Incident Management System Services

Incident Management System

Step 1 of 4

Your details
Your name*
Category of incident*
Which department were you working for at the time of incident?*

Date*
Date Format: MM slash DD slash YYYY
Time

: HH

MM
Address and location of incident*
RLC Accommodation Services House/Log Ref Number (If applicable)
Please provide details of the incident
Name(s) of other staff/ people/ witnesses involved*
Immediate actions taken*
Who did you report the incident to? Please provide dates and names
Where the police notified

Name of client
Date of birth of client
Date Format: MM slash DD slash YYYY
Name and date of birth of other clients (if applicable)
Did the incident involve a client behaviour?
Was PRN administered?

Where injuries sustained?
Was treatment required?
Was there any equipment/ property or other damage?
Was your incident report log completed?

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