NMMC Incident Report Logo
  • Incident Report

  • REPORTING PARTY

  • INCIDENT DETAILS

  •  - -
  • Provide a brief, factual account of the incident.

    • Describe symptoms of injury and/or illness, or describe inappropriate behavior that the person exhibited.
    • Describe your response and the response of others to the incident and any treatment of the person.
    • Was outside assistance used? (State Police for search & rescue, or emergency services, such as an ambulance or fire department)
    • Did the person go to a medical facility?
    • Was there any follow-up, such as contacting the person after the incident?
  • Should be Empty: