Spectator Incident Report [SIR]

Spectator Incident Report [SIR]
Event Information
Date/Time of Incident

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
Location/Venue
Teams Involved/Age Division
Person Completing the Report
Name/Role
(coach, manager, parent etc)
Phone Number
Format: (000) 000-0000.
Email
Individuals Involved in Incident
Names if known
(If names are unknown, please provide a description of the individuals)
Relationship to Surge team
(Ie. parent/caregiver, Surge supporter, fan of opposing team)
Description of Incident
Please provide a clear/factual description of what occurred. For example, rather than saying individual X was completely out of control, you might say "they were out of their seat pointing their finger aggressively towards another parent and yelling obscenities." Be as specific as you can.
Summary
Witnesses

* Please provide contact information for one to two witnesses (if possible). Preference should be given to officials present, or other individuals who can reasonably be consider impartial or independent of the incident.
Witness One:

First NameLast Name
(witness email if known)
(witness phone # if known)Format: (000) 000-0000.
Witness Two:

First NameLast Name
(witness email if known)
(witness phone # if known)Format: (000) 000-0000.
Immediate Actions Taken
* Describe any immediate steps taken at the time of the incident. Example: verbal warning issued, removal from venue, game paused, security contacted.
Additional Information
Is there any additional information you think the operations team/advisory board should be aware of.
Should be Empty:

Spectator Incident Report [SIR]

Event Information

Person Completing the Report

Individuals Involved in Incident

Description of Incident

Witnesses

Immediate Actions Taken

Additional Information