Restaurant Incident Report

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I. Incident Details

• Date: May 15, 2050

• Time: 3:45 PM

• Location: [Restaurant Name and Address]

• Incident Description: A slip-and-fall accident occurred in the kitchen area resulting in an injury to a staff member.

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II. Injuries or Damages

• Staff Member: [Staff Name]

• Injury Description: The staff member slipped on a wet floor surface and sustained a laceration to the forearm. Immediate first aid was administered on-site.

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III. Actions Taken

• Upon discovery of the incident, nearby staff members provided immediate assistance to the injured employee.

• First aid was administered, and the wound was cleaned and bandaged.

• The restaurant manager was informed of the incident and provided further guidance.

• The affected area was cordoned off to prevent further accidents, and warning signs were posted to alert other staff members of the slippery floor.

• An incident report was completed and filed with [Your Company Name] management for documentation purposes.

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IV. Contributing Factors

• Wet Floor: The floor in the kitchen area was wet due to spilled liquids, contributing to the slip-and-fall accident.

• Lack of Warning Signs: There were no warning signs indicating the slippery floor conditions, which may have increased the risk of accidents.

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V. Recommendations

• Implement a stricter protocol for immediate cleanup of spills in high-traffic areas such as the kitchen.

• Ensure that warning signs indicating wet floors are readily available and promptly deployed when necessary.

• Provide staff training on proper spill cleanup procedures and emphasize the importance of maintaining a safe working environment.

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VI. Witness Information

• Witness 1: [Name], [Position], [Contact Information]

• Witness 2: [Name], [Position], [Contact Information]

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VII. Reviewed By

• Restaurant Manager: [Manager Name]

• Date: May 15, 2050

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VIII. Approved By

• Restaurant Owner/Operator: [Your Name]

• Date: May 16, 2050

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