Information
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Document Title:
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Store number:
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Store name:
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State Manager:
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Area Manager:
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Store Manager:
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Response Sheet completed on:
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Prepared by:
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Prepared by (position):
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Prepared by (contact details):
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Date & time of incident:
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What is the current welfare of the team member(s) involved in the incident:
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Team member(s) involved in incident:
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Number of offenders involved in incident:
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Weapon(s) involved in armed hold-up:
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Number of register(s) operating at time of the incident:
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Did register usage in the store at the time of the incident adhere to the agreed 'Register Isolation' framework:
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Is copy of 'Register Isolation' document for store available - if yes, include as attachment, if no, provide reason(s) for this document being incomplete/unavailable:
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Time & amount of last cash pick-up/drop:
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Reason for length of time since last pick-up/drop:
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Was the store's safe involved:
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What type of safe does the store have - if any:
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Total cash amount taken:
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Was there any stock taken in the incident - if yes, provide details such as quantities & value:
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Has the been any damage to store/property - if yes, please include as attachment:
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Number of team member(s) on duty at the time of the incident:
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Was there supposed to be additional team member(s) on at the time of the incident:
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If yes, where were they at the time of the incident:
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What were the team member(s) doing in the store immediately prior to the armed hold-up occurring:
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Have the team member(s) involved previously completed '5 C's Training' - if no, provide reason(s) as to why:
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Has the HR Manager been notified?
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Has the business engaged support (i.e. Converge) for team member(s) involved:
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Is there any action required in terms of follow-up support for the team member(s) involved & who is responsible for completing these actions:
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Amount of trading time lost due to incident:
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Is the store involved considered by the business to be a 'high risk' store:
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Reason for store being considered/not considered 'high' risk:
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Is there CCTV footage of the incident available:
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Media to include as part of Response Sheet - if yes, please include as an attachment:
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Additional comments - if any:
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Action plan details:
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Prepared by (signature):
