Restaurant Incident Report
Restaurant Incident Report
_____________________________________________________________________________________
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.
_____________________________________________________________________________________
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.
_____________________________________________________________________________________
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.
_____________________________________________________________________________________
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.
_____________________________________________________________________________________
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.
_____________________________________________________________________________________
VI. Witness Information
-
Witness 1: [Name], [Position], [Contact Information]
-
Witness 2: [Name], [Position], [Contact Information]
_____________________________________________________________________________________
VII. Reviewed By
-
Restaurant Manager: [Manager Name]
-
Date: May 15, 2050
_____________________________________________________________________________________
VIII. Approved By
-
Restaurant Owner/Operator: [Your Name]
-
Date: May 16, 2050
_____________________________________________________________________________________
