Incident Report at Bethel

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Incident reports are necessary for documenting details of the occurrence while they are most present in the minds of the witnesses and incident reporter. The information that is included in this report can be useful for decision-making on future incidents, identify behavioral patterns, and identifying larger issues.

Thank you for your collaboration!

Employee Name *

Employee Department *

Employee Phone Number *

Location of Incident *

Date of Incident *

YYYY

Time of Incident *

Time

Incident Details *

Was the Police Notified? *

Yes

Required

Incident Causes *

Please list any other witnesses *

Follow Up Recommendations: *

Reported By: (Name) *

Reporter's Position: *

Reporter's Department: *

Any Other Relevant Information?

Submit

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