Incident Report Form Page 2
ADVERTISEMENT
1
2Describe the incident in detail (what was said/done, who was involved, when, where, why, and how). Include only
actions and behaviors. Do NOT attempt to diagnose “why” the incident occurred and do not attempt to diagnose
any sort of root causes for behavior (e.g. perceived disabilities, psychological issues, etc.)
Was victim injured?
No
Yes
Unknown
Did victim require medical attention?
No
Yes
Unknown
Was a weapon involved?
No
Yes
Unknown
Type of Weapon?
Firearm
Knife
Other:__________________
Is subject struggling with or facing any other known stressors?
No
Yes
Unknown
If yes, describe:
Other Relevant Information:
Is there any other relevant information?
No
Yes
If yes, describe:
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business