Information

Required information

  • Document No.

  • Audit Title

Not required

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Incident Reporting

Date & Time

  • Date & Time of incident

  • Date & Time Incident was reported to Westfield

Incident Type

  • Incident Category

  • Tap to enter information
  • Incident Sub Type

  • Tap to enter information
  • Incident Sub Type

  • Tap to enter information
  • Incident Sub Type

  • Tap to enter information
  • Incident Sub Type

  • Tap to enter information
  • Incident Sub Type

  • Tap to enter information
  • Incident Sub Type

  • Tap to enter information
  • Incident Sub Type

  • Tap to enter information
  • Incident Sub Type

Location

  • Zone

  • Exact location

Incident Description

  • Tap to enter information

Tap to enter information

  • Add Offender

  • Offender
  • Offender Apprehended

  • Add Photo

  • Gender

  • Race

  • Age

  • Height

  • Build

  • Hair

  • Hair Colour

  • Clothing Upper

  • Clothing Lower

  • Is the person known or has the person's details been obtained?

  • Tap to enter information
  • Name

  • Address

  • Date of birth

  • Was the offender excluded

  • Tap to enter information
  • Exclusion Number

  • Excluded until

  • Add Complaintant

  • Complaintant
  • Name

  • Address

  • Date of birth

  • Phone number

  • Add Witness

  • Witness
  • Name

  • Phone Number

  • Add Vehicle

  • Vehicle
  • Vehicle Colour

  • Vehicle Make

  • Vehicle Style

  • Vehicle Registration

  • Comments

  • Add Photo

Emergency Services

  • Was there involvement from emergency services

  • Tap to enter information
  • Police

  • Tap to enter information
  • Contact Time

  • Arrival Time

  • Name

  • Station

  • Ambulance

  • Tap to enter information
  • Contact Time

  • Arrival Time

  • Ambulance Number

  • Fire Brigade

  • Tap to enter information
  • Number of

CCTV

  • Has the incident been captured on Westfield CCTV

  • Does CCTV need to be reviewed

Other

  • Other comments

  • Does the offence need to be added to ROAG

  • Add Photos

  • Photo
  • Add Photo

Signature

  • Sign

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.