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
Oregon
Washington State
Is this site a Walgreens or Duane Reade?
*
Yes
No
Other
Site Name
*
Address
*
City
*
State
*
Did You Inform Your Narrow Supervisor?
*
YES
NO
What Is Your Supervisor's Name?
*
First Name
Last Name
Incident Type
*
Shoplifting
Trespassing
Assault
Threat
Medical Emergency
Suspicious Behavior
Loitering
Fire or Safety Hazard
Complaint - Customer or Store Staff
Other
Severity Level
*
Low
Medium
High
Did you call the Narrow Dispatch Center and inform them verbally?
*
YES
NO
Incident Details
*
Was a Store Staff Member Involved?
*
Please Select
YES
NO
Name of Store Staff Member Involved
*
First Name
Last Name
Were There Any Witnesses?
Please Select
YES
NO
Witness 1
*
First Name
Last Name
Witness 2
First Name
Last Name
Witness 3
First Name
Last Name
Were the police involved in the incident?
*
Please Select
YES
NO
Police Officer Name
First Name
Last Name
Police Officer Badge Number
Was the client notified of the incident?
*
Yes
No
What is the name of the client contact you notified?
*
When did you notify the client?
*
Hour Minutes
AM
PM
AM/PM Option
How did you notify the client?
*
In Person
Phone Call
Text Message
Email
Other
Were you asked to do something that violates your post orders?
*
YES
NO
What were you asked to do?
*
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
Recover or Retrieve an Item
Other
What is the name and title of the client that asked you to violate your post orders?
*
First Name
Last Name
Notes
*
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