Church Incident Report Form
Church Incident Report Form
Please complete this Church Incident Report Form Template to document and track incidents that occur within your church or during church-related events.
Incident Details
Date of Incident
Time of Incident
Location of Incident
Type of Incident
-
Injury
-
Property Damage
-
Conflict/Dispute
-
Description of the Incident
Provide a detailed description of the incident (what happened, who was involved, etc.)
People Involved
Name
Phone number
Role
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Member
-
Visitor
-
Employee
-
Student
Witness Information
Name
Phone number
Injuries (if applicable)
Description of Injury
First Aid or Medical Attention Provided (if any)
Who Provided Assistance
Property Damaged (if applicable)
Description of Damage
Location & Other Details
Follow-up Action
Actions Taken (if any)
Suggested Steps for Future Prevention
Reported By
Name:
Role:
Date:
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