Security Incident Report Form
Please fill out all relevant sections to report an incident accurately and thoroughly.
Basic Details
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time
*
Hour Minutes
AM
PM
AM/PM Option
Venue / Location
*
Role
*
Door Supervisor
Event Security
Other
Persons Involved
Number of People Involved
*
Names of Persons Involved (if known)
Descriptions of Persons Involved
*
Actions Taken
Verbal de-escalation used?
*
Yes
No
Physical intervention used?
*
Yes
No
Restraints used?
*
Yes
No
Restraint type
Please Select
Rigid
Folding
Outcome
Outcome of Incident
*
Refused Entry
Removed
Detained
Handed Over to Police
Left Voluntarily
Other
Were Police Called?
*
Yes
No
Injuries and Medical
Any injuries reported?
*
Yes
No
Injury details
Treatment provided
Bodycam
Was bodycam used?
*
Yes
No
Was footage saved?
*
Yes
No
Submit Incident Report
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