Incident Report Slip
Incident Report Slip
Incident Details
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Date of Incident: |
[December 10, 2050] |
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Time of Incident: |
[2:15 PM] |
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Location of Incident: |
Main Office Building, Conference Room 3 |
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Type of Incident: |
Fire Emergency |
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Description of Incident: |
A small fire erupted due to an electrical short circuit in the projector. The fire was contained within 10 minutes with minimal damage. |
Affected Parties
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Number of Injured Persons: |
0 |
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Number of Affected Employees: |
5 |
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Names of Affected Employees: |
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Response and Actions Taken
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Immediate Actions Taken: |
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Emergency Services Contacted: |
Local Fire Department |
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Time of Response by Emergency Services: |
[2:25 PM] |
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Further Actions Taken: |
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Approval and Sign-Off
Prepared By: [Your Name]
Reviewed By: [Your Supervisor Name]
Date: December 11, 2050
