Guest Incident Report Form

Guest Incident Report Form

Please fill out this form completely to document any incidents involving guests.

Date of Incident

    Time of Incident

      Location of Incident

      Specific warehouse area or section

        Guest Information

        Guest Name

          Phone number

            Email

              Room/Reservation Number

              Incident Details

              Description of Incident

              Please describe in detail what occurred, including any factors that contributed to the incident.

                Type of Incident

                Check all that apply

                  • Injury

                  • Property Damage

                  • Theft

                  • Disturbance

                  • Option 5

                  Witness Information

                  Witness Name

                    Phone number

                      Email

                        Witness Statement

                        Please provide a brief description of the incident as observed by the witness.

                          Actions Taken

                          Immediate Action Taken By Staff

                          (e.g., provided first aid, contacted security, etc.)

                            Were Emergency Services contacted?

                            If yes, list the service contacted and the time they were called

                            Staff Member(s) Involved

                            Name

                            Position

                            Resolution/Follow-Up Actions

                            Follow-Up Action Planned

                            (e.g., investigation, further medical assistance)

                              Additional Notes

                              (e.g., any damage to guest property, specific complaints)

                                Report Prepared By

                                Staff Name:

                                Position:

                                Date:

                                Thank you for submission!

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