Collect evidence, find root causes and investigate incidents, accidents and injuries. Create a comprehensive incident investigation report. Go deeper than an early incident report template.
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Title Page
Document No.
Audit Title
Investigation conducted on
Prepared by
Location
COVID-19 Information Report
Member/Team Member Name
Date & Time of Incident
All clubs visited in the past (2) two weeks
Soho
Tower Bridge
Marylebone
Islington
City
Canary Warf
Areas of club used
Anyone closer than 2 meters for longer than 15 minutes?
Who?
Where you wearing PPE during this time?
Has NHS been contacted and protocols followed in regards to track and trace?
Date of Test?
Date of test confirmation?
Additional information:
Report sent to: GM daren.darby@thirdspace.london
Brian Gallegos
COVID-19 Report
Collect evidence, find root causes and investigate incidents, accidents and injuries. Create a comprehensive incident investigation report. Go deeper than an early incident report template.
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions.
The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice.
You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction.
You should independently determine whether the template is suitable for your circumstances.
