Westwood Baptist Church, Incident Report Form printable pdf download

Westwood Baptist Church, Incident Report Form

Westwood Baptist Church

Incident Report Form

This form shall be used by staff and/or members that witness or become aware of an

incident causing injury and/or damage to property.

This report shall be given to a staff member or turned into the church office as soon

as possible.

Person Completing this Report:

____________________________________

Reason for report: ________________________________________________

Date of incident: ______________________________ Time: ____________

Place of incident: _________________________________________________

Name(s) Injured: _______________________________Age: _____________

Address:__________________________________________________________

__________________________________________________________________

(Add others if necessary)

Property Damaged:

__________________________________________________________________

Briefly describe what happened:

__________________________________________________________________

Incident Report Form

Westwood Baptist Church, Incident Report Form