Region*
Villa Name - Paxos*
Villa Name - Peloponnese*
Villa Name - Provence*
Villa Name - Puglia*
Villa Name - Rhodes*
Villa Name - Sardinia*
Villa Name - Sicily*
Villa Name - Skiathos*
Villa Name - Skopelos*
Villa Name - Split Region*
Villa Name - Tenerife*
Villa Name - Tuscany*
Villa Name - Zakynthos*
Villa Name - Other*
(System) Villa Name Mapped*
Booking Reference*
Lead Guest Name*
In-Resort Case Reference
Please complete the case number if a case is already opened.
Details
Date of accident/incident*

DayMonthYear
Date
Time of accident/incident*

Hour Minutes
Date of accident/incident reported*

DayMonthYear
Date
Time of accident/incident reported*

Hour Minutes
Were the guests visited by the Villa Manager following reporting of the incident?*
Time of Villa Manager visit:*

Hour Minutes
Accident & Incident Report
Severity*
Injury*
Cause*
Location*
What was the suspected cause of accident/incident?*
Burglary Report
Was entry attempted/forced/non forced/disturbed?*
How was entry gained?*
What damage was caused?*
What items were taken?*
Security measures already in place (Include Safe & Alarm)*
Was the alarm activated at the time of incident?*
Was the villa secure at the time of the incident?*
Was the villa secure following the incident?*
Fatality Report
Type of fatality*
Cause*
Cause Other*
Fatality Location*
Location of fatality*
Cause of fatality*
Fire Report
Fire Location*
Location - More Information
Fire Severity*
Was the property evacuated?*
Were the Fire Brigade called?*
Were there smoke alarms in place?*
Did the smoke alarms sound?*
Were any injuries sustained? (Fatalities to be recorded on the fatalities report)*
Fire Injury*
Please provide details*
Were the guests belongings affected by the fire?*
What items were affected?*
Illness Report
Cause Illness*
Illness Type*
Confirmed*
Illness Severity*
Illness Location*
What date did the guest start experiencing symptoms?*

DayMonthYear
Date
What were the symptoms?*
What was the suspected cause of illness?*
Has the Villa Owner/Management company been notified?*
List of Places/Dates the guest has visited*
Security Incidents Report
Type*
Type - Other*
Cause*
Security Incidents Severity*
Was an injury sustained?*
Summary
Brief summary*
Guests Involved
How many guests were affected in total?*
Name of guest/s affected by the incident*
What is the age of the guests?*
Gender of guest/s involved*
Medical Assistance
Was any medical assistance offered?*
What medical assistance was offered? *
(eg, advised to visit GP, called ambulance etc)
Was medical assistance accepted?*
Please provide details of Doctor/Hospital/Clinic*
What was the diagnosis?*
(Please provide full details including treatment received)
Was treatment given?*
Please explain what treatment was given?*
What advice/instructions have been given to the guests by the medical services?*
Was the guest hospitalised?*
Please confirm dates/times of admittance/discharge*
Local Authorities
Has the fatality been reported to the Emergency Services?*
Have the local authorities been notified?*
Was this reported to the local police?*
If so, please give more information*
Have you or the local authorities notified the British Consulate?*
Contributing Factors
Contributing Factors*
Did misbehaviour contribute towards the incident?*
Were drugs or alcohol a contributing factor?*
Insurance
Is the person/s involved covered by insurance?*
Please provide details for travel insurers*
Have you advised the customers to report their loss to the Police and obtain a police report?*
Contact details for person involved & next of kin*
Excursions
Did the incident occur on an excursion?*
Please provide full details & how it was purchased*
Actions
Was it necessary to move the guests?*
Was action taken (e.g Bed Bugs/Pest Control, Legionella/water samples) If yes, give full details and ensure a report is obtained from the experts*
Action to be taken by Villa Manager/Management Company/Owner*
What action was taken?*
Was it necessary to move guests and close the villa?
Further Details
Any additional comments
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Overseas Incident Form

Details

Accident & Incident Report

Burglary Report

Fatality Report

Fire Report

Illness Report

Security Incidents Report

Summary

Guests Involved

Medical Assistance

Local Authorities

Contributing Factors

Insurance

Excursions

Actions

Further Details

Photo/Video