Asset Protection Incident Investigation Form

• Date and Time of Incident

  Date

• Incident Investigation Form Prepared by (full name, employee ID, position)

• Date and Time Incident was reported

  Date

• Area / Location of Accident

  Select AA Headquarters AA Sequoia AA KCL AA Hawthorne AA Garden Grove AA Distribution Center

  • AA Headquarters
  • AA Sequoia
  • AA KCL
  • AA Hawthorne
  • AA Garden Grove
  • AA Distribution Center

AMERICAN APPAREL INCIDENT INVESTIGATION FORM

Type of Incident

• Select Robbery Theft of Vehicle Theft from Vehicle Theft (Personal Belongings) Theft (Company Property) Verbal Altercation Physical Altercation Vandalism Property Damage

  • Robbery
  • Theft of Vehicle
  • Theft from Vehicle
  • Theft (Personal Belongings)
  • Theft (Company Property)
  • Verbal Altercation
  • Physical Altercation
  • Vandalism
  • Property Damage

PERSONAL INFORMATION (Employee(s) Involved)

• Person(s) Involved Full Legal Name

• Person(s) Badge or Photo

  Media

• Person(s) Contact Information

ACCIDENT / INCIDENT SUMMARY

• Location of Incident

  Select Parking Lot Warehouse Floor Loading Dock Employee Break Room Employee Restroom Common Walkway Retail Store Alley Way Will Call Office Elevator Stairs Roof Perimeter Fencing Vehicle Entry Gate

  • Parking Lot
  • Warehouse Floor
  • Loading Dock
  • Employee Break Room
  • Employee Restroom
  • Common Walkway
  • Retail Store
  • Alley Way
  • Will Call
  • Office
  • Elevator
  • Stairs
  • Roof
  • Perimeter Fencing
  • Vehicle Entry Gate

• Take photos of the area where the incident occurred.

  Media

• Photos of the area where the incident took place taken?

  Yes

  No

  N/A

• Incident Narrative

SIGN and DATE

• Name / Signature of Employee Taking Incident Report - Nombre en letra de molde / Firma del Empleado tomando reporte.

  Sign