James and James Site Incident Report

Welcome to All in Black online incident report system. All details are to be accurate and in details as this report may be used as evidence.

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Incident Report Number *

Name*

First

Last

Manager on Shift

Location*

Date*

Time*

HH

:

MM

:

SS

Winnessed incidient

Yes

No

If Yes, please give full details

Police Attend

Yes

No

If yes, please enter police office details (coller Number)

Exact Location

If Other, please give details

Incident Statement *

Witness Statement

Witness Name:

Date:

Action Taken / To be Taken

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