Title Page

  • Report title

Incident information

  • Incident date/time

  • Reporting persons

  • Store number

  • Brand

  • Location

  • Time first observed

  • Time apprehended

  • Managers name

  • Aisle selected stock

  • Aisle concealed stock

  • Method of concealment

  • Left store via

  • Paid for other items

  • Incident type

Offender information

  • Name

  • Date of birth

  • Age

  • ID type/number

  • Address

  • Suburb/postcode

  • Hight

  • Weight

  • Build

  • Eyes

  • Race

  • Clothing

  • Hair colour/style

  • Distinguishing features

  • Body location

  • Method of travel

  • Vehicle registration

  • state

  • Make/model

  • Colour

  • Panel damage

Items involved

  • Item name and price

  • Receipt

Action taken

  • Total value

  • Action taken

  • Rank/name

  • ID no.

  • Station

  • Email/fax

  • Time police called

  • Time police arrived

  • Brief details of incident

Photo log

  • Offender

  • Vehicle

  • Items involved

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.