Information (CC)


Date / Time of Incident
Incident Location

Units Involved

Description of Incident

Action Taken to Date

Commander's Intent / Evaluation

Point of Contact

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.