Incident Investigation Template

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Crime Ref No

• Name of Police Officer in Attendance

• Insurance Broker: Darwin Clayton,
  Darclay House
  9 Vernon Avenue
  Beeston
  Nottingham, NG9 2NS
  T: 01892 511 144
  F: 01892 511 455
  info@dcuk.co.uk

Incident Details

• Name of person involved in incident

• Incident investigation team (Site rep, Lingwood rep etc.)

• What task was being performed at the time of the incident

• What happened? (e.g.injury, theft, vandalism etc')

• Take photo evidence of incident

  Media

• List of equipment damaged, stolen

• Take photo evidence of surrounding environment (fence breaches, cabin damage, padlocks snapped, injuries etc.)

  Media

• Immediate Cause of investigation

Immediate / Root Cause

• Are there any obvious signs i.e. gates not locked, poor housekeeping, equipment not locked etc.

Contributing Factors

• Select all the relevant contributing factors for each of the categories below.
  To create a corrective action click on the "Action" button, enter description of what we going to do to fix the problem, assign a due date, priority and person responsible.

• Environmental factors (weather, lighting conditions, noise etc.)

  Select Noise Lighting Weather Uneven Ground Items away from guard location Fencing Breached Buildings / Cabins Breached Lack of security awareness by client Other

  • Noise
  • Lighting
  • Weather
  • Uneven Ground
  • Items away from guard location
  • Fencing Breached
  • Buildings / Cabins Breached
  • Lack of security awareness by client
  • Other

• Security staff inducted to site (photo of induction record required from site security folder)

  Yes

  No

  N/A

• Event log completed correctly (i.e. patrol times logged, site equipment listed, check calls recorded etc.) Photo of event log required

  Yes

  No

  N/A

• Seperate statement from guard required

  Yes

  No

  N/A

• Any other contributing factors (i.e. site restrictions, excavations, secondary site etc.)

• Take photo evidence of any contributing factors

  Media

Preventative Measures Going Forward (Recommendations)

• undefined

Sign off

• Person involved in the incident

  Sign

• Supervisor

  Sign

• Site Rep

  Sign

• Lingwood Mgnr

  Sign