Incident Report
Please complete this form to document any incidents that occur on site during your shift.
Your Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date
*
-
Month
-
Day
Year
Date
Time
*
Hour Minutes
AM
PM
AM/PM Option
Region
*
Please Select
Bay Area
Los Angeles
Nevada
Tactical-IL (-1Hr)
NAICA-Hillcrest Shelter
MA/NH
CT
Narrow Security - NY
Narrow Security - MD
Narrow Security - OR
Narrow Security - WA
PA/DE/South NJ MIDATLANTIC
PHA - PA
SKANSKA
START NY
Tactical NY
TEXAS
WASHINGTON DC
Upstate NY
Long Island
Department of Probation
What Is Your Supervisor's Name?
*
First Name
Last Name
Did You Inform Your Narrow Supervisor?
*
YES
NO
Site Name
*
Address
*
City
*
State
*
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Incident Type
*
Shoplifting
Trespassing
Assault
Threat
Medical Emergency
Suspicious Behavior
Loitering
Fire or Safety Hazard
Complaint - Customer or Store Staff
Other
Incident Details
*
Witness 1
*
First Name
Last Name
Witness 2
First Name
Last Name
Witness 3
First Name
Last Name
Police Officer Name
First Name
Last Name
Police Officer Badge Number
Client Directed Post Order Violation Type
*
Block The Doors
Lock The Doors
Pursue Or Chase a Customer
Prevent a Customer From Exiting The Store
Perform Duties Outside Of The Store Entrance
Ask To Bring a Weapon To Work
Check Customer's Bag
Check Customer's Receipt
Other
Notes
*
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Next
Additional Notes
Additional Files
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Signature
*
Notes
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